Application For Financial Aid (Page 2 of 2) in pdf

Application For Financial Aid Page 2

TAX FORMS AND INCOME INFORMATION

1. For all tax filers whose financial information was (or should have been) reported on your application,

please attach signed copies of your 2011 Federal Income Tax Returns (includes the 2011 IRS form 1040,

1040A, 1040EZ, TeleFile Tax Record, a tax return from Puerto Rico or a foreign income tax return) and

copies of your 2011 W2 statements. Please include all schedules and attachments.

If you did not keep a copy of your tax return, you may request an RTFTP printout or

Letter 1722 from the Internal Revenue Service or obtain another copy from your tax

preparer. You can also request a tax return transcript by phoning the IRS at 1 (800) 829-

1040.

2. For all non-tax filers – check the boxes for those people who did not and are not required to

file a 2011 Federal Income Tax Return. List below the employer and any income received in

2011 (use W-2’s or other earnings statements and attach copies). Non-tax filers must also submit a copy of

their bank statements for the past six months.

Name of Employer

Income

3. Both tax filers and non-tax filers must list any untaxed income received in 2011.

2011 Untaxed Income

Amount

Payments to Tax-Deferred Pensions & Savings Plans

- on W-2, Box 13, codes D, E, F, G, H, and S, also untaxed

portions of 401(k) and 403(b).

Earned Income Credit

Child Support Received

Social Security Benefit (untaxed portion)

Welfare Benefits

Worker’s Compensation

Other (please specify)

List any child support you PAID OUT in the 2011 calendar year $ ________________________

I certify that the information disclosed on this form is correct and complete.

Parent’s or Guardian’s Signature: __________________________________________________

Information regarding income will be held in strictest confidence.

Application For Financial Aid Page 2