Financial Aid - Unusual Circumstances
Student’s Name
Student ID#
For what reasons or circumstances are you unable or do not want to provide parent tax information on the FAFSA?
What is the annual amount of financial support you receive from your parents? Include cash amounts as well as health and auto insurance, etc. If none received, write zero.
Where and with who have you lived with during the past five (5) years.
Where and with whom are you currently living?
If paying rent, how much per month?
If so, when did rent payments begin?
How much did you earn during the last calendar year?
How much do you expect to earn this calendar year?
CERTIFICATION
I, the undersigned, do certify that all of the information included on this form is true and complete to the best of my knowledge. I agree to provide supporting documentation of the information I have supplied on this form if requested by an authorized official. I understand that this documentation may include a copy of my Federal and/or State income tax return. I further understand that if the requested supporting documentation is not provided in a timely manner, the dependency override will not be considered in the processing of my financial aid for the current academic year.
Signature
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.
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