Financial Aid Application Page 2
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2PART D – FINANCIAL INFORMATION
Student
If the question does not apply, please indicate “N/A.”
Parent(s)
Child suppor t paid out in 2014 because of divorce or separation or as a result of a legal requirement.
$_____________
Do not include suppor t for children listed as household members in par t C of this form.
$ ____________
Name of person who paid child suppor t:__________________________________________________________
Name of person to whom child suppor t was paid:__________________________________________________
Name(s) of children for whom child suppor t was paid: ______________________________________________
$_____________
Social Security benefits received and not taxed in 2014. (
$ ____________
Refer to Social Security 1099 benefit statements.)
$_____________
What is the current market value of your home?
$ ____________
$_____________
How much do you owe on your home?
$ ____________
$_____________
What is your monthly mor tgage payment?
$ ____________
$_____________
What is the current market value of real estate you own other than your home?
$ ____________
$_____________
How much do you owe on the other real estate?
$ ____________
Regardless of the number of employees, what is the current market value of your business and/or
$_____________
investment farm?
$ ____________
$_____________
How much do you owe on the business and/or investment farm?
$ ____________
$_____________
Employer paid tuition benefits expected in 2015-2016 for the student applying to Knox.
$ ____________
PART E – OTHER STUDENT INFORMATION
In 2013 or 2014, did anyone in your household receive SNAP (Supplemental Nutrition Assistance Program) benefits?
Yes
No
Are or were you in legal guardianship as determined by a cour t in your state of legal residence?
Yes
No
If yes, please submit suppor ting documentation.
Are you eligible to receive Veteran’s Educational Benefits in 2015-2016?
Yes
No
If yes, please submit a copy of your Cer tificate of Eligibility.
Is your parent eligible to transfer Veteran’s Educational Benefits to you in 2015-2016?
Yes
No
If yes, please submit a copy of your parent’s Cer tificate of Eligibility.
PART F – NON-CUSTODIAL PARENT
To be answered by the parent who completes this form about the non-custodial parent if the student’s biological or adoptive
parents are divorced, separated, or never married. If the questions do not apply to you, indicate “N/A” on the lines below.
Non-custodial parent’s name ___________________________________________________ Year of separation or divorce ______________
Occupation________________________________________________ Employer __________________________________________________
How much will the non-custodial parent contribute to the student’s education for the 2015–2016 year? $ ______________________
(Do not include child suppor t.)
May we discuss financial assistance and billing documents with the non-custodial parent?
Yes
No
PART G – STUDENT AND PARENT CERTIFICATIONS AND SIGNATURES
Warning: Federal regulations state that purposely giving false or misleading information may result in a fine, a prison sentence, or both.
I (We) cer tify that all of the information repor ted to qualify for federal student aid is complete and correct. I (We) authorize Knox
College to release updated or corrected information to the Federal Student Aid Processing Center. The student and one parent
whose information is repor ted on this form must sign.
Student signature ______________________________________________________________________ Date____________________________
Parent signature _________________________________________________________________ ______ Date____________________________
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