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Get Humble ISD Verification of Address Affidavit

VERIFICATION OF ADDRESS AFFIDAVIT - Humble ISD Family living with a family Home owners/renters are to include original current proofs of residence. Apartment residents are to provide the lease/rent agreement listing the family moving into your apartment. My name is My last address was Phone Work Previous Hm If more than one address in the last year list 2-3 addresses where you resided the longest in the last year Name of Students s Grade HISD Campus Last school attended I affirm that my family and I are residing in the home of Humble ISD resident Name Address Hm FALSE OR MISLEADING INFORMATION ON THIS FORM IS A CRIMINAL OFFENSE* RESIDENCY IS DEFINED AS LIVING AT LOCATION 24 HOURS A DAY 7 DAYS A WEEK In addition to the penalty provided by Section 37. 10 of the Penal Code a person who knowingly falsifies information on a form required for enrollment of a student in a school district is liable to the school district if the student is not eligible for enrollment in the district but is enrolled on the basis of the false information* I certify that I have not established a residence in Humble ISD for the primary purpose of participation in extracurricular activities. I hereby acknowledge that the above information is true and correct. Signature of Parent before a Notary Public Driver s License State Signature of Resident before a Notary Public TDL 2nd Resident spouse Signature To be completed by Notary. Subscribed to and sworn before me this day of 20. Notary Public in and for the County of Harris State of Texas www. Apartment residents are to provide the lease/rent agreement listing the family moving into your apartment. My name is My last address was Phone Work Previous Hm If more than one address in the last year list 2-3 addresses where you resided the longest in the last year Name of Students s Grade HISD Campus Last school attended I affirm that my family and I are residing in the home of Humble ISD resident Name Address Hm FALSE OR MISLEADING INFORMATION ON THIS FORM IS A CRIMINAL OFFENSE* RESIDENCY IS DEFINED AS LIVING AT LOCATION 24 HOURS A DAY 7 DAYS A WEEK In addition to the penalty provided by Section 37. My name is My last address was Phone Work Previous Hm If more than one address in the last year list 2-3 addresses where you resided the longest in the last year Name of Students s Grade HISD Campus Last school attended I affirm that my family and I are residing in the home of Humble ISD resident Name Address Hm FALSE OR MISLEADING INFORMATION ON THIS FORM IS A CRIMINAL OFFENSE* RESIDENCY IS DEFINED AS LIVING AT LOCATION 24 HOURS A DAY 7 DAYS A WEEK In addition to the penalty provided by Section 37. 10 of the Penal Code a person who knowingly falsifies information on a form required for enrollment of a student in a school district is liable to the school district if the student is not eligible for enrollment in the district but is enrolled on the basis of the false information* I certify that I have not established a residence in Humble ISD for the primary purpose of participation in extracurricular activities. .

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