Texas Application For State Financial Aid (Tasfa) - 2016-2017 Page 3
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4Section IV: Income and Assets
Do not leave any blanks. Enter “0” where appropriate.
Dependent students: Complete both the Student and Parent(s) columns.
Independent students: Complete the Student/Spouse column only.
Student/Spouse
Parent(s)
Part A. Annual Untaxed Income
28. Child support received
$
$
29. Tax exempt interest income
$
$
30. Housing, food, and other living allowances paid on your behalf
$
$
31. Other untaxed income not reported, such as worker’s compensation,
disability, etc.
32. Money you received (or bills someone else paid for you) not reported
$
elsewhere on this form
Student
Spouse
Mother
Father
33. Cash earnings (wages not listed on taxes or W-2 forms)
$
$
$
$
Total Untaxed Income $
$
0.00
0.00
Part B. Annual Income Exclusions
34. Child support paid
$
$
35. Taxable earnings from work-study or other need-based work programs
$
$
36. Taxable scholarships and grants reported
$
$
on 2015 federal income tax return
Part C. Assets
37. As of today, balance of cash, savings, and checking accounts
$
$
38. As of today, investment net worth (do not include the home
$
$
you live in or the balance of retirement plans)
39. As of today, net worth of current business(es) or investment farm(s)
$
$
Section V: Total Family Income
40. a. Earnings: How much were your total family earnings in 2015?
Student's earnings: $
Parent's earnings: $
If your parent’s earned at least $20,600 during 2015, they are required to file taxes according to IRS guidelines. (Check your and/
or parent’s specific filing requirements since the income threshold varies depending on filing status and age. For more details, see
IRS Publication 17 ( ), Table 1-1: Filing Requirements for Most Taxpayers).
b. Self-employment: Are you and/or your parent’s self-employed (e.g. own a business)?
Yes
No
If you and/or your parent(s) are “self-employed”, you and or your parents will be required to file an income tax return if net
earnings (e.g. business expenses minus business income) from self-employment were $400 or more. For more details go to
c. Non-tax filers: If you and/or your parents did not meet either of the IRS Income filing thresholds from earnings or self employment, and
did not file taxes, please provide a breakdown of your living expenses (e.g. rent, food, utilities, etc.). Explain what sources of income or
public assistance you and/or your family used to pay for those living expenses. Your financial aid office may request additional information.
Living Expenses
Cost for the year
To pay for living expenses, I and/or my family used the following sources of income:
Rent
$
Food
$
Utilities
$
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2016–2017 Texas Application for State Financial Aid
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