Orphan Or Ward Dependent Of The Court Form - Indiana University East

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Indiana University East
Office of Financial Aid and Scholarships
Orphan or Ward/Dependent of the Court Form
Student’s Name _________________________________________________
Student University ID Number: ___________________ Student University Email: _________________________
When you completed the 2014-2015 FAFSA, you stated that you were either an orphan or a ward of the
court. Your application was selected for review to verify this status. Financial aid eligibility will be
reviewed after all requested documents are reviewed.”
A)
Are you an orphan (all biological/adoptive parents are deceased)?
Yes
No
If yes:
1)
Please explain your circumstances below.
(Use back of form, if necessary.)
2) Attach copies of your parents’ death certificates.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________
B)
Are you a ward of the court (or were you a ward of the court until age 18)?
Yes
No
If yes:
1) Please explain your circumstances.
(Use back of form, if necessary.)
2) Attach court documentation that verifies your status.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
I certify the above information reflects exactly the information filed on my 2013 U.S. income tax
return or Non-Filer Statement.
Student Signature: _________________________________________________ Date: ____________________
Office of Financial Aid and Scholarships
Indiana University East
Whitewater Hall
2325 Chester Boulevard
Richmond, IN 47374-1289
Phone: 765-973-8206 or toll free 800-959-EAST
Fax: 765-973-8288

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