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Owner/Lease Holder Residence Affidavit

Required

This form must be completed by the property owner or leaseholder.

As proof of residency, the owner must provide both of the following documents:

  1. Current mortgage statement, Auditor's Report or Deed identifying them as the owner of the property.
  2. Current monthly utility bill (electric, gas or water) - dated within 30 days of application date addressed to the owner.

As proof of residency, the leaseholder must provide both of the following documents:

  1. Current rental agreement, signed by both Landlord and Tenant identifying them as the renter of the property.
  2. Current monthly utility bill (electric, gas or water) - dated within 30 days of application date addressed to the owner.

All documentation must be submitted to the Lakota Welcome Center via:

  1. Upload documents to the student's FinalForms account through OneLogin.
  2. Email: enroll@lakotaonline.com
  3. In Person: Lakota Local Schools Central Office, 5572 Princeton Road, Liberty Township
Why are you completing this form?required
I,required
First Name
Last Name
hereby certify that I am the owner/leaseholder of the following residence, located within the Lakota Local School District.
I further certify that the following individual physically resides with me and have since
Must contain a date in MM/DD/YYYY format
Statement Acknowledgementrequired