Fafsa Worksheet
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2FAFSA Worksheet
The following items are necessary for the student to complete their Free Application for Federal Student Aid (FAFSA) in the pursuit of federal and state assistance
through grants, work study, scholarships and loans. The information on this page will require parent information if you are considered a Dependent Student. We en-
courage parents to assist their students in this process. Copies of the most recent tax forms are recommended.
Last Name________________ Middle Initial_______ First Name_______________ (as it appears on your SS Card)
1. Student Social Security Card and Driver’s License
SSN#:____________- __________-____________
Driver’s License#:_________________________
2. Citizenship Status (CIRCLE ONE): US Citizen/Eligible Non-Citizen/Not a citizen or eligible noncitizen
Eligible Non-Citizen: A#_____________________________________ (also known as green card or MICA)
3. Your Parents Social Security Number (if none enter 000-00-000)
SSN#:____________- _________-____________
SSN#:___________- _________-____________
4. Parent’s Marital Status: (CIRCLE ONE)
Married
Remarried
Single
Divorced
Separated
Widowed
Unmarried living together
5. Date Married or Remarried/Single/Divorced or Separated/Widowed/Unmarried and both parents are
living together Month__________ Year__________
6. Parents’ Date of Birth:
Parent 1:_______/_______/_______
Parent 2:_______/______/________
INCOME AND ASSETS:
7. Student’s Federal Income Tax return from 2013 (if not yet filed, use 2012) (CIRCLE ONE)
For 2013, have you Already Completed
Will File
Not going to file
Income earned from work: $_______________________ (W-2 forms)
Form Filed: IRS 1040 / IRS 1040A / IRS 1040EZ
8. Adjusted Gross Income $______________ # of Exemptions___________ Federal Income Tax____________________
IRS 1040-line 37;1040A-line 21; or1040EZ-line 4 IRS 1040-6d;1040A-line 6d
IRS 1040 line 55;1040A-Line55; or 1040EZ-line 10
.
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Parents’ Federal Income Tax return from 2013 (if not yet filed, use 2012) (CIRCLE ONE)
For 2013, have you: Already Completed
Will File
Not going to file
Parent 1 Income earned from work: $_______________ (W-2 forms)
Form Filed: IRS 1040 / IRS 1040A / IRS 1040EZ
Parent 2 Income earned from work: $_______________ (W-2 forms)
Form Filed: IRS 1040 / IRS 1040A / IRS 1040EZ
10. Adjusted Gross Income $______________ # of Exemptions___________
Federal Income Tax_________
IRS 1040-line 37;1040A-line 21; or1040EZ-line 4 IRS 1040-6d;1040A-line 6d/IRS 1040 line 55 1040A-Line55; or 1040EZ-line 10
Records of Additional Financial information:
TANF/SNAP, Social Security, Veteran’s Benefits, or Military, or Clergy Allowances, Child support paid or received
Asset information:
Parent(s) Checking and Savings: $____________
Student Checking and savings: $__________________
Parent(s) Net worth of Investments: $ __________
Student net worth of investments: $________________
Parent(s) net worth of business and or investment farms $_______
Student net worth of business and /or investment farms:$________
Student and Parent FAFSA PIN (Personal Identification Number). Student: _ _ _ _ Parent: _ _ _ _
(Apply at )
NOTE: Make a list of Colleges or Universities the student may possibly attend
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