Confidential Family Financial Statement Page 2
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2
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4Dependency Status
1. Is the student a veteran of the U.S. Armed forces?
Yes/No
2. Is the student on current active duty in the U.S. Armed Forces?
Yes/No
3. Is the student an orphan or ward of the court or was the student
a ward of the court until the age of 18?
Yes/No
4. Is the student an emancipated minor?
Yes/No
5. Is the student in legal guardianship?
Yes/No
6. Does the student have legal dependents (other than a spouse)?
Yes/No
7. As of today, the student’s marital status is
Not married (single, widowed or divorced)
Married
Separated from spouse
Parent Bio
1. Father/Step-father
First Name
Last Name
Date of Birth
2. Mother/Step-mother
First Name
Last Name
Date of Birth
3. Parent email address
4. Primary phone #
5. Secondary phone #
6. Parent(s) current marital status
7. State of Legal Residence
Father
Mother
8. Address if different than student’s
Name
Street
City
State
Zip code
9. With which parent did the student live the most during the past 12 months?
10. Non-custodial parent payment agreement exists?
Yes/No
11. Non-Custodial Parent Address
Name
Street
City
State
Zip code
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