Verification Of Other Untaxed Income Form - 2014 (Page 4 of 4) in pdf

Verification Of Other Untaxed Income Form - 2014 Page 4

Verification of Other Untaxed Income for 2014

Additional information:

So that we can fully understand the student’s family's financial situation, please provide

below information about any other resources, benefits, and other amounts received by the

student and any members of the student’s household. This may include items that were not

required to be reported on the FAFSA or other forms submitted to the financial aid office,

and include such things as federal veterans education benefits, military housing, SNAP,

TANF, etc.

If more space is needed, provide a separate page with the student’s name and ID number at

the top.

Type of

Amount of Financial

Name of Recipient

Financial Support

Support Received in 2014

Comments:

____________________________________________________________________________

By signing this document, I(we) certify that all of the information reported above, used to

determine eligibility for federal student financial aid, is complete and correct. If I purposely give

false or misleading information, I may be fined, sentenced to jail, or both.

____________________________________________________ ___________________

Student’s Signature

Date

____________________________________________________ ___________________

Parent’s Signature

Date

Verification Of Other Untaxed Income Form - 2014 Page 4