2015-16 Fafsa Parent Information Collection Form (3pic) Page 2

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70. What is your parent(s)’ state of
71. Did your parent(s) become legal
72. If the answer to question 71 is No,
legal residency?
residents of this state before
give month and year legal residency
January 1, 2010?
began for the parent who has lived in
State:_____________________
the state the longest.
Yes
 No
Month____________ Year___________
In 2013 or 2014, did you, your parents, or anyone in your parents’ household (as reported in question 73) receive benefits from any of
the federal benefit programs listed? Check all programs that apply. Answering these questions will not reduce eligibility for student
aid or these programs. TANF may have a different name is your parents’ state. Call 1-800-4-FED-AID to find out the name of the
state’s program.
75.  Supplemental Security Income (SSI)
76.  Food Stamps (SNAP)
77.  Free or Reduced Price Lunch
78.  Temporary Assistance for Needy Families (TANF)
79. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
 Yes
 No
 Don’t Know
84. As of today, are either of your parents a dislocated worker?
80. For 2014, have your parents completed their IRS income tax return or another tax return listed in question 81?
 My parents have already completed
 My parents will file, but
 My parents are not going to file.
their return.
have not yet completed their return.
(Skip to Question 88)
82. For 2014, what is or will be your parents’ tax filing status according to their tax return?
 Single
 Married – filed separate return
 Head of Household
 Qualifying Widow(er)
 Married – filed joint return
 Don’t Know
81. What income tax return did your parents file, or will file, for 2014?
 IRS 1040
 A foreign tax return. Refer to instructions on page 4.
 IRS 1040A or 1040EZ
 A tax return with Puerto Rico, another U.S. territory or freely
associated state. Refer to instructions on page 4.
83. If your parents have filed or will file a 1040, were they eligible
 Yes
 No
 Don’t Know
to file a 1040A or 1040EZ? Refer to instructions on page 4.
For questions 85 - 94, if the answer is zero or the question does not apply, enter zero (0). Report whole dollar amounts.
85. What was your parent(s)’ adjusted gross income for 2014? Refer to IRS
Form 1040 – line 37; 1040A – line 21; or 1040EZ – line 4.
$ __________________
86. Enter your parent(s)’ income tax for 2014. Refer to IRS Form 1040 – line
56; 1040A – line 37; or 1040EZ – line 10.
$___________________
87. Enter your parent(s)’ exemptions for 2014. Refer to IRS Form 1040 – line
6d or 1040A – line 6d. For 1040EZ, refer to instructions on page 4.
________
88. – 89. How much did your parent(s) earn from working (wages, salaries, tips,
etc.) in 2014? Answer this question whether or not they filed a
Parent 1 (88)
$___________________
tax return. This information may be on their W-2 forms, or on IRS Form
1040 – lines 7 + 12 + 18 + Box 14 (code A) of IRS Schedule K-1 (Form
1065); Form 1040A – line 7; or Form 1040EZ – line 1. If any individual
Parent 2 (89)
$___________________
earning item is negative, do not include that item in your calculation.
2

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