2013-2014 Child Support Paid Verification printable pdf download

XAVIER UNIVERSITY OF LOUISIANA

Xavier South, Room 360

OFFICE OF FINANCIAL AID

New Orleans, LA 70125

Telephone :(504)520-7835

FAX: (504)520-7906

E-MAIL:

FINAID

XULA

EDU

2013-2014 CHILD SUPPORT PAID VERIFICATION

A. Student Information

Student ID Number: _____________________

______________________________________________________________________________

Last Name

First Name

M.I.

________________________________________________________________________________

Address (include Apt. No.)

_________________________________________________________________________________

City

State

ZIP Code

Telephone Number (include Area Code)_______________________________________

Cell Number (include Area Code)___________________________________________

Your application has been selected for verification. The item which must be verified is Child Support Paid.

Complete this verification form and submit a copy of your official documents verifying the total amount paid for

2012.

What should you do?

Submit documents for child support paid;

Name of the person paid child support;

Name of the person to whom child support was paid; and

Name (s) of children for whom child support was paid;

Complete and sign the worksheet.

Submit the completed worksheet and document (s) to your financial aid administrator.

Your financial administrator will compare information on this worksheet and any supporting documents

with the information you submitted on your application. You or your school may need to make

corrections electronically or by using your SAR.

Student and/or Parent Information to Be Verified

(please check all that apply(s))

1. Complete this section if one of your parents paid child support in year 2012.

One (or both) of your parents paid child support in 2012. Your parent should indicate below the

name of the person who paid the child support, the name of the person to whom the child support was paid, the

names of the children for whom child support was paid, and the total annual amount of child support that was paid

in 2012 for each child.

your name and Student ID No. at the top.

Name of Person Who Paid

Name of Person to Whom Child

Name of Child for Whom

Amount of Child

Child Support

Support was Paid

Support Was Paid

Support Paid in 2012

Marty Jones

Chris Smith (example)

Terry Jones

$6,000.00

2013-2014 Child Support Paid Verification

Related Articles

Related forms

Related Categories