Form Jf 11 PDF Details

Form Jf 11 is a document used to apply for a taxpayer identification number (TIN) from the IRS. The form can be filled out and submitted online or by mail. A TIN is required for certain tax-related activities, such as filing a return or receiving payments. The process of applying for a TIN can be completed in just a few minutes using the online form. Or, if you need help completing the form, you can call the IRS helpline at 1-800-829-1040. What is Form Jf 11? This document is used to apply for a taxpayer identification number (TIN) from the Internal Revenue Service (IRS). It can be filled out and submitted online or by mail. If you're wondering why you might need a TIN, keep reading! I'll explain some of the reasons why you might need one and also tell you how to go about applying for one. Completing this process only takes a few minutes if done through the IRS' website, but I'll also provide information on how to get help if needed. So whether you're gearing up to file your taxes

QuestionAnswer
Form NameForm Jf 11
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesinitialing, 2012, jf 11 cobb county, jf 11 form

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Cobb County School District

Form JF-11

Empowering Dreams for the Future

 

NON-PARENTAL AFFIDAVIT

This form must be fully completed.

Please Print or Type

THIS FORM SHALL BE COMPLETED BY AN ADULT WITH WHOM THE STUDENT IS LIVING.

This form shall be completed for students living in the Cobb County School District (District) who do not live in the home of their parents or guardian.

I, the undersigned, am over eighteen (18) years of age and competent to testify to the facts and matters set forth herein.

The student whose legal name is

 

 

 

 

 

 

 

and whose birth date is

 

is living with me at the following address:

 

 

 

 

 

 

 

My Name

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip

 

 

Home Phone

 

 

Work Phone

 

 

 

 

 

Cellular Phone

 

1.Reason the student is living with the above-named adult (check at least one)

A.The death, serious illness, or incarceration of a parent or legal guardian.

B.The abandonment by a parent or legal guardian of the complete control of the student as evidenced by the failure to provide substantial financial support and parental guidance.

C.Abuse or neglect by the parent or legal guardian.

D.The physical or mental condition of the parent or legal guardian is such that he or she cannot provide adequate care and supervision of the student.

E.The loss or inhabitability of the student’s home as the result of a natural disaster.

F.The parent or guardian is unable to provide care and supervision of the student because he or she is serving in the military.

G.The student is living in a foster home, group home, or other institution or care facility that is located in the county.

H.The parents cannot be located.

2.The name and last known address of the child’s parent(s) or guardian is:

3.I assumed control and charge of this student, which I provide 24 hours per day and 7 days per week, on _________________. (day/month/year)

4.The name and address of the last school that the child attended is:

5.The School District’s Superintendent, or his/her designee, may verify the facts contained in this affidavit and conduct an audit on a case-by-case basis after the child has been enrolled in the District. The audit may also include a personal visit by a District attendance officer or other employee of the District at the residence provided in this affidavit to verify the facts sworn to in this affidavit. If the District discovers fraud or misrepresentation, student shall be withdrawn from school.

6.I attest that this request to attend the Cobb County School District is not primarily related to attendance at a particular school in the Cobb County School District nor is this affidavit being completed for the purpose of participating in athletics at a particular school, taking advantage of special services or programs offered at a particular school, or for any other similar purpose.

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7.I further attest that the student named above is not now under a long-term suspension or expulsion from his/her most recent school nor is currently subject to a recommendation for long-term suspension or expulsion for his/her most recent school.

8.I further attest that I have been given the responsibility for educational decisions for the student including, but not limited to, receiving notices of discipline, attending conferences with school personnel, granting permission for school related activities, and taking appropriate action in connection with student records.

9.If the parent, guardian, or legal custodian is unable, refuses or is otherwise unavailable to sign this form, I have made every effort to secure that signature.

10.I understand that if any of the information provided on this affidavit is changed for any reason, it is my responsibility to immediately notify the Cobb County School District.

NOTICE OF PENALITIES AND LIABILITY:

I understand that:

1.If I falsify information or defraud the Cobb County School District on this affidavit, I will be obligated to pay for the costs incurred by the District for the period during which the ineligible student is enrolled, and shall remunerate the District as set forth in O.C.G.A. § 20-2-133 (a).

2.If the costs incurred by the District are collected by an attorney, I will be obligated to pay for all expenses and attorney’s fees incurred by the Board of Education in the collection of same.

3.I may be prosecuted, held criminally liable, and imprisoned for not less than one nor more than ten years if I am found guilty of forgery in the first degree, pursuant to O.C.G.A. § 16-9-1.

4.I may be prosecuted, held criminally liable, and imprisoned for not less than one nor more than five years if I am found guilty of forgery in the second degree, pursuant to O.C.G.A. § 16-9-2.

5.I may be prosecuted, held criminally liable, and punished by a fine of not more than $1,000.00 or by imprisonment for not more than one nor more than five years, or both, if I am found guilty of making false statements pursuant to O.C.G.A. § 16-10-20.

6.I may be prosecuted, held criminally liable, and punished by a fine of not more than $1,000.00 or by imprisonment for not less than one nor more than five years, or both, if I am found guilty of false swearing pursuant to O.C.G.A. § 16-10-71.

7.By initialing on the lines provided next to each of the items listed above, I affirm that I have read and understand each of these provisions.

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I SOLEMNLY AFFIRM UNDER THE PENALTIES LISTED ABOVE THAT THE CONTENTS OF THIS AFFIDAVIT

ARE TRUE TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.

Signature of affiant (adult with whom the child is living)

Signature of parent/guardian

PLEASE NOTARIZE

Sworn to and subscribed before me this ______day of

________, 20____.

Notary Public:__________________________________

Name of Affiant (Adult with whom the child is living)

(Please Print):____________________________________________

Enrolling Person Signature:

________________________________________________________

Principal/Designee Signature: _______________________________

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