Residency Application Student Form Page 3
Download a blank fillable Residency Application Student Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Residency Application Student Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
426. If you are financially independent, for how long? _______________________________________________________
q
q
27. Did you file a Federal Income Tax Return as an independent person?
YES
NO. Did you file South Carolina
q
q
State Tax Return as a SC resident?
YES
NO
MISCELLANEOUS DATA
q
q
28. Do you have a valid South Carolina issued state ID card?
YES
NO
q
q
29. Do you have a valid South Carolina driver's license?
YES
NO
q
q
YES
NO
Is your license a renewal of a previously issued South Carolina license?
q
q
q
q
30. Do you own a motor vehicle?
YES
NO If yes, is it registered in South Carolina?
YES
NO
q
q
Is this registration a renewal of a previously issued South Carolina Motor Vehicle Registration?
YES
NO
31. List all vehicles that you currently own and what state they are registered in:
Vehicle Make/Model
State
Newly Purchased Y/N? If yes, list date purchased
__________________________________________________________________________________________________
__________________________________________________________________________________________________
DECLARATION OF DOMICILE
Domicile denotes your true, fixed and permanent home and place of habitation. It is the place where you intend to
remain and to which you expect to return when you leave, without intending to establish domicile elsewhere.
Penalty: Willful misrepresentation of fact in an attempt to gain residency improperly may result in tuition and fees past
due and unpaid to be charged, plus interest at the rate of eight percent (8%) per annum, plus a penalty in the amount of
twenty-five percent(25%) of the non-resident tuition and fees for one semester.
(1) I ______________________________________________________________________________declare under oath:
(a) My birth date is ______________________(b) I established my domicile in South Carolina on ___________________
(c) I reside at _______________________________________________________________________________________
(2) I have read the definition of domicile and the penalty prescribed for willful misrepresentation appearing above.
NOTARIZATION REQUIREMENT
_____________________________________________
Signature of Student
State of _____________
County of ____________________
Subscribed before me this ___________ day of _________________________________________ , 20___
____________________________________________________
My Commission Expires __________________
Notary Public
Notary Seal
Revised 3/2015
OFFICE OF RESIDENCY CLASSIFICATION
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business