Affidavit (Or Affirmation) And Application For Certificate Of Residence Form (Page 2 of 2) in pdf

Affidavit (Or Affirmation) And Application For Certificate Of Residence Form Page 2

Genesee Community College

One College Road, Batavia, New York 14020

INSTRUCTIONS

You must submit EITHER a Residency Affidavit OR a Certificate of Residence to GCC once each year.

Failure to submit the appropriate document will result in DOUBLE TUITION CHARGES.

GENESEE COUNTY RESIDENTS:

If you have been a legal resident of New York State for the past year AND a resident of Genesee County for the last

six (6) months, fill out this form, sign it and turn it in to the Business Office.

OTHER NEW YORK STATE RESIDENTS:

If you have been a permanent resident of New York State for the past year BUT you have lived outside of Genesee

County, please follow these instructions:

1. Fill out this form.

2. Have your signature notarized.

3. Submit it to your County Treasurer.

4. The Treasurer will keep this form and give you a Certificate of Residence. Submit that form to the Business

Office. Call your County Treasurer if you have any questions.

NON-NEW YORK STATE RESIDENTS:

Non-Resident tuition is charged to all students who have not been legal, permanent residents of New York for the

past year. This includes the following:

1. International Students (holding an F-1 Visa).

2. Temporary residents (short-term job assignment or living here while attending college, for instance).

3. Any person who is in the U.S. on a Visa. Immigrants must have a permanent resident status for one year in

order to be eligible for in-state tuition.

If you have any questions, please contact the Business Office at (585) 343-0055 ext 6212.

Local County Treasurers

LIVINGSTON COUNTY*

WYOMING COUNTY

6 Court Street

143 N. Main Street

Geneseo, NY 14454

Warsaw, NY 14569

(585) 243-7050

(585) 786-8812

ORLEANS COUNTY*

MONROE COUNTY

34 East Park Street

39 West Main Street

Albion, NY 14411

Rochester, NY 14614

(585) 589-5353

(585) 753-1125

ERIE COUNTY**

NEW YORK CITY COUNTIES*

Comptroller’s Office

Office of the Comptroller

95 Franklin Street, Room 1154

1 Centre St., Municipal Bldg Room 703

Buffalo, NY 14202

New York, NY 10007

(716) 858-8400

(212) 669-2784

*These Counties require you to appear IN PERSON to obtain their Certificates.

** Erie County requires residents to provide proof of address when obtaining their Certificates.

IMPORTANT:

Some counties will issue Certificates of Residence through the mail while others require you to appear in

person. Please check with your treasurer’s office for their requirements. Counties are only required to

issue certificates during the first 30 days of the semester.

Revised 7/2015

Affidavit (Or Affirmation) And Application For Certificate Of Residence Form Page 2

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