Application Form For Certificate Of Residence

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CERTIFICATE OF RESIDENCE
APPLICATIONS CANNOT BE SUBMITTED SOONER THAN 60 DAYS BEFORE CLASSES START
AND MUST BE OBTAINED WITHIN 30 DAYS OF CLASSES BEGINNING.
Tompkins County Finance Department
nd
125 East Court Street, 2
Floor
Ithaca, New York 14850
(607) 274-5545
Cetificates will be issued Monday through Friday from 8:30 to 4:15
1.
FILL OUT APPLICATION
a. Must list last 4 years of addresses
b. No P.O. Boxes
2.
EITHER:
a. Mail to Tompkins County Finance Department
i.
application must be notarized
ii
required proof must be attached
b. Bring in person to Tompkins County Finance Department
i.
application should not be signed until signing in front of office staff
ii
must have required proof
c. Applications are available at office
i.
application can be filled out at office
ii
must bring required proof
3.
Proof needed:
a. Driver’s license/permit
b. 1 year’s proof of residency in New York State – (must be dated 1 year before
classes begin – i.e. Fall Semester -- proof from July or August of the year before
and Spring Semester – proof from November, December or early January)
c. 6 month’s proof of residency in Tompkins County – (must be dated 6 months
before classes begin – i.e. Fall Semester – proof from February or March and Spring
Semester – proof from June or July)
4.
Types of Proof -- All proof must show name, address and time frame required
Utility bills
Lease agreements
Bank statements (from actual month required)
Post marked envelopes
Medical/dental bills
Car insurance cards or policies
Cell phone bills
Pay stubs
5.
Items not accepted as proof
Rent receipts
W-2’s
Letters from Landlords
6.
If not a US Citizen – Must bring proof of status in country. Types of proof include:
Resident Alien Card (not a copy)
VISA
I-94 card
Stamped passport

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