Looking for a California Franchise Tax Board Forms And Templates? Download it for free!

Note: If you have questions regarding your immigration status, contact the Bureau of

Citizenship and Immigration Services office in your area.

ELIGIBILITY CODE CHART FOR NONCITIZENS

If you are:

Use Alien

Status Code:

• An alien lawfully admitted for permanent residence under the INA.

• An alien who (or whose child or child’s parent) has been battered or subjected to

extreme cruelty in the United States by a spouse or parent, or by a spouse’s or

parent’s family member living in the same house.

• An alien or the child of an alien who has been battered or subjected to extreme

cruelty in the United States by a spouse or parent, or by a spouse’s or parent’s

family member living in the same house.

An alien granted conditional entry under Section 203(a)(7) of the INA as in effect

prior to April 1, 1980.

An alien whose deportation is being withheld under Section 243(h) of the INA (as in

effect immediately prior to September 30, 1996) or Section 241(b)(3) of such act (as

amended by Section 305(a) of division C of Public Law 104-208).

An alien who is granted asylum under Section 208 of the INA.

A refugee admitted to the United States under Section 207 of the INA.

An alien paroled into the United States for at least one year under Section 212(d)(5)

of the INA.

An alien who is a Cuban or Haitian entrant (as defined in Section 501(e) of the

Refugee Education Assistance Act of 1980).

An alien paroled into the United States for less than one year under Section

212(d)(5) of the INA.

A nonimmigrant alien, as defined in Section 101(a)(15) of the INA,

admitted under the INA (8 U.S.C. Section 1101...).

You do not qualify for homeowner or renter assistance if you are an alien and either of

the following is true.

• We have not described your alien status above.

• You are an undocumented alien. (Undocumented aliens do not qualify for most public

benefits, including homeowner and renter assistance.)

SECTION C:

I authorize the Franchise Tax Board to match my name and the information provided against the files of

the Department of Health Services and other state or federal agencies to confirm my eligibility for the

Homeowner and Renter Assistance Program.

Under penalties of perjury, I declare that this declaration and all statements regarding my citizenship or

alien status, including accompanying schedules, as well as the information in my claim, are to the best of

my knowledge true, correct, and complete.

Claimant’s Signature: ________________________________________ Date: ________________

Claimant’s Daytime Telephone Number (

) _____________________

For Privacy Notice, get form FTB 1131.

FTB 9225 C-1 (REV 08-2004) SIDE 2

Form Ftb 9225 C-1 - Declaration Of Citizenship, Alienage, And Immigration Status For Homeowner And Renter Assistance Page 2

Related Articles

Related forms

Related Categories