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SCORE-Bench

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2E. WAS CHILD PERMANENTLY AND TOTALLY DISABLED BEFORE THE AGE OF 18?
[] YES [] NO
2F. IF CHILD IS BETWEEN 18 AND 23 YEARS OF AGE, DID CHILD ATTEND SCHOOL LAST CALENDAR YEAR?
[] YES [] NO
2G EXPENSES PAID BY YOUR DEPENDENT CHILD WITH REPORTABLE INCOME FOR COLLEGE, VOCATIONAL REHABILITATION OR TRAINING (e.g. tuition, books, materials)
____
3. IF YOUR SPOUSE OR DEPENDENT CHILD DID NOT LIVE WITH YOU LAST YEAR, DID YOU PROVIDE SUPPORT?
[] YES
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[x]
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NO
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VA FORM 10-10EZ, FEB 2025
HEC
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PAGE 5 OF 6
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• U.S. CUSTOMS AND BORDER PROTECTION • DEPARTMENT OF HOMELAND SECURITY
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U.S. Customs and Border Protection
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Customs Declaration
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FORM APPROVED OMB NO.1651-0009
19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 19 USC 1498; 31 CFR 5316
Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required). The term "family" is defined as "members of a family residing in the same household who are related by blood, marriage, domestic relationship, or adoption."
1 Family Name
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JOHNSON
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First (Given)
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JOHNATHON
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Middle
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J
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2 Birthdate
Month
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12
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Day
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31
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Year
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99
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3 Number of Family members traveling with you
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3
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4 (a) U.S.Street Address (hotel name/destination)
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Hyatt Ocean
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(b) City
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Ocean City
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(c) State
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FL
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5 Passport issued by (country)
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Ireland
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6 Passport number
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0314270
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7 Country of Residence
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Ireland
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8 Countries visited on this trip prior to U.S. arrival
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Germany
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9 Airline/Flight No. or Vessel Name
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Royal Shipline