Petition For Emancipation printable pdf download

Proof of Emancipation

Emancipation is the parental surrender of claim to the right to care and custody of a minor. According to the tuition law, emancipation occurs

at the age of 22 years, or upon marriage, or if: 1. The parents or legal guardians submit an affidavit surrendering any claim or right to the

care, custody, and earnings of the minor, as well as the duty to support the minor, together with the student's proof that the student can

independently meet all living expenses, including the cost of education; and 2. failure of parents or legal guardians to provide financial

support together with the student's proof that the student can independently meet all living expenses, including the cost of education. The 12-

month waiting period for establishing domicile begins only after the date of emancipation has been established by appropriate documentation.

You must complete this petition and have it notarized and submitted to Admissions and Records two weeks before you register for

classes.

This section is to be completed by the student.

Name:

______________________________________________________*Aims ID: ____________________________

or SSN

Address for Reply: __________________________________________________________________________________________

Street

City

State

Zip Code Local Phone

______

_____________

Age

Birth date

*Disclosure of your social security number is voluntary. It is requested on this form to facilitate processing and record keeping by the

College.

1. Have your parent(s) or legal guardian complete the PARENT(S) STATEMENT FOR MINOR CLAIMING EMANCIPATION

and attach photocopies of their federal income tax returns covering the stated period of emancipation. Submit the parent’s statement

along with this Petition for Emancipation to the Tuition Classification Officer in the Admissions and Records Office.

2. Answer the following questions and provide appropriate documentation as they relate to you the student.

a. List all financial support provided to you by your parents during the past two years (attach additional sheet if necessary).

Month___________ Year________ Amount/Value :___________________________

b. List the last year your parent(s) claimed you as a dependent for income tax purposes: _____________

c. List the home address of your parent(s) and the dates you resided there during the past two years.

Address _______________________________

From_______________ To______________

(Dates Resided Month/Year To Month Year)

Address _______________________________

From_______________ To______________

(Dates Resided Month/Year To Month Year)

d. List your sources of income from employment, loans, school sources, personal savings, trust funds and gifts from parents,

relatives, and friends, since your parents ceased providing financial support. *You must attach verifying proof and

documentation for each income source during the past 12 months. 1.) If your income is provided by a trust fund, attach

photocopies of legal papers setting up the trust showing the date it was established, the amounts, the purpose for which the fund was

formed, and the persons by whom any money was added to the trust fund in the past two years. 2.) If you have savings, they must be

documented by photocopies of balance statements or passbook pages covering the entire 12-month period. 3.) If employment is

used as an income source, list it in terms of yearly take-home totals (as documented by W-2 forms, statements from employers, etc.)

rather than wages per hour, per week or per month.

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Revised 8/8/2005

Petition For Emancipation

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