Dependent Information. If electing health care and/or dependent care flexible spending account, list each qualifying child and/or qualifying relative for health care and/or dependent care flexible spending account expenses. DEPENDENT NAME (First Name/Last Name) DEPENDENT SOCIAL SECURITY NO. DEPENDENT GENDER RELATIONSHIP TO EMPLOYEE DEPENDENT DATE OF BIRTH
Dependent Information. Did you have any changes in dependents during the year? If "Yes," explain Can another person qualify to claim any dependents? Did you have any childcare expenses during the year? Did you have any adoption expenses during the year? Did you have any children under age 19 or a full-time student under age 24 with more than $1900 of unearned income? Provide documentation for proof of dependent related credits (school records, medical records, daycare records, etc.)
Dependent Information. □ □ Are you claiming the same dependents as were reported on your prior year return? If not, why? □ □ Is any dependent you are claiming over age 24? (Note: Spouses are not dependents) □ □ Did you provide over half the support for any other person(s) other than your dependent children during the year? (ie: parent, xxxxxx child, sibling, etc.) YES NO Page 2
Dependent Information. Continued □ □ Do you have any children under age 19 or a full-time student under age 24 with unearned income in excess of $2,100 and/or any dependent who must file a tax return? If yes, provide a copy or indicate if you want me to prepare the returns. Additional fees will apply. □ □ Did you pay for child care for a child under 12 while you worked, looked for work, or while a full-time student? □ □ Are you claiming any child(ren) as the noncustodial parent? If so, provide the signed authorization from the custodial parent granting you the exemption.
Dependent Information. Please list your children who are under the age of twenty-one: (Must be a GCU Benefit Member) Name Date of Birth (MM/DD/YYYY) Gender GCU Client # 1.
Dependent Information. □ □ Did you provide over half the support for any other person(s) during 2018, that you did not list as a dependent on page 1? (ie: parent, xxxxxx child, sibling) □ □ Do you have a child that has already filed a 2018 tax return? If yes, provide a copy □ □ Do you want me to prepare a tax return for your child if one should be filed? Additional fees will apply.
Dependent Information. Phone *All persons 23 years of age or younger who reside at same address as applicant and are dependent upon applicants/member for financial support. Names(s) Sex Age Swimming Ability (Circle level) M F M F M F M F non-swim beginner Inter Advanced non-swim beginner Inter Advanced non-swim beginner Inter Advanced non-swim beginner Inter Advanced I understand and acknowledge that everything on this form is true. I have read and will communicate to my family all Timnath Ranch Metro District (TRMDSP) Pool Rules, Pool Regulations, Guidelines and Covenants, Conditions, and Restrictions (CCR’s) for TRMD including, but not limited to pool registration forms, pool rules and or posted signage at the pool. I assume full financial responsibility for any damage caused by myself, spouse, guardians, and/or dependents, s to the pool and surrounding area. I also understand if I, my spouse, guardian, and/or dependents violate TRMDSP Management Rules, pool Regulations and CCR’s for TRMD and/or Timnath Ranch CCR’s as well as any local, state, or federal laws, that violator may be subject to prosecution and held responsible for such violation. To get your pool tag: You must live in Timnath Ranch to fill out this form and use the pool and you will take the completed pool registration and waiver forms to the Pool when pool opens for the season. Both applicants/guardians SIGNATURES are required SIGNATURE: DATE: / / 2024 / / SIGNATURE: DATE: Pool Membership Packet 2024 The TRMDSP is available to all Timnath Ranch Metropolitan District ("TRMD") residents free of charge. The Pool is available to TRMD members who live in and/or own property in the TRMD boundaries. The pool agreement with TRMD is included in the operations and maintenance fees that you pay annually. A TRMD pool tag will be issued to District members in good standing. District Member definition for the Pool Membership Form: Consists of the applicant, spouse, guardians (two adults) and dependents. Dependents are persons un-married, 23 years of age or younger who reside at same address as applicant and are dependent upon applicant for financial support. (Over 21 assumed going to school.) One tag will be issued to each home/lot. If home is a rental, pool tag will be issued to either the renter or the homeowner, not both. Pool tags are not to be shared and tags are owned by TRMD. Pool memberships carry no proprietary rights. No District members shall have or acquire any property rights in the property, assets, or holdings ...
