Arizona Domicile Affidavit Page 2
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4For what term are you seeking classification as a resident?
FALL
SPRING
20________
Check one:
First-time enrolling student (not previously enrolled)
Returning student (previously enrolled)
PART II: DOMICILE INFORMATION - PLEASE COMPLETE ALL THREE COLUMNS
*Legal guardians must be court appointed for purposes other than gaining in-state tuition
and proof of legal guardianship must be attached.
INFORMATION ON:
INFORMATION ON:
INFORMATION ON:
Father
Mother
Student
Father w/custody
Mother w/custody
Male guardian *
Female guardian *
NAME
CURRENT ADDRESS
PERMANENT ADDRESS
EMPLOYED?
(full-time, part-time, retired)
EMPLOYER'S NAME AND
ADDRESS
YOUR HOME
(own, lease, rent?)
LOCATION
BANKS
(indicate where you have
checking/savings)
STATE TAX (state where
you filed resident state tax
for the past year.)
FEDERAL TAX
(address listed on your
federal tax form for the past
year.)
VOTER REGISTRATION
(date and state of most
recent registration)
ARIZONA DRIVER'S
LICENSE
(date & number issued)
ARIZONA VEHICLE
REGISTRATION
(date registered and
number)
*Information on both parents is mandatory along with supporting documentation.
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