Application For Classification As A South Carolina Resident
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4University of South Carolina
Legal Residency Office
Columbia, SC 29208
Telephone: (803) 777-4060
APPLICATION FOR CLASSIFICATION AS A SOUTH CAROLINA RESIDENT
(Please allow four to six weeks for processing.)
Applicant's Name: ______________________________________________________________________________________________
Last
First
Middle
Social Security Number: ________________________________
Date of Birth: ____________________ Age: _______________
Marital Status: _________________________________________
If married, date of marriage: _____________________________
Permanent Phone: ______________________________________
Present Daytime Phone: ________________________________
Mailing Address: _______________________________________________________________________________________________
E-mail Address: ________________________________________________________________________________________________
Preferred method of notification of status: U.S. Postal Service__________
E-mail__________
Semester you are requesting in-state status to begin: _________________________________________________________________
Date classes will begin for the semester for which you are requesting in-state status: ________________________________________
Citizenship (check only one)
□ U.S. citizen
□ Not U. S. citizen, but permanent resident of U. S. – Date permanent resident status granted _____________________________
□ Other; give visa type ________________________________________________________________________________________
*If you are not a U.S. citizen, attach photocopy of official document verifying your immigrant status.
PART 1. Filing Status (check only one)
□ (A) I am requesting resident status on the basis that I am an independent person who has physically resided and established a
permanent home in South Carolina for at least twelve months immediately preceding the term I am requesting resident
status. (Complete Parts 2, 3, 4, 5, 6, and 10.)
□ (B) I am requesting resident status on the basis that I am a dependent of a person who has physically resided and established a
permanent home in South Carolina for at least twelve months immediately preceding the term I am requesting resident status.
Name of person upon whom you are dependent: _______________________________________________________________
Relation to you: _________________________________________________________________________________________
(Complete Parts 7, 8, and 10.)
□ (C) I am requesting resident status on the basis that
□ I am a dependent person and my spouse, _____________________________________________________________ , is . . .
□ I am a dependent person and my parent, _____________________________________________________________ , is . . .
a full-time employee in South Carolina who has been a permanent resident of the state for less than twelve months.
(Complete Parts 7, 8, and 10.)
□ I am a full-time employee in South Carolina who has been a permanent resident in the state for less than twelve months.
(Complete Parts 2, 3, 4, 5, 6, and 10.)
□ (D) I am requesting resident status on the basis that
□ I am a dependent person and my spouse, _____________________________________________________________ , is . . .
□ I am a dependent person and my parent, _____________________________________________________________ , is . . .
retired, receiving a retirement pension or annuity, and has been a permanent resident of the state for less than twelve
months. (Complete Parts 7, 8, and 10.)
□ I am retired, receiving a retirement pension or annuity, and have been a permanent resident in the state for less than
twelve months. (Complete Parts 2, 3, 4, 5, 6, and 10.)
□ (E) I am requesting resident status on the basis that
□ I am a dependent person and my spouse, _____________________________________________________________ , is . . .
□ I am a dependent person and my parent, _____________________________________________________________ , is . . .
□ I am . . .
on active military duty in South Carolina. (Complete Parts 9 and 10.)
PART 2. Personal Statement
(A) Date I came/returned to South Carolina: _____________________________________________________________________
(B) Date I claim permanent residence in South Carolina established/re-established: _____________________________________
**Attach documentation that verifies the date you moved into a permanent place of residence in South Carolina (ex: photo
copy of lease, rental agreement, closing statement for purchase of home, bills for utility connections, change of permanent
home address with post office.)
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