Form Mpi - Missing Parent Info Page 2

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Step Four CONTINUES from Page 6
For questions 85–94, if the answer is zero or the question does not apply, enter 0. Report whole dollar amounts with no cents.
85. What was your parents’ adjusted gross income for 2015? Adjusted gross income is on IRS Form 1040—line 37;
$
1040A—line 21; or 1040EZ—line 4.
,
,
86. Enter your parents’ income tax for 2015. Income tax amount is on IRS Form 1040—line 56 minus line 46;
$
,
,
1040A—line 28 minus line 36; or 1040EZ—line 10.
87. Enter your parents’ exemptions for 2015. Exemptions are on IRS Form 1040—line 6d or on Form 1040A—line 6d.
For Form 1040EZ,
see Notes page 9.
Questions 88 and 89 ask about earnings (wages, salaries, tips, etc.) in 2015. Answer the questions whether or not a tax return was filed. This information may be on the W-2
forms or on the tax return selected in question 81: IRS Form 1040—lines 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); 1040A—line 7; or 1040EZ—line 1. If
any individual earning item is negative, do not include that item in your calculation. Report the information for the parent listed in questions 61-64 in question 88 and the
information for the parent listed in questions 65-68 in question 89.
$
88. How much did Parent 1 (father/mother/stepparent) earn from working in 2015?
,
,
89. How much did Parent 2 (father/mother/stepparent) earn from working in 2015?
$
,
,
90. As of today, what is your parents’ total current balance of cash, savings, and checking accounts? Don’t include student
$
,
,
financial aid.
91. As of today, what is the net worth of your parents’ investments, including real estate? Don’t include the home in which
$
,
,
your parents live.
See Notes page 9.
92. As of today, what is the net worth of your parents’ current businesses and/or investment farms? Don’t include a family
$
,
,
farm or family business with 100 or fewer full-time or full-time equivalent employees.
See Notes page 9.
93. Parents’ 2015 Additional Financial Information
(Enter the amounts for your parent[s].)
$
a. Education credits (American Opportunity Tax Credit and Lifetime Learning Tax Credit) from IRS Form 1040—line 50 or 1040A—
,
,
line 33.
b. Child support paid because of divorce or separation or as a result of a legal requirement. Don’t include support for children in your
$
parents’ household, as reported in question 73.
,
,
c. Your parents’ taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment
$
portions of fellowships and assistantships.
,
,
d. Your parents’ taxable college grant and scholarship aid reported to the IRS in your parents’ adjusted gross income. Includes
$
AmeriCorps benefits (awards, living allowances and interest accrual payments), as well as grant and scholarship portions of fellowships
,
,
and assistantships.
e. Combat pay or special combat pay. Only enter the amount that was taxable and included in your parents’ adjusted gross income.
$
Do not enter untaxed combat pay.
,
,
f. Earnings from work under a cooperative education program offered by a college.
$
,
,
94. Parents’ 2015 Untaxed Income
(Enter the amounts for your parent[s].)
$
a. Payments to tax-deferred pension and retirement savings plans (paid directly or withheld from earnings), including, but not limited to,
,
,
amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S. Don’t include amounts reported in code DD
(employer contributions toward employee health benefits).
$
b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040—line 28 + line 32 or
,
,
1040A—line 17.
$
c. Child support received for any of your parents’ children. Don’t include foster care or adoption payments.
,
,
$
d. Tax exempt interest income from IRS Form 1040—line 8b or 1040A—line 8b.
,
,
e. Untaxed portions of IRA distributions from IRS Form 1040—lines (15a minus 15b) or 1040A—lines (11a minus 11b). Exclude rollovers.
$
,
,
If negative, enter a zero here.
f. Untaxed portions of pensions from IRS Form 1040—lines (16a minus 16b) or 1040A—lines (12a minus 12b). Exclude rollovers.
$
,
,
If negative, enter a zero here.
g. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and cash value
$
,
,
of benefits). Don’t include the value of on-base military housing or the value of a basic military allowance for housing.
h. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA
$
Educational Work-Study allowances.
,
,
i. Other untaxed income not reported in items 94a through 94h, such as workers’ compensation, disability benefits, etc. Also include the
untaxed portions of health savings accounts from IRS Form 1040—line 25. Don’t include extended foster care benefits, student aid,
$
,
earned income credit, additional child tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income,
,
Workforce Innovation and Opportunity Act educational benefits, on-base military housing or a military housing allowance, combat pay,
benefits from flexible spending arrangements (e.g., cafeteria plans), foreign income exclusion or credit for federal tax on special fuels.
Page 7
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Form CONTINUES on Page 8

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