AFFIDAVIT/DOCUMENT EVIDENCING FAMILY TIES IN FLORIDA
RESIDENCY FOR TUITION PURPOSES (TIER 2 of FLORIDA STATUE 1009.21)
I, do hereby swear or affirm that I am related to
by virtue of the following (explain exactly how you
are related to the individual/student must be a verifiable relative with documents to
substantiate, i.e., copy of marriage certificate, birth certificate(s), etc.):
and that I have lived in the state of Florida for at least 12 months prior to __________________
(first day of classes for ________________ term).
Please provide two forms of proof evidencing that relative is a resident of the State of Florida
(must be State of Florida issued documents, i.e., driver’s license, vehicle registration, voter i.d.
card, etc., but cannot be hunting/fishing license, library card, birth certificate, passport, etc.).
Documents must bear an issue date of at least 12 months prior the first day of class for the term
in which student is applying to attend.
Signed: (Claimant) Date:
Signed: (Relative) Date:
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