Application For Virginia Instate Tuition Rates (Page 2 of 3) in pdf

Application For Virginia Instate Tuition Rates Page 2

1. Are you a U.S. citizen?

Yes

Non-Permanent Resident/Visa Type: _____________________________

2. How long have you resided in Virginia? _____Years _____Months

3. Where have you lived in the last two years? Please list current address first:

Street Address

City

State

Zip

From (mo/yr)

To (mo/yr)

For the 12 months prior to the term in which the applicant will enroll, will you have:

1. Filed a tax return or paid income taxes to Virginia?

Yes

2. Been a registered voter in Virginia?

Yes

3. Held a valid Virginia driver’s license?

Yes

4. Owned or operated a motor vehicle?

Yes

If YES, is it or has it been registered in Virginia?

Yes

5. Did you file Virginia taxes on all taxable income earned in Virginia for the last tax year?

Yes

6. a. Are you currently on active duty in the military?

Yes

If NO, please skip to Section D.

b. Are you currently assigned to a permanent duty station in Virginia or to a state which is contiguous to Virginia or

the District of Columbia?

Yes

Indicate the location of your permanent duty station:

You must also provide the University with copies of your official military orders assigning you to a permanent

duty station in Virginia or to a state which is contiguous to Virginia or the District of Columbia, official

documentation of your residence in Virginia (deed, lease, or letter from landlord), and a copy of the student’s

military dependent identification card (if unavailable, a copy of your federal income

tax return indicating the student’s tax dependent status).

Does your Leave and Earnings Statement (LES) reflect Virginia as your current state of residence?

Yes

If YES, please provide a copy to the University.

C. Student Information

1. Filed a tax return or paid income taxes to Virginia?

Yes

2. Been a registered voter in Virginia?

Yes

3. Held a valid Virginia driver’s license?

Yes

4. Owned or operated a motor vehicle?

Yes

If YES, is it or has it been registered in Virginia?

Yes

5. Will you be age 24 before the first day of classes?

Yes

6. Are you a veteran of the U.S. Armed Forces or active duty military?

Yes

Application For Virginia Instate Tuition Rates Page 2

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