• File: JFA-E-2 - RESIDENCY STATEMENT/AFFIDAVIT


    File: JFA-E-2

    RESIDENCY STATEMENT/AFFIDAVIT

    This form is to be completed by a Landlord/Property Owner* of said property of which the enrolling student(s) reside.

    I ____________________________________, swear under oath, that the following information is true:

    (Please Print) The following child(ren) of school age (List all applicable children)

    _______________________________________________________________

    _______________________________________________________________

    is/are living at

    _______________________________________, Sharon, MA 02067 of which I am the owner* of said property on record.

    I understand that the Sharon Public Schools reserves the right to investigate residency if they feel that temporary residency was established for the sole purpose of attending the Sharon Public Schools. I further understand that according to Massachusetts General Law (Chapter 76, Section 5) “Any person who violates or assists in the violation of this provision may be required to remit full restitution to the town of the improperly-attended public schools.”

    Signed under the pain and penalties of perjury on this _______ day of ______________, 20___:

    _______________________________________       ___________________________________

    (Signature)     (Date)   (Print Name)

    * Sharon Public Schools reserves the right to validate property ownership by the Principal, or his/her designee, through the on-line Norfolk County Registry of Deeds.

    -------------------------------------------------------------------------------------------------------------------------------

    Statement of Notary Public:

    Commonwealth of Massachusetts

    Norfolk County, ss.

    On this ____ day of ___________, 20__, before me, the undersigned notary public, personally appeared __________________________________ (name of document signer), proved to me through satisfactory evidence of identification, which were _______________________, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose.

    ________________________________________ Notary Public

    ________________________________________ My Commission Expires: