LampasasIndependent School District Chane Rascoe, Ed.D., Superintendent

207 W. 8th Street

Lampasas, Texas 76550

Phone: (512) 556-6224

Fax: (512) 556-8711

Email:

Proof of Residency

Students are required to provide proof of physicalresidency when enrolling:

New students to Lampasas ISD

Returning students whose address has changed since last enrollment

Current students who have had a change of address

Documentation required and/or allowed to establish proof of residency in Lampasas ISD

One of the following:

  • A bill or statement within the last 30 days that indicates address in parent/guardian’s name.
  • Homeowner/Rental Insurance policy in parent/guardian’s name for student address is acceptable.
  • Lease or Contract for residential address in parent/guardian’s name is acceptable.
  • However, contractual representation documents and similar documents used by realtors are not acceptable on their own. We must have documentation of a binding agreement to reside at a residence within a specified timeframe.
  • A notarized signed/dated “Verification of Address From Property Owner” affidavit with whom student lives along with acceptable documentation of residency for home owner/lessee. (See attached)

VERIFICATION OF ADDRESS FROM PROPERTY OWNER

Statement of Residence by Parent or Guardian

LampasasIndependent School District

PARENT SECTION
I understand that making a false statement in this document or any other document for the purpose of school enrollment is a criminal offense under §37.10 of the Texas Penal Code and could subject me to imprisonment or fine. I further understand that enrollment of a child under false documents is a violation of §25.3001 of the Texas Education Code and subjects me to liability for tuition or costs under Texas Law and will at a minimum result in my child being withdrawn from Lampasas ISD.
Parent Name: ______
1. Student Name: ______Grade: ______Date of Birth: ______
2. Student Name: ______Grade: ______Date of Birth: ______
3. Student Name: ______Grade: ______Date of Birth: ______
4. Student Name: ______Grade: ______Date of Birth: ______
Address: ______City: ______State: _____ Zip: ______
The above-listed address is the primary residence for my child/children and I reside with the
person whose property is listed below. If address is outside Lampasas ISD, I have attached a completed
student transfer request. I have attached acceptable documentation for address verification.
______
Parent Signature Date
PROPERTY OWNER : Proof of residency in Lampasas ISD must accompany this form.
Property Owner’s Name: ______
______resides in my home or on my property at
(Complete Name of Parent/Guardian)
______, ______, TX ______
(Street Address) (City) (State) (Zip Code)
which is documented as being in the ______
(School/Attendance Zone)
______
Property Owner’s Signature (signature must be witnessed by notary public) Date
Telephone Home: ______Work: ______Cell: ______
STATE of TEXAS
COUNTY OF ______
Sworn to and subscribed before me by ______on this ______day
of ______, 20____.
(Seal) ______
Notary Public – State of Texas

Revised 7/26/2016 MDW