F19PTGS
2019-2020 Parents’ Taxable Grants & Scholarships Worksheet
Student Name: SMC ID#
Please verify your parents’ taxable student grant and scholarship aid reported to the IRS as income and included in your parents’
2017 Adjusted Gross Income. Enter 0 if this does not apply, do not leave blank.
• Please consider your response: This worksheet asks for grant and scholarship aid which was reported as taxable
income on your parents’ 2017 federal income tax return. Many grants and scholarships are tax free provided
they meet criteria established by the IRS – do not report such tax free grants and scholarships.
• Do NOT report total 2017 grant and scholarships aid. Report only the amount of grants and scholarships which
were taxable and included in your parents’ 2017 Adjusted Gross Income.
• Include taxable AmeriCorps benefits (awards, living allowances and interest accrual payments), as well as grant
and scholarship portions of fellowships and assistantships if they were taxable and included in your parents’
Adjusted Gross Income.
Your parents’ 2017 taxable student grant and scholarship aid reported to the IRS in
your parents’ 2017 Adjusted Gross Income. Include AmeriCorps benefits (awards,
living allowances and interest accrual payments), as well as grant and scholarship
portions of fellowships and assistantships. DO NOT INCLUDE NON-TAXABLE GRANT
$
CERTIFICATION: I certify that all the information reported on this form is true, complete and correct. I understand that
any false statements could be cause for denial, reduction, withdrawal or repayment of financial aid.
Please print and sign before submitting. We CANNOT
accept digital signatures.
Student Signature Date
Parent Signature Parent Printed Name Date
Office of Student Financial Services
One Winooski Park, Box 4
Colchester, VT 05439
Tel. 802-654-3243
Fax: 802-654-2591
