17CSPI
Statement of Child Support Paid by
Student/Spouse
2019-2020
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:
Report the total amount of child support you and/or your spouse paid in 2017. Do NOT
include amounts paid for children reported as being in your household on the FAFSA.
Name of person who paid child support: ___________________________________
Name of person to whom child support was paid: __________________________
Home address of recipient: _______________________________________
_______________________________________
_______________________________________
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.
NAME & AGE of CHILD
For whom child support was paid
AMOUNT PAID IN
2017
TERMINATION DATE
FOR CHILD SUPPORT
1. $
2. $
3. $
4. $
Signature of Student or
Spouse Who Paid Child
Support to Another
Household:
__________________________
Date
Signed:
_________