Florida State Office Of Financial Aid (Page 2 of 3) in pdf

Florida State Office Of Financial Aid Page 2

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Section II. Estimated Income for Current Calendar Year

Please provide anticipated taxable and untaxable income in the table below. If you are an

independent student (divorced/separated), include only your income information. If you are a

dependent student and your parents are divorced or separated, include only your custodial

parent’s income information. If your custodial parent has remarried, include their spouse

income information.

Anticipated Income for Calendar Year

January 1, 2016 - December 31, 2016

*Write zero (0) if item doesn’t

Students Only

Parents of Dependent Students

apply*

Student

Spouse

Parent 1

Parent 2

Anicipated taxable income

Wages, Salaries, Tips

Unemployment

Pensions and/or annuities

Alimony

Other taxable income (source)

Anticipated untaxable income

Social Security Benefits

Child support received

Aid to Families w/Dependent

Children

Other untaxed income/benefits

Total Anticipated Income

Cash and Savings

Please attach a written statement describing your situation.

*Current/future financial aid could be adjusted/revised if the documentation does

not support the claim(s).*

Florida State University’s Use of Social Security Number policy is available at

282 Champions Way P.O. Box 3062430 University Center A4400 Tallahassee, FL 32306

Phone: 850-644-0539 Fax: 850-644-6404 Email:

OFACS@admin.fsu.edu

Revised 3/2/2016

Florida State Office Of Financial Aid Page 2