Personal Expenses & Resources Budget Form
ADVERTISEMENT
1P
e
r
s
o
n
a
l
E
x
p
e
n
s
e
s
&
R
e
s
o
u
r
c
e
s
B
u
d
g
e
t
F
o
r
m
P
e
r
s
o
n
a
l
E
x
p
e
n
s
e
s
&
R
e
s
o
u
r
c
e
s
B
u
d
g
e
t
F
o
r
m
Office of Financial Aid and Scholarships
P. O. Box 3011 Commerce, Texas 75429-3011 Phone: 903.886.5096 Fax: 903.886.5098
The basic underlying premise of student financial aid is that it is primarily the responsibility of the student and his/her family to pay educational costs. When family
resources are insufficient, financial aid may be awarded to supplement the resources of the student’s family to help pay educational expenses. By petitioning, you are
asking us to relieve your parents of the responsibility for using their resources to pay part of your college costs. Only very extenuating circumstances will make it
reasonable to approve such a petition. Be aware that having sufficient resources to pay your own expenses is NOT considered an extenuating circumstance for
determining dependency status. Also, you cannot use financial aid as a source of income when completing your application.
Student’s Name:____________________________________
Campus Wide ID:_________________
All sections must be completed. Do not leave any information blank. If it is not applicable to you, please indicate N/A.
Expense
Average
Total for calendar year
Documentation
Monthly Cost
January 1 through December 31
provided
Yes/No
Rent/house payment
Groceries
Electric Bill
Gas Bill
Water Bill
Telephone/Cell Phone
Car payment
Car insurance
Medical/Dental
Personal
Child Care
Other:
__________________________
Other:
__________________________
TOTAL
Sources of Support from Parent(s)/Stepparent
What amount of financial support did you receive from your parents in 2008, 2009, 2010? $__________________________
What amount of financial support will you receive from your parents in 2011?
$__________________________
Do your parents/stepparent own the property in which you reside?
[ ] Yes
[ ] No
Indicate below what other support you received from your parent(s)/stepparent in 2010?
Source
Amount
Source
Amount
Health Insurance / Are you on your parent(s) health insurance?
Rent/Room and Board
Auto Insurance/ Are you on your parent(s) auto insurance plan?
Use of Vehicle
Clothing
Other
Personal Sources of Support
INCOME SOURCE
MONTHLY INCOME
INCOME SOURCE
MONTHLY INCOME
Employment
Social Security Benefits
AFDC/TANF
Child Support
VA Benefits
Food stamps
Savings
Other
Certification: I certify that the information submitted is true and correct to the best of my knowledge. And if I purposely give false or
misleading information on this application, I may forfeit any further opportunity for financial aid assistance.
Student’s Signature: ______________________________ Date: ________________________
03/14/2011
A Member of The Texas A&M University System
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial