Ramsey Public School District Residency Affidavit B-1 Affidavit Pupils (Parent/guardian) - State Of New Jersey County Of Bergen Page 2

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10.
I have read the affidavit of ______________________________ (Residency Affidavit B-2) and
hereby declare that the statements contained therein are absolutely true to the best of my
knowledge and belief.
11.
I agree to submit additional documentation that the District may request in order to support the
validity of the statements I have made herein.
12.
I am aware that I have an obligation to notify the District immediately if any of the above
circumstances change.
13.
This Affidavit is submitted for the purpose of inducing the Ramsey Board of Education to accept
my child as a student in the District on a tuition-free basis. I state that the information contained
in this Affidavit is true and accurate and acknowledge the Board of Education’s reliance upon the
truthfulness and accuracy of this information. If any of the statements contained in this Affidavit
are willfully false, I am aware that I am subject to the criminal penalties provided by law for
perjury and/or false swearing, and will remain subject to all other obligations and/or liabilities
which I have assumed elsewhere in this Affidavit. Specifically, I am aware that I will be
personally liable for the payment of tuition for my child retroactive for the period of ineligible
attendance of my child in the District
14.
Furthermore, I understand that if I have fraudulently claimed to have given up custody of my child
to the Ramsey Resident, I may be found guilty of a disorderly persons offense under N.J.S.A.
18A:38-1(c).
Signature of Non-Resident Parent(s)
Sworn and subscribed to before me
This ____day of____________20____
__________________________________
NOTARY PUBLIC OF NEW JERSEY
Revised 10/30/2014
2 of 2
Res. Affidavit B-1

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