Please Read The Instructions Carefully and Thoroughly.
Incorrect or Incomplete Applications Will Not Be Accepted.
Applications Without Supporting Documentation Will Not Be Accepted.
WHY COMPLETE THIS FORM?
Normally, admissions information is limited to academic credentials and may not include complete evidence of residency and domicile.
The tuition differential for residents and nonresidents is significant and can impact a student’s financial resources.
University officials wish to properly classify students for admission and tuition purposes, and procedures are in place to do this when sufficient information and documentation are available. If you feel your residency classification is in error and you meet the qualifications for residency pursuant to 13 KAR 2:045, you may appeal your current residency determination with the Office of Enrollment Management.
Students are responsible for providing clear and convincing evidence of residence and domicile.
Every relevant factor is considered in determining a residency status.
All facts of residency and domicile must be documented and verifiable.
COMPLETING THE FORM
The residency affidavit provides for information pertaining to dependent and independent persons, to students, and to parents. All persons submitting an application must affix a notarized signature to authorize the release of information, and to attest that all information provided is true and correct. Applications which are incomplete or without supporting documentation will not be accepted, thereby jeopardizing the applicant’s adherence to the published deadlines. Although many factors are considered in a determination of residency status, special attention should be given to the documents listed in this set of instructions.
SUBMITTING THE FORM AND RECEIVING ACKNOWLEDGMENT
The AFFIDAVIT AND ALL DOCUMENTATION must be received in the Office of Enrollment Management no later than thirty (30) calendar days after the first day of class of the semester you are appealing, Spring, Summer, or Fall. Please use caution when mailing your application if the deadline is approaching. When the affidavit is received in the Office of Enrollment Management, a notice of receipt will be sent to the student assigning their case file number. If this acknowledgment is not received within ten (10) calendar days after the submission date, please contact the Office of Enrollment Management immediately.
DOCUMENTATION AND VERIFIABLE CIRCUMSTANCES
Section 3(4) of 13 KAR 2:045, “Determination of Residency Status for Admission and Tuition Assessment Purposes,” requires that residency shall be based upon verifiable circumstances. Following is a suggested list of documents to accompany a request for review of residency for admission and tuition purposes. Other documents may be required by the institution or may be provided to support your application.
NOTE: If you are appealing as a dependent person seeking the domicile and residency of a Kentucky resident parent, documentation should apply to both yourself and your parent; if you are appealing as an independent person, documentation should apply to yourself; if you are married, documentation should apply to both yourself and your spouse.
Verification of present address (i.e., bank statement, utility bill, etc.)
If you are applying as a dependent person, please provide a copy of Federal (Form 1040) and Kentucky (Form 740) state income tax forms of your parent(s) for the two (2) calendar years immediately preceding the date of application. All tax forms must be complete copies with name, signature and date and include filer’s W-2 or 1099
If you are under 23 years of age and applying as an independent person, please provide a copy of your parent(s)’ federal and state income tax forms for the preceding calendar year. All tax forms must be complete copies with name, signature and date and include filer’s W-2 or 1099
Copy of most recent financial aid award notice and/or student aid report for ALL sources of student financial aid
If you are applying as an independent person and your parent(s) claimed you on income tax returns for the preceding calendar year, please provide a notarized statement from your parent(s) regarding financial support
Copy of both sides of resident alien card or copy of official INS approval for current visa, if applicable
Letter from employer(s) on official company letterhead verifying job transfer or acceptance of employment; all employment letters MUST include the exact dates of employment, the length of tenure, salary, the number of hours worked per week, and the number of weeks required for the job during a calendar year
If you are applying as an independent person, please provide a copy of your Federal (Form 1040) and Kentucky (Form 740 and all schedules) income tax forms for the two (2) calendar years immediately preceding the date of application. All tax forms must be complete copies with name, signature, date, and must include filer’s W-2’s or 1099's
If you did not file Kentucky state income tax forms for the preceding calendar year OR if you have accepted new employment since the preceding calendar year, provide a copy of the first and the most recent withholdings statement (pay stub) from your current employer verifying withholding of Kentucky state taxes
Verification of payment of occupational taxes in Kentucky
Verification of payment of real property taxes in Kentucky (i.e., real estate)
Copy of property deed to Kentucky residence, or copy of all pages of a signed lease agreement for non-collegiate housing
Copy of current automobile registration
Copy of current driver’s license
Copy of voter registration
Copy of current military orders, if applicable
Copy of military document verifying that you are maintaining Kentucky as your home of record (DD-2058), copy of current pay stub, and copy of KY (Form 740) income tax return with W-2 for the preceding year, if applicable
Copy of military discharge (DD 2-14), if applicable
Copy of United States court order awarding guardianship if claiming residence of legal guardian (18 years of age and under)
Copy of marriage license, if applicable to provisions of subsection 10 (2)(j) of 13 KAR 2:045
Copy of student birth certificate if you are applying as a dependent of parent(s) who are residents of Kentucky
Any other documentation relevant to your situation and which might be supportive of your request for a review of your determination of residency status
Please see Basis of Application for more information.
Do not bind any part of your application.
Do not use dividers or materials that cannot go through a copy machine.
Please note Section 3(10) of 13 KAR 2:045 “Determination of Residency Status: General Rules” regarding penalties for submitting incorrect or misleading information.
For specific information regarding the filing of an application, please refer to the Council on Postsecondary Education document 13 KAR 2:045, "Determination of Residency Status for Admission and Tuition Assessment Purposes."
Submit the completed, signed, and notarized affidavit and ALL accompanying documentation to
Office of Enrollment Management
Houchens Building Room 160
University of Louisville
Louisville, KY 40292
Questions? e-mail the Residency Service Account