Form Mpi - Missing Parent Info

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Student ID Number: _________________________________________________
16-17 Form MPI
Student Name (Please Print): __________________________________________
16-17 Missing Parent Info
Step Four (Parent):
Complete this step if you (the student) answered “No” to all questions in Step Three.
Answer all the questions in Step Four even if you do not live with your legal parents (biological, adoptive, or as determined by the state [for example, if the parent is listed
on the birth certificate]). Grandparents, foster parents, legal guardians, widowed stepparents, aunts, uncles, and siblings are not considered parents on this form unless they
have legally adopted you. If your legal parents are married to each other, or are not married to each other and live together, answer the questions about both of them. If
your parent was never married or is remarried, divorced, separated or widowed, see StudentAid.gov/fafsa-parent and/or Notes page 10 for additional instructions.
59. As of today, what is the marital status of your legal parents?
60. Month and year
MONTH
YEAR
they were married,
Married or remarried. . . . . . . . . . . . . . . .
Never married. . . . . . . . . . . . . . . . . . . . . . . .
2
1
M M Y Y Y Y
remarried, separated,
Divorced or separated . . . . . . . . . . . . . . .
3
Unmarried and both parents living
divorced or widowed.
together. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Widowed . . . . . . . . . . . . . . . . . . . . . . . . . .
5
4
What are the Social Security Numbers, names and dates of birth of the parents reporting information on this form?
If your parent does not have a Social Security Number, you must enter 000-00-0000. If the name includes a suffix, such as Jr. or III, include a space between the last name and
suffix. Enter two digits for each day and month (e.g., for May 31, enter 05 31).
Questions 61-64 are for Parent 1 (father/mother/stepparent)
61.
62.
63.
64.
SOCIAL SECURITY NUMBER
LAST NAME, AND
FIRST INITIAL
DATE OF BIRTH
M M D D
1 9
Y Y
,
Questions 65-68 are for Parent 2 (father/mother/stepparent)
65.
66.
67.
68.
SOCIAL SECURITY NUMBER
LAST NAME, AND
FIRST INITIAL
DATE OF BIRTH
M M D D
1 9
Y Y
,
69. Your parents’ e-mail address.
If you provide your parents’ e-mail address, we will let them know your FAFSA has been processed. This e-mail address will
also be shared with your state and the colleges listed on your FAFSA to allow them to electronically communicate with your parents.
MONTH
YEAR
70. What is your
STATE
71. Did your parents become
72. If the answer to question 71 is “No,” give the
Yes
1
parents’ state of
legal residents of this state
month and year legal residency began for the
M M Y Y Y Y
No
legal residence?
before January 1, 2011?
parent who has lived in the state the longest.
2
73. How many people are in your parents’ household?
Include:
• yourself, even if you don’t live with your parents,
• your parents,
• your parents’ other children (even if they do not live with your parents) if (a) your parents will provide more than half of their support
between July 1, 2016 and June 30, 2017, or (b) the children could answer “No” to every question in Step Three on page 5 of this form, and
• other people if they now live with your parents, your parents provide more than half of their support and your parents will continue to
provide more than half of their support between July 1, 2016 and June 30, 2017.
74. How many people in your parents’ household (from question 73) will be college students between July 1, 2016 and June 30, 2017?
Always count yourself as a college student. Do not include your parents. Do not include siblings who are in U.S. military service academies. You
may include others only if they will attend, at least half-time in 2016-2017, a program that leads to a college degree or certificate.
In 2014 or 2015, did you, your parents or anyone in your parents’ household (from question 73) receive benefits from any of the federal programs listed?
Mark all that apply. Answering these questions will not reduce eligibility for student aid or these programs. TANF may have a different name in your parents’ state.
Call 1-800-433-3243 to find out the name of the state’s program.
75. Supplemental
76. Supplemental
77. Free or
78. Temporary Assistance
79. Special Supplemental Nutrition
Security
Nutrition Assistance
Reduced
for Needy Families
Program for Wome n , Infants,
Income (SSI)
Program (SNAP)
Price Lunch
(TANF)
and Children (WIC)
If your answer to question 59 was “Unmarried and both parents living together,” contact 1-800-433-3243 for assistance with answering questions 80-94.
80. For 2015, have your parents completed their IRS
81. What income tax return did your parents
82. For 2015, what is or will be your parents’ tax
income tax return or another tax return listed in
file or will they file for 2015?
filing status according to their tax return?
question 81?
IRS 1040 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Single . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1
My parents have already completed their return. .
Head of household. . . . . . . . . . . . . . . . . .
1
4
IRS 1040A or 1040EZ . . . . . . . . . . . . . . . . . . . . . . .
2
Married—filed joint return . . . . . . . . . .
2
My parents will file but have not yet completed
A foreign tax return. See Notes page 9. . . . .
3
Married—filed separate return . . . . . .
their return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
A tax return with Puerto Rico, another U.S.
Qualifying widow(er). . . . . . . . . . . . . . . .
5
territory or Freely Associated State.
My parents are not going to file.
See Notes page 9. . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Don’t know . . . . . . . . . . . . . . . . . . . . . . . . .
Skip to question 88. . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
83. If your parents have filed or will file a 1040,
84. As of today, is either of your parents a
Yes
Yes
1
1
were they eligible to file a 1040A or 1040EZ?
dislocated worker?
See Notes page 10.
No
No
2
2
See Notes page 9.
Don’t know
Don’t know
3
3
Page 6
For Help — 1-800-433-3243
Step Four CONTINUES on Page 7

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