Fillable 2013-2014-legal-dependent-form - LegalDepFormm

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2013-2014-legal-dependent-form - LegalDepFormm

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Country of origin: US
File type: PDF

U.S.A. forms for Eastern Michigan University

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2013-14 Legal
Dependent Form
Office of Financial Aid
.
Phone: 734.487.0455
.
Fax: 734.487.4281
.
Email: financial_aid@emich.edu
.
Web: www.emich.edu/finaid
LGLDEP
Student ID
E
Name
This form has been requested because you have reported on the FAFSA that you provide at least 51% support for a child
or legal dependent.
Please answer the following questions for the year 2012:
What is your relationship to your dependent?
Who claimed you as a Federal IRS Tax Exemption in 2012?
Child
Sibling
Parent
Parent
Other, Please explain
Where did you and your dependent live?
Parent(s)
Relative/friend
Who provides your medical insurance?
Significant Other
Parents
Government
In my own apartment/house
Other, Please explain
Dorm
How was your housing paid?
Who provides your dependent’s medical insurance?
I paid it myself:
Parents
Government
$
Rent/mortgage per month
Other, please explain
My parent paid the rent/mortgage:
$
Per month
My significant other/friend/relative paid the
rent/mortgage:
Did you pay or receive child support for your dependent?
$
Per month
Paid child support in 2012
$
Per month
How did you pay for food?
Received child support in 2012
Meal Plan
$
Per month
FIA
I did not pay or receive child support for my dependent
Financial Aid
Wages
Signing this form certifies that all the information reported on it is complete and correct.
Student Signature Date
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2013-2014-legal-dependent-form - LegalDepFormm

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Completed 11 February 2020

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