Fiut16 - Dependent Untaxed Income Explanation Form 2015-16 Page 2
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(Dependent Untaxed Income Explanation Form 2015-2016 continued)
Additional Income Information: If you answered all questions with a zero then please provide explanation of how the family was
financially supported during the 2014 calendar year.
I certify that the information reported on this form is true and correct. If requested, I agree to provide additional documentation to the
Financial Aid Office.
Student Signature (handwritten): ________________________________________________________ Date: _____________________________________
Parent Signature (handwritten): _________________________________________________________ Date: _____________________________________
143 Bostwick Avenue, NE
Grand Rapids, Michigan 49503-3295
ph: (616) 234-GRCC
grcc.edu
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Accredited by the Higher Learning Commission. GRCC is an Equal Opportunity Institution.
This publication is available in alternative formats upon request. Please contact Financial Aid for more details. 66489 6/16
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