Current Year Income Assessment Form - Academic Year 2016/17
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5Current Year Income Assessment Form – Academic Year 2016/17
Personal details
Person 1
Person 2
Your Customer Reference Number
Your Customer Reference Number
Name
Name
DAY
MONTH
YEAR
DAY
MONTH
YEAR
/
/
/
/
Date of birth
Date of birth
Address
Address
Postcode
Postcode
If you want to provide your financial details separately, you can download another copy of this form
at:
Before you complete this form
For the student to be assessed based on your estimated income for the tax year 2016-17 we need to
be able to compare your estimated income with your actual income for tax year 2014-15.
Have you told us your financial details for tax year 2014-15?
Person 1
Person 2
If ‘No’ you must give us your financial details. You can download a
Yes
No
Yes
No
form at: /forms
If you’re awarded a current year income assessment, we’ll use your finalised 2016-17 household
income to work out how much the student can get if they apply for funding based on household
income in the 2017/18 academic year. If your income will fall by a further 15% in 2017/18, you can
apply for a further current year income assessment.
How do I complete this form?
Start by completing Section A and then work your way through the form. (Depending on your
circumstances you may not need to complete every section.) Don’t forget to sign the Declaration at the
end.
• Section A – tax credits and income support
• Section B – your financial information
• Section C – other income
• Section D – income deductions
Notes to help you complete some of the questions within the form can be found every time you see this
icon.
SFW/CYI/1617/B
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