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AFFIDAVIT OF EXTENDED DEPENDENT ELIGIBILITY JHS (AGE 26 30) Florida Statute 627.6562 EMPLOYEE INFORMATION Name: ___ Armed Member ID #:___ Phone: ___ Email: ___ Date of Birth: ___ DEPENDENT INFORMATION
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How to fill out affidavit of extended dependent

How to fill out affidavit of extended dependent
01
Obtain the affidavit of extended dependent form from the appropriate agency or website.
02
Fill in your personal information at the top of the form, including your name, address, and contact information.
03
Include information about your dependent, such as their name, relationship to you, and their current living situation.
04
Provide any supporting documentation that may be required, such as birth certificates or proof of dependency.
05
Sign and date the form in the presence of a notary public or other authorized official.
06
Submit the completed affidavit of extended dependent to the appropriate office or agency for processing.
Who needs affidavit of extended dependent?
01
Individuals who have dependents that do not qualify as traditional dependents for tax or insurance purposes may need to fill out an affidavit of extended dependent.
02
This form is often used to establish the relationship between the individual and the dependent in order to receive benefits or support.
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What is affidavit of extended dependent?
Affidavit of extended dependent is a legal document that allows a taxpayer to claim a dependent who does not meet the typical criteria for a dependent but still relies on the taxpayer for financial support.
Who is required to file affidavit of extended dependent?
Taxpayers who have a dependent that does not meet the standard dependency requirements but still relies on the taxpayer for financial support are required to file affidavit of extended dependent.
How to fill out affidavit of extended dependent?
To fill out affidavit of extended dependent, the taxpayer must provide detailed information about the dependent's living situation, financial dependency, and relationship to the taxpayer.
What is the purpose of affidavit of extended dependent?
The purpose of affidavit of extended dependent is to allow taxpayers to claim dependents who do not meet the standard criteria but still rely on the taxpayer for financial support.
What information must be reported on affidavit of extended dependent?
Information such as the dependent's living situation, financial dependency, and relationship to the taxpayer must be reported on affidavit of extended dependent.
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