Fillable FLORIDA RESIDENCY DECLARATION FOR TUITION (Daytona State College)

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FLORIDA RESIDENCY DECLARATION FOR TUITION (Daytona State College)

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FLORIDA RESIDENCY DECLARATION FOR TUITION
FOR TUITION PURPOSES
As a public institution, Daytona State College has two tuition rates. One rate is designed for students who meet the
qualifications for Florida residency for tuition purposes. The other is a higher, non-resident tuition rate. Documents used for
establishing residency are due in the Admissions Office by the first day of classes. Failure to submit all required documents will
result in the assessment of the full cost of tuition for classes.
A Florida “resident for tuition purposes” is a person who has, or a dependent person whose parent or legal guardian has,
established and maintained legal residency in Florida for at least twelve (12) consecutive months preceding the first day of
classes of the term for which Florida residency is sought. Living in or attending school in Florida will not, in itself, establish
legal residence. Students who depend upon out-of-state parents for support are presumed to be legal residents of the same
state as their parents. Residency for tuition purposes requires the establishment of legal ties to the State of Florida. A student
must verify that the student has broken ties to other states if the student or, in the case of a dependent student, his or her
parent has moved from another state. There must be an absence of conflicting information (ie. a lack of Florida identification,
ties to another state, etc.) . Residency determinations are made in accordance with section 1009.21 of the Florida State
Statutes and State Board Rule 6A-10.044 which outlines the legal parameters for establishing residency for tuition purposes.
Residence in Florida must be a bona fide domicile rather than for the purpose of maintaining a residence incident to
enrollment at an institution of higher education.
To qualify as a Florida resident for tuition purposes, you must be a U.S. citizen, a foreign national in a nonimmigrant
visa classification that grants you the legal ability to establish a bona fide domicile in the United States, a permanent
resident alien, parolee, asylee, Cuban-Haitian entrant, legal alien granted indefinite stay by the U.S. Citizenship and
Immigration Services, or other qualified alien as defined under federal law.
Other persons not meeting the twelve-month legal residence requirements may be classified as Florida residents for
tuition purposes only if they fall within one of the limited special categories authorized by the Florida Legislature
pursuant to section 1009.21, Florida Statutes (see “Qualification by Exception” on the last page).
All other persons are ineligible for classification as a Florida “resident for tuition purposes.”
Living in or attending school in Florida will not, in itself, establish legal residence. Students who depend upon out-of-
state parents for support are presumed to be legal residents of the same state as their parents.
Name of Student (Please Print):____________________________________________ Student ID Number: _____________
Term of Application: (check one): FALL SPRING SUMMER Year: _________
Student is a: U.S. Citizen Non-U.S. Citizen Permanent Resident Other
Alien Registration Number: ___________________________Issue Date:___________________ Visa Category:_________
All non-U.S. citizen students seeking classification as a Florida resident for tuition purposes are required to submit
documentation of their legal status in the United States as issued by the United States Citizenship and Immigration Services
office.
NON-FLORIDA RESIDENT
I do not qualify as a Florida resident for tuition purposes for the term for which this application is submitted. I do not have to
complete any further portion of this form, with the exception of signing below. I understand that should I qualify for a future
term, it will be necessary for me to submit an updated Residency Declaration while providing prescribed, supporting
documentation to substantiate as “reclassification” of my status. I understand being classified as a non-Florida resident will not
exclude me from the possibility of receiving a waiver to cover part or all of the out-of-state fees as defined in s. 1009.26,
Florida Statutes. Submission of an updated Residency Declaration and the required three forms of documentation must occur
prior to the beginning of the term for which residency is sought.
Student Name (Please Print): ____________________________________________________
Signature of Student: :________________________________________________________Date: __________________
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TO BE COMPLETED BY THE STUDENT SEEKING FLORIDA RESIDENCY FOR TUITION PURPOSES:
I qualify as a resident for tuition purposes for the term for which this application is submitted. I understand that it will be
necessary for me to present evidence of residency for tuition purposes, supporting my claim as a Florida resident for tuition
purposes. I have read the residency information on qualifying as a dependent or independent student, and declare that: (select
one of the options below)
I am a dependent student in that I am under 24 years old and eligible to be claimed as a dependent under the federal
income tax code by the claimant below. The claimant is my “parent” (i.e., either or both parents of the student, any legal
guardian of a student, or any person in a parental relationship to the student). My parent has maintained legal residence in
Florida for at least the past 12 consecutive months. A “’legal resident’ or ‘resident’ means a person who has maintained his
or her residence in this state for the preceding year, has purchased a home which is occupied by him or her as his or her
residence, or has established a domicile in this state. A copy of your parent’s tax transcript may be requested to establish
dependence.
I am an independent person who has maintained legal residence in Florida for at least the past 12 consecutive months. I
provide more than 50% of my own support. An independent student generally includes a person who is:
at least 24 years old
married
a graduate or professional student
a veteran, a member of the armed forces
a ward of the court
someone with legal dependents other than a spouse, pursuant to the United States Department of Education for the
purposes of federal financial aid eligibility.
There may be limited cases where a person under the age of 24 years old may qualify as an independent student. Such
students will be required to verify independence (including financial independence.) A copy of your tax transcript may be
requested to establish independence.
*If the student is a qualified beneficiary under the terms of the Florida Prepaid College Program, complete page 1, sign page 3,
and select the first option on page 4.
TO BE COMPLETED BY THE CLAIMANT/PERSON CLAIMING FL RESIDENCY:
If the student is a dependent, the parent/guardian is the claimant and will complete this section and provide evidence of
residency supporting the claim.
If the student is independent, the student is the claimant and will complete this section and provide evidence of residency
supporting the claim.
Copies of the documentation listed below are required.
No single document shall be conclusive in establishing residency. Additional documentation, other than what is prescribed,
may be requested in some cases. All documentation provided is subject to verification. Evidence of ties to another state may
result in denial of Florida residency for tuition purposes.
Claimant/Name of Person Claiming FL Residency: ___________________________________________________________
Claimant’s Relationship to Student: _______________________________________________________________________
Claimant’s Address: ____________________________________________________________________________________
City: __________________________ST: _____ Zip Code:___________ Telephone Number: __________________________
Date Claimant began establishing legal Florida residence (if upon birth, enter birthdate or date you moved to Florida): ___________
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STAFF ONLY Verified: DL Veh. Reg. Name: _________________________________ Date:______________
DOCUMENTS REQUIRED TO SUPPORT CLAIM OF FLORIDA RESIDENCY
Per s. 1009.21(3)(c), Florida Statutes, the residency determination must be documented by the submission of written or
electronic verification that includes two or more of the documents identified below. No single piece of evidence shall be
conclusive. Copies of the documents are required.
A. Claimant must provide at least one of the following of his/her personal documentation:
Florida Voter's registration card. Number:____________________________________ Issue Date:_____/_____/_____
Florida Driver's license. Number:___________________________________________ Issue Date:______/______/______
Florida State identification card. Number:____________________________________ Issue Date:______/______/______
Florida Vehicle registration. Decal Number:_____________________________ Plate date:____/_____/______
Issue Date: ______/_______/_______
Proof of permanent home in Florida occupied as primary residence for 12 consecutive months prior to the student’s
enrollment. (Required: document such as a deed and other evidence documenting use as primary residence,
or a lease of multiple years’ duration with proof of payment) or Proof of a homestead exemption in Florida. (Required:
document from the county tax collector demonstrating the application of a homestead exemption to the claimant’s
primary residence.)
Official transcripts from a Florida high school for multiple years (2 or more years), if the Florida high school diploma or
GED® was earned within the last 12 months. (Required: final official transcript)
Proof of permanent full-time employment in Florida for at least 30 hours per week for a 12-month period. (Required:pay
stubs and/or verification from employers and/or an IRS 1099 with verification of employment for the past 12 consecutive
months from an employer.)
B. Claimant may provide one or more documents from the following categories to demonstrate residency in Florida (to be
used in conjunction with one document from above):
Declaration of Domicile in Florida which has been filed with the Clerk of Court.
Florida professional or occupational license.
Florida incorporation.
Document evidencing family ties in Florida.
Proof of membership in a Florida-based charitable or professional organization.
Any other documentation that supports your request for resident status, including, but not limited to, utility bills and proof
of 12 consecutive months of payments; a lease agreement and proof of 12 consecutive months of payments; or an official
state, federal, or court document evidencing legal ties to Florida.
RESIDENCY DECLARATION:
I, the undersigned, hereby declare that I have read the foregoing document and that the facts stated in it are true and further
affirm the authenticity of the information provided on all pages of this Residency Declaration. I understand that any false or
misleading information on this Residency Declaration, or provided in support of this Residency Declaration, will subject me to
penalties pursuant to section 837.06, Florida Statutes, for making a false statement. I give permission for the institution to
review or examine any and all documents and records, including those accessible electronically, which may assist in support of
my claim as a Florida resident for tuition purposes.
Student’s Signature: __________________________________________________________ Date: _____________
Claimant’s Signature (if not the Student):_________________________________________ Date: _____________
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QUALIFICATION BY EXCEPTION (to be completed by the student.)
I qualify for residency based on the following permitted exception (documentation required):
I am a qualified beneficiary under the terms of the Florida Prepaid College Program (s. 1009.98, Florida Statutes.)
(Required: Copy of Florida Prepaid Recipient card.)
I am married to a person who has maintained legal residence in Florida for at least the past 12 consecutive months. I now
have established legal residence and intend to make Florida my permanent home. (Required: copy of marriage certificate,
spouse completes form as claimant )
I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition
purposes. I am transferring to another Florida state postsecondary institution within 12 months of the previous
enrollment. (Required: Evidence of previous enrollment as a FL resident)
I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition
purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing Florida legal residence.
Active duty members of the Armed Services of the United States residing in this state and their spouses and dependent
children, and active drilling members of the Florida National Guard. (Required: Copy of military orders or DD2058 showing
home of record.)
Active duty members of the Armed Services of the United States and their spouses and dependents attending a Florida
College System institution or state university within 50 miles of the military establishment where they are stationed, if such
military establishment is within a county contiguous to Florida. (Required: Copy of military orders.)
United States citizens living on the Isthmus of Panama, who have completed 12 consecutive months of college work at the
Florida State University Panama Canal Branch, and their spouses and dependent children. (Required: Copy of marriage
certificate or proof of dependency.)
Full-time instructional and administrative personnel employed by state public schools and institutions of higher education
and their spouses and dependent children. (Required: Employment Verification)
Students from Latin America and the Caribbean who receive scholarships from the federal or state government. Any
student classified pursuant to this paragraph shall attend, on a full-time basis, a Florida institution of higher education.
(Required: proof of scholarship and Latin America or Caribbean residency.)
Southern Regional Education Board’s Academic Common Market graduate students attending Florida’s state universities.
(Required: Certification letter from State Academic Common Market Coordinator.)
Full-time employees of state agencies or political subdivisions of the state when the student fees are paid by the state
agency or political subdivision for the purpose of job-related law enforcement or corrections training.
(Required: Employment verification/payment agreement).
McKnight Doctoral Fellows and Finalists who are United States citizens. (Required: Verification from graduate studies.)
United States citizens living outside the United States who are teaching at a Department of Defense Dependent School or
in an American International School and who enroll in a graduate level education program which leads to a Florida
teaching certificate. (Required: Proof of enrollment in graduate program for FL teaching certificate.)
Active duty members of the Canadian military residing or stationed in this state under the North American Air Defense
(NORAD) agreement, and their spouses and dependent children, attending a Florida College System institution or state
university within 50 miles of the military establishment where they are stationed. (Required: Proof of active duty
membership for specified purpose.)
Active duty members of a foreign nation’s military who are serving as liaison officers and are residing or stationed in this
state, and their spouses and dependent children, attending a Florida College System institution or state university within
50 miles of the military establishment where the foreign liaison officer is stationed. (Required: Proof of active duty
membership for specified purpose.)
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FLORIDA RESIDENCY DECLARATION FOR TUITION (Daytona State College)

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Completed 19 August 2020

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