Residency Status. Check only one for primary Filing Status – Check one (as reported on federal income tax return) Full-year resident Part-year resident Nonresident Indicate state Single, head of household or qualifying widow(er) ⏵⏵ Check only one for spouse (if married filing jointly) Married filing jointly Full-year resident Part-year resident Nonresident ⏵⏵ Indicate state Married filing separately Spouse’s SSN
Residency Status. If I am claiming eligibility to compete in the State or Local Organization based upon my residence in the respective (state) or (city), I must be a resident of that (state) or (city) for at least six (6) months prior to competing in the State or Local Competition or, only if Locals are not held in the state where I’m competing, at least six (6) months prior to the State Competition AND I MUST CONTINUE TO BE A RESIDENT. Residence is defined as the primary address where I physically live and have established verification of residency through my driver’s license, automobile registration, property mortgage or lease in my name, tax filings, etc. I currently reside at: Street Address: Apt./Suite: City: State/Zip: I have resided at this address since . I have included with Attachment A, Supplemental Fact Sheet, a copy of my driver’s license or a government-issued identification card, and proof of this residency in the form of (driver’s license, automobile registration, current property mortgage or lease in my name, or other official document establishing residency). If my residency at this location was established within the six (6) months preceding the State or Local Competition in which I am competing, my last previous residence was: Street Address: Apt./Suite: City: State/Zip: I lived at that address from , (date) to , (date). If requested, I agree to provide the State or Local Organization with any additional information or documents within five (5) business days of the request to determine my residency in the State or Local, if my residence is relevant to my eligibility. I fully understand that additional proof of residency may be requested and include, but not limited to, a property mortgage or lease in my name, utility bills, automobile registration, tax filings, voter registration card, etc.
Residency Status. Check only one for primary Filing Status – Check one (as reported on federal income tax return) Resident Part-year resident Nonresident ⏵⏵ Indicate state Single, head of household or qualifying widow(er) Check only one for spouse (if married filing jointly) Married filing jointly Resident Part-year resident Nonresident ⏵⏵ Indicate state Married filing separately Spouse’s SSN Ohio Nonresident Statement – See instructions for required criteria Primary meets the five criteria for irrebuttable presumption as nonresident. Spouse meets the five criteria for irrebuttable presumption as nonresident. Check here if you filed the federal extension form 4868. Check here if someone else is able to claim you (or your spouse if joint return) as a dependent. Do not staple or paper clip.
Residency Status. Check only one for primary Check only one for spouse (if married filing jointly) Resident
Residency Status. Residency is determined by the address listed on the valid boat registration. All Burlington addresses on valid boat registrations will receive the Burlington resident rate.
Residency Status. If Candidate is claiming eligibility to compete in the State or Local Organization based upon her residence in the respective _ _ (state) or _ _ (city), she must be a certified resident of that (state) or _ (city) for at least thirty (30) days prior to competing in Local Competition or, if there are no Local Competitions, at least ninety (90) days prior to the State Competition. Candidate understands and agrees that if residency status is not maintained her eligibility to continue to compete at the next level of competition(s) and/or continue to hold a title, if any, is forfeited. Candidate also understands and agrees that she must maintain residency requirements during her Year of Service or her Title will be forfeited. Residence is defined as the primary address where Candidate physically lives. Candidate has established verification of residency through her driver’s license, automobile registration, voter registration, property mortgage or lease in her name, or tax filings. Candidate currently resides at: Street Address: Apt./Suite: _ _ City: _ _ State/Zip: _ _ Candidate has resided at this address since _ . If applicable, Candidate has attached as Exhibit B a copy of her driver’s license or a government- issued identification card, and proof of this residency in the form stated above. If Candidate’s Residency was established at the specific location above less than thirty (30) prior to the Local Competition or less than ninety (90) days prior to the State Competition that has no Local Competitions, but yet still lived in the jurisdiction, Candidate is eligible but must identify the previous address within the jurisdiction: Street Address: Apt./Suite: _ _ City: _ _ State/Zip: _ _ Candidate asserts she lived at this address from _ _ (date) to _ (date). If applicable, Candidate has attached as Exhibit B a copy of her property mortgage or lease in Candidate’s name, utility bills, automobile registration, tax filings, voter registration card, or other like identification documentation. If requested, Candidate agrees to provide the Local or State Organization with any additional information or documents within five (5) business days of the request to determine residency. Candidate acknowledges and fully understands that additional proof of residency may be requested. Information to support residency is attached as Exhibit B.
Residency Status. Trainee to complete Please select your residency status and attach the correct verified documentation. Please note: Your employer must verify your identification. Refer to section V (page 8) for Acceptable forms of Identification and Verification Guide If the name you are enrolling in is different from your identification, you must provide additional evidence that supports your name change (i.e. marriage certificate, birth certificate, deed poll). New Zealand citizen (including Cook Islands, Niue and Tokelau citizens) New Zealand permanent resident Australian citizen Other overseas Work permit/work visa Expiry date: / /
Residency Status. Trainee to complete Please select your residency status and attach the correct verified documentation. Please note: Your employer must verify your identification. Refer to section V (page 8) for Acceptable forms of Identification and Verification Guide If the name you are enrolling in is different from your identification, you must provide additional evidence that supports your name change (i.e. marriage certificate, birth certificate, deed poll). New Zealand citizen (including Cook Islands, Niue and Tokelau citizens) New Zealand permanent resident Australian citizen Other overseas If you select “Other overseas”, you will need to provide a copy of your Work Permit/Visa. Your work visa must cover the duration of the programme that you are enrolling in. (Programmes can vary in duration. Please check this prior to enrolment) Work permit/work visa Expiry date: / /
