Form Frd 1 - Florida Residency Declaration For Tuition Purposes Form (Page 2 of 4) in pdf

TO BE COMPLETED BY THE STUDENT SEEKING

FLORIDA RESIDENCY FOR TUITION PURPOSES

I qualify as a resident for tuition purposes, as defined by s. 1009.21, Florida Statutes, for the term for which this applica-

tion is submitted . I understand that it will be necessary for me to present evidence of residency for tuition purposes,

supporting my claim as a Florida resident for tuition purposes. I have read the residency information on qualifying as a

dependent or independent student, and declare that: (select one of the options below):

[ ] I am a dependent student, as defined by s. 1009.21(1)(a), Florida Statutes, in that I am eligible to be claimed as

a dependent under the federal income tax code by the claimant below. The claimant is my “parent” as defined by s.

1009.21(1)(f), Florida Statutes, (i.e., either or both parents of the student, any guardian of a student, or any person

in a parental relationship to the student). My parent has maintained legal residence in Florida for at least the past

12 consecutive months. As defined by section 1009.21(1)(d), Florida Statutes, ’legal resident’ or ‘resident’ means a

person who has maintained his or her residence in this state for the preceding year, has purchased a home which

is occupied by him or her as his or her residence, or has established a domicile in this state pursuant to s. 222.17.”

A copy of your parent’s tax transcript may be requested to establish dependence.

[ ] I am an independent person who has maintained legal residence in Florida for at least the past 12 consecutive

months. I provide more than 50% of my own support. An independent student generally includes a person who is at

least 24 years old, married, a graduate or professional student, a veteran, a member of the armed forces, a ward of

the court, or someone with legal dependents other than a spouse, pursuant to the United States Department of Ed-

ucation for the purposes of federal financial aid eligibility. There may be limited cases where a person under the

age of 24 years old may qualify as an independent student. Such students will be required to verify independence

(including financial independence.) A copy of your tax transcript may be requested to establish independence.

[ ] I meet residency requirements through one of the Qualifications by Exception below (check appropriate exception):

TERM OF APPLICATION: (check one):

[ ] FALL

[ ]SPRING

[ ]SUMMER

YEAR: 20 ______

QUALIFICATION BY EXCEPTION (To Be Completed By The Student)

As provided in s. 1009.21, Florida Statutes, I qualify for residency based on the following permitted exception (documentation required):

[ ] I am a qualified beneficiary under the terms of the Florida Prepaid College Program (s. 1009.98, Florida Statutes.)

(Required: Copy of Florida Prepaid Recipient card.)

[ ] I am married to a person who has maintained legal residence in Florida for at least the past 12 consecutive months.

I now have established legal residence and intend to make Florida my permanent home. (Required: copy of mar-

riage certificate and/or other documents required to establish residency.)

[ ] I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition

purposes. I am transferring to another Florida state postsecondary institution within 12 months of the previous

enrollment. (Required: Evidence of previous enrollment as a FL resident)

[ ] I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition

purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing Florida legal

residence.

[ ] Active duty members of the Armed Services of the United States residing in this state and their spouses and

dependent children, and active drilling members of the Florida National Guard. (Required: Copy of military orders or

DD2058 showing home of record.)

[ ] Active duty members of the Armed Services of the United States and their spouses and dependents attending a

Florida College System institution or state university within 50 miles of the military establishment where they are

stationed, if such military establishment is within a county contiguous to Florida. (Required: Copy of military orders.)

[ ] United States citizens living on the Isthmus of Panama, who have completed 12 consecutive months of college work

at the Florida State University Panama Canal Branch, and their spouses and dependent children. (Required: Copy of

marriage certificate or proof of dependency.)

[ ] Full-time instructional and administrative personnel employed by state public schools and institutions of higher

education and their spouses and dependent children. (Required: Employment Verification) (Cont. on Next Page)

Rule 6A-10.044, F.A.C., Form FRD-1

Page 2

Effective December, 2015

Form Frd 1 - Florida Residency Declaration For Tuition Purposes Form Page 2

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