Request For Independent Status Page 2
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4II. Additional Financial Information
1. Must be initiated with a letter of explanation from the student requesting consideration of his/her particular
circumstances. Please explain in full.
2. Refer to documentation requirements (see below) when preparing your request.
3. Complete sections III, IV, and V of this form.
4. Require a signed copy of the 2015 federal tax returns.
5. Please check the box next to the circumstance that fits your situation in section III.
III. Situations in which revisions may be made to your original application:
Check which situation applies to you:
❏
(A) Unusual circumstances exist within your family that prevent you from obtaining your parent’s
financial information, such as:
• Incarceration of the custodial parent
• Abandonment by both parents
• History of parental alcohol or drug abuse
• Abusive home situation that is detrimental to your physical or mental well-being
Documentation Requirements:
1.
Two or more signed statements from third parties having firsthand knowledge of the circumstances.
These should include statements on agency letterhead from social workers, school officials, church
officials, or others in positions of authority that are familiar with the situation. Personal references,
which do not represent an agency opinion, must include contact information.
2.
Copies of any court documentation relevant to your situation.
3.
A copy of student’s 2015 IRS Form 1040, 1040A, or 1040EZ.
4.
A signed statement detailing why you should be considered an independent student.
❏
(B) Death of a parent after filing the FAFSA and severe circumstances exist with the surviving parent
Documentation Requirements:
1.
Two or more signed statements from third parties having firsthand knowledge of the circumstances.
These should include statements on agency letterhead from social workers, school officials, church
officials, or others in positions of authority who are familiar with the situation. Personal references,
which do not represent an agency opinion, must include contact information.
2.
A copy of the death certificate or newspaper obituary.
3.
A signed copy of student’s 2015 IRS Form 1040, 1040A, or 1040EZ.
4.
A signed statement detailing why you should be considered an independent student.
❏
(C) You, the student, are divorced and during the time you were married, maintained a separate
residence from your parents and your former spouse’s parents. Also, you now maintain a separate
residence from your parents and pay all expenses from your own income and assets.
Documentation Requirements:
1.
A copy of your marriage license.
2.
A copy of your divorce decree.
3.
A signed copy of your 2015 IRS Form 1040, 1040A, or 1040EZ.
4.
Copies of your 2015 W-2 form(s).
5.
A copy of your mortgage or lease agreement for the period in which you were married.
6.
A signed statement detailing why you should be considered an independent student.
937-766-7866
• finaid@cedarville.edu • cedarville.edu/finaid
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