Residency Application For Military Form Page 2
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1
2MILITARY STATIONED IN SOUTH CAROLINA
q
q
Are you currently on active duty stationed in SC?
YES
NO If yes, please provide current military orders and skip to
Notary Section. If no, please proceed to next question.
MILITARY STATIONED OUTSIDE OF SOUTH CAROLINA
q
q
Are you currently on active duty stationed at a base outside of South Carolina?
YES
NO If yes, continue to next
question. If no, please skip to next military category.
q
q
Have you kept South Carolina as your home of record on your military paperwork?
YES
NO If yes, please provide a
copy of your Leave and Earnings Statement.
q
q
Have you filed SC Taxes as a SC resident and will you continue to claim SC as a resident?
YES
NO
ACT 11 (Choice Act)
(receiving chapter 30 or chapter 33 benefits)
q
q
Do you intend to be domiciled in SC?
YES
NO
q
q
If yes, are you going to live on campus?
YES
NO
If no, please provide proof of your lease or deed
What date was military personnel discharged?
_______________________ a copy of your DD214, and your Certification
of Eligibility (COE) is required along with this application.
NOTARIZATION REQUIREMENT
I certify that the above information is true to the best of my knowledge.
________________________________________________
____________________
(parent/spouse guardian)
(date)
________________________________________________
____________________
(student)
(date)
NOTARY:
State of ___________________________
County of __________________________
Subscribed before me this _______ day of __________________________, 20_____
___________________________________________
My Commission Expires ______________________
NOTARY PUBLIC
NOTARY SEAL REQUIRED
OFFICE OF RESIDENCY CLASSIFICATON
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