Fillable 1819 Child Support Received Student (Hope College)

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1819 Child Support Received Student (Hope College)

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CHSUPP
Child Support Received Statement
2018-2019
Office of Financial Aid ▪ 100 East 8
th
Street ▪ PO Box 9000 ▪ Holland, MI 49422-9000
P: 616-395-7765 ▪ F: 616-395-7160 ▪ finaid@hope.edu ▪ hope.edu/financialaid
Student Name:
Hope College ID Number:
Please report the total amount of child support your custodial parent received in 2016
for ALL his/her dependent children (include the student applicant):
CHILD'S NAME
AMOUNT RECEIVED
IN 2016
TERMINATION
DATE FOR CHILD
SUPPORT
1. $
2. $
3. $
4. $
Name of non-custodial parent: _________________________________________
WARNING: If you purposely give false or misleading information, you may be fined, sent
to prison, or both.
My signature below certifies that all of the information reported is complete and correct.
Custodial Parent
Signature:
____________________________
Date
Signed:
_________
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1819 Child Support Received Student (Hope College)

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Completed 23 July 2020

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