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The Illinois Affidavit of Residency form serves as a crucial document for individuals seeking to establish their residency status within the state. This form is often required in various situations, such as enrolling a child in school, applying for state benefits, or verifying residency for legal purposes. By completing the affidavit, individuals affirm their current address and confirm their intent to reside at that location. The form typically requires personal information, including the name, address, and signature of the individual, as well as the date of completion. It's important to note that the affidavit must be signed in the presence of a notary public, ensuring the authenticity of the information provided. Understanding the nuances of this form can significantly impact one’s ability to access essential services and rights in Illinois.
Example - Illinois Affidavit of Residency Form
Illinois Affidavit of Residency
This Affidavit of Residency is made to comply with the Illinois School Code and other applicable Illinois state laws requiring proof of a child's residence for school enrollment. This affidavit serves as a formal declaration of the residency of ___________________________ (the "Affiant"), who is providing proof of residence for ____________________________________________________________ (the "Student").
Section 1: Affiant’s Information
- Full Name: ________________________________________
- Relationship to Student: ________________________________________
- Address of Residence: ________________________________________
- City: ___________________, State: Illinois, Zip Code: ___________
- Phone Number: ___________________________
- Email Address: ___________________________
Section 2: Student’s Information
- Full Name: ________________________________________
- Date of Birth: ___________________________
- School Currently Attending: ________________________________________
- City: ___________________, State: Illinois, Zip Code: ___________
Section 3: Affidavit Statement
I, ___________________________ (Affiant’s Full Name), hereby declare under penalty of perjury that the information provided above is true and accurate to the best of my knowledge and belief. I affirm that the Student named above resides with me at the address stated in Section 1. This residency is not for the sole purpose of obtaining school district services. I understand that providing false information on this affidavit can result in penalties under Illinois law.
I further affirm that all supporting documents attached to this affidavit are genuine and accurately reflect the Student’s residence.
Section 4: Execution
Executed this _____ day of _______________, 20_____.
___________________________________________
Signature of Affiant
Section 5: Notary Public (if applicable)
This document was acknowledged before me on this _____ day of _______________, 20_____ by ___________________________ (Affiant’s Full Name).
- Notary Public’s Name: ________________________________________
- Commission Number: ________________________________________
- My Commission Expires: ___________________________
___________________________________________
Signature of Notary Public
PDF Form Properties
| Fact Name | Details |
|---|---|
| Purpose | The Illinois Affidavit of Residency form is used to verify an individual's residence in the state of Illinois for various legal and administrative purposes. |
| Governing Law | This form is governed by the Illinois Compiled Statutes, specifically under 105 ILCS 5/10-20.12a, which outlines residency verification for school enrollment. |
| Who Uses It | Parents or guardians typically complete this form when enrolling their children in public schools to confirm their residency status. |
| Submission Process | The completed affidavit must be submitted to the appropriate school district or educational institution as part of the enrollment process. |
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