Education Verification Form For Calendar Year 1999 - Alaska Department Of Revenue

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Alaska Department of Revenue
Permanent Fund Dividend Division
Education Verification Form for Calendar Year 1999
In order for us to complete processing your 2000 PFD application, you must provide the
requested information by October 31, 2000 or 30 days after the date of this request,
whichever is later. If you don’t, your application will be denied in accordance with 15 AAC
23.173(d).
You said you were absent from Alaska "enrolled as a full-time student." Please do one of the
following:
1.
All college, university, technical or vocational school students
- sign and date the authorization on the reverse side of this form;
- forward this form to the registrar’s office of the educational institution which you attended;
- have the registrar’s office complete the reverse side of this form;
- return this completed form (you or the registrar) directly to the Department of
Revenue; and
- attach a written explanation if you are in a special graduate or Ph.D. program.
2.
The sponsor of all seventh through twelfth grade foreign exchange students
- obtain a letter from the school or sponsoring organization with the specific dates of
attendance; and
- return that letter with this form to the Department of Revenue at the address below.
3.
The sponsor of all seventh through twelfth grade students attending a boarding,
private or public school
- have the school your child attended complete the reverse side of this form, or
- obtain a letter from the school with the specific dates of attendance and type of tuition
paid;
- complete information below for the person who the child lived with while at school:
Name of person child lived with
Telephone Number
Relationship to Child
- return this form and any attachments to the Department of Revenue at the address below.
If you were absent from Alaska and attended more than one school during calendar year
1999, provide a separate Education Verification Form for each school . You may make
copies of this form. This form is also available on our web site at
Mail all requested information to: Alaska Department of Revenue
Permanent Fund Dividend Division
PO Box 110462
Juneau, Alaska 99811-0462

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