Telephone: (603) 868-5100
Facsimile: (603) 868-6668
RESIDENCY
AFFIDAVIT
1. Parents live together. The legal residence of a minor student is where his or her parents reside.
2. Parents live apart but are not divorced. Legal residence is the residence of the parent with whom the child resides.
3. Parents are divorced with joint legal custody or joint decision-making authority. Residence is the residence of the parent with whom the child resides.
4. Parents are divorced and one parent has been given sole or primary physical custody or sole or primary residential responsibility by a court. Legal residence of a child is the residence of the parent with sole or primary physical custody or sole or primary residential responsibility.
5. Parents are divorces and court order is for equal or approximately equal periods of residential responsibility. Residence is as stated in the order.
6. Guardian appointed by court. Legal residence is the residence of the guardian.
Student Name __________________________________________________________________________________
(add name)
The student’s home address is ______________________________________________________________________
(add actual street address)
The student lives with ____________________________________________________________________________
(add name)
who is (CHECK OFF
PLEASE ATTACH COPIES
OF DOUCMENTS ESTABLISHING RESIDENCE SUCH AS A
I (We) understand and acknowledge that the truth of the
information contained in this Affidavit will be relied upon by the School
District in determining the legal residence of the student and the student’s
right to be provided with a free education at the expense of the Durham School
District in accordance with the education laws of the State of New
Hampshire. I (We) certify that the
information contained herein is true, accurate and complete under pains and
penalties of
I (We) understand that providing misleading or false information about a student’s residency is criminal offence under RSA 641:3 and RSA 641:7. In addition, if this Affidavit is untrue, I (We) agree to pay tuition for my (our) child/children to the District.
___________________________________________ ___________________________________________
Parent/Guardian Signature Parent/Guardian Signature
Date: ______________________________________ Date: ______________________________________