Fillable PARENT OR GUARDIAN USE THIS FORM IF THE (County of Fulton)

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PARENT OR GUARDIAN USE THIS FORM IF THE (County of Fulton)

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U.S.A. forms for County of Fulton

BROWSE COUNTY OF FULTON (NY) FORMS

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PARENT OR GUARDIAN – USE THIS FORM IF THE STUDENT DOES NOT HAVE THE
REQUIRED TWO (2) FORMS OF ADDRESS PROOF. SUBMIT PARENT OR GUARDIAN
ADDRESS PROOF WITH NOTORIZED FORM.
Student’s Name
Semester/Course Begins:
Year:
STATE OF NEW YORK,
COUNTY OF FULTON
Applicant’s
Phone
Number:
(
)
PERMANENT/LEGAL ADDRESS ***PRINT ALL INFORMATION***
I, do hereby swear that my son/daughter, ,
(Parent or Guardian Name) (Name of Applicant)
Resides with me at
In the (City) (Village) (Town) of , Zip Code , County of Fulton, State of New
York; that he/she is, and has for a period of at least one year immediately prior to the date of this affidavit and application, been
a resident of the State of New York; that he/she now is, and for a period of at least month(s) immediately prior to the
date of this affidavit and application, been a resident of the County of Fulton.
Sworn to before me this day
of , 20
SIGNATURE OF PARENT OR GUARDIAN
(Parent/Guardian Signature) (Date)
(Notary Public or Commissioner of Deeds)
(Notary Signature)
Fulton County Treasurer’s Office
223 West Main Street
P.O. Box 128
Johnstown, NY 12095
Phone: (518) 736-5580
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PARENT OR GUARDIAN USE THIS FORM IF THE (County of Fulton)

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Completed 13 February 2021

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