Fillable Application For Certificate Of Residency

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Application For Certificate Of Residency

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Page | 1
Spring 2020
Directions for Certificate of Residency Requirements for
High School & Home School Students
All registered high school and homeschool students, including those who
are auditing, must have a valid Certificate of Residency on file. The
Certificate of Residency proves students are a New York state resident
(for one year) and a resident of their county (for six months). Certificates
of Residency are valid for one full year upon approval. Should you have
any questions, please contact the CollegeNow office at (607) 844-6503.
Please include the following when submitting your certificate of residence
application:
1. Complete the Affidavit and Application for Certificate of Residency
(COR). You must have your signature notarized by a commissioned
notary public. (ask your guidance office if one is available at your school).
Please included your street address on the form. P.O. Boxes are not
accepted as a valid address.
2. Provide any proof that is required – see below for specifics for the
county in which you reside regardless if your school is located within a
different county.
3. Send your COR application and required proof directly to the
CollegeNow office unless otherwise specified.
CollegeNow
PO Box 139
Dryden, NY 13053
4. Pay close attention to the deadlines!! All COR applications are due no
later than March 20, 2020 unless otherwise noted.
Students who do not submit their COR by the deadline will be sent home
a billing statement.
Allegany County:
COR application and copy of school ID.
Broome County:
Letter on school letterhead stating: “I know and attest to the fact that
XXXX has been a resident of the State of New York for the past one year
and the County of Broome for the past six months.”
NOTE: County will not accept the COR application without a Social
Security number.
Cayuga County:
Students must complete an AFFIDAVIT (OR AFFIRMATION) AND
APPLICATION FOR CERTIFICATE OF RESIDENCE for Cayuga County
and take to their Town Clerk’s Office to be certified (having the bottom
portion of the form completed by their Town Clerk). Students may also
have to prove their residency to the Town Clerk.
Chemung County:
Students must take the COR application to their Town Clerk’s Office to be
certified. Students may also have to prove their residency to the Town
Clerk.
Chenango County: Certificate of Residency Applications Are Due
March 6, 2020
Guidance Office or Principal (NOT teacher) must complete the “Affidavit
of Residency for Dual Credit Students” form for ALL registered students
in Chenango County and submit to the CollegeNow office with the
students Certificate of Residency application.
NOTE: County will not accept the COR application without a Social
Security number.
Page | 2
Spring 2020
Cortland County: Certificate of Residency Applications Are Due
March 6, 2020
Current high school transcript and print-out of School Tool summary page
showing student’s photograph and home address (qualifying as photo ID)
or a copy of student’s driver’s license/permit/non-driver ID.
NOTE: County will not accept the COR application without a Social
Security number.
Delaware County: Certificate of Residency Applications Are Due
March 6, 2020
ALL applications must be mailed directly to Delaware County Treasurer,
PO Box 431, Delhi NY 13753.
Herkimer County:
A copy of driver’s license/permit/non-driver ID, or summary page from
SchoolTool, previous year report card (qualifying as 1 year document),
and high school transcript (qualifying as the 30 day document).
Jefferson County: Certificate of Residency Applications Are Due
March 6, 2020
A copy of driver’s license/permit/non-driver ID, or summary page from
SchoolTool, previous year report card (qualifying as 1 year document),
and high school transcript (qualifying as the 30 day document).
Madison County: Certificate of Residency Applications Are Due
March 6, 2010
The middle section of the COR application must be completed providing
dates student has resided each address, including current, specifying
from month/year to month/year. Do not say “birth to present”.
NOTE: County will not accept the COR application without a Social
Security number.
Oneida County:
Students must provide a copy of their driver’s license/permit dated at
least one year prior to the start of classes or a copy of current high school
transcript.
Onondaga County:
Current high school transcript showing in-district work for at least a year
(qualifying as the 1 year document), copy of a recent report card
(qualifying as the 30 day document), print-out of School Tool summary
page showing student’s photograph and home address (qualifying as
photo ID).
Otsego County:
For each certificate of residence application, a letter on school letterhead
stating: “I know and attest to the fact that XXXX has been a resident of
the State of New York for the past one year and the County of Otsego for
the past six months.” The letter must also include the student’s current
address.
NOTE: Do NOT provide the Social Security number on the application or
letter from school.
Schoharie County:
COR application and current high school transcript.
Schuyler County: Certificate of Residency Applications Are Due
March 6, 2020
COR application only.
Steuben County:
COR application and current high school transcript.
Sullivan County:
A copy of the student’s photo ID and a copy of their parent’s property tax
bill (if they own the residence) or a copy of the parent’s previous year tax
return.
Tioga County:
COR application and current high school transcript.
Tompkins County:
ONLY Tompkins County residents taking concurrent enrollment classes
at their high school or on-line classes through the CollegeNow office are
not required to complete the COR application. However, students
enrolled in classes on any of our campuses must submit a certificate of
residence. Students can apply directly at:
http://tompkinscountyny.gov/finance/Treasury-0
Yates:
COR application, photo ID and a piece of mail.
Remaining Counties: Herkimer, Lewis, Oswego, and Seneca Counties
require ONLY COR application at this time. If your county is not listed,
please call the CollegeNow office at (607) 844-6503.
AFFIDAVIT AND APPLICATION FOR CERTIFICATE OF RESIDENCY
Pursuant to Sections *6301 & **6305 of the Education Law
STATE OF NEW YORK, COUNTY OF
(Home County)
Social Security No.___________________
Semester______________Year__________
I, ____________________________________________________________________do hereby swear (or affirm)
(Full Name)
that I reside at ____________________________________________________________________, in the (City)
(Loc
al Address)
(Village) Town of ________________________, County of _____________________, State of New York; that I now
am, or have been for a period of one year to the date of this affidavit (or affirmation) been a resident of the State of
New York; that I now am, or have been for a period of six months prior to the date of this affidavit (or affirmation) a
resident of the County of___________________________________.
Permanent Address:__________________________________________________________________________
LIST ADDRESS FOR THE PAST FOUR (4) YEARS
Address Date (From – To)
_________________________________________________________
__________________________________
_________________________________________________________ __________________________________
_________________________________________________________ __________________________________
Home Phone Number _________________________
Property Owner_________________________________
Citizenship: United States Citizen Other Visa Type _________ Resident Alien#______________________
I further state I plan to enroll in
TC3 and that this a
ffidavit (or affirmation) and application is made for the
sole purpose of securing from the Chief Fiscal Office of the County of ________________________ a certificate of
(Home County)
Residence pursuant to the requirements of Article 126 of the Education Law.
(Student Signature) (Date)
Sworn before me this ___________day of
______________________________________20_______.
(Notary Public, State of New York)
THIS SPA
CE FOR USE OF CHIEF FISCAL OFFICE OF COUNTY
Certificate issued________Date____________________
Certificate not issued_____________________________
*Education Law, Section 6301 paragraph 4, defines: “Resident” as a person who has resided in the state for a period of at least one year and in the
county, city, town, intermediate school district or school district, as the case may be, for a period of at least six months, both immediately preceding
the date or such person’s registration in a community college, or for the purpose of section sixty-three hundred five of this chapter, his application for
a certificate of residence.
**Education Law
, Section 6305, provides, “The chief fiscal officer of each county, as defined in section 2.00 of the local finance law shall, upon
application and submission to him of satisfactory evidence, issue to any person desiring to enroll in a community college as a resident student, a
certificate of residence showing that said person is a resident of said county. Such person shall, upon his registration for each college year, file with
the college such a certificate of residence issued no earlier than two months prior thereto, and such certificate of residence shall be valid for a period
of one year from the date of issuance.”
12/02
M
onth/Year - Month/Year
TC3 ID Number_____________________
Spring
2020
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Application For Certificate Of Residency

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Completed 26 July 2020

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