Fillable 2020-2021 INCOME & EXPENSE WORKSHEET (City University of New York)

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2020-2021 INCOME & EXPENSE WORKSHEET (City University of New York)

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2020-2021 INCOME & EXPENSE WORKSHEET
You reported zero income on your FAFSA for 2018. Please complete this worksheet, listing all your expenses and income. This
worksheet should demonstrate how you supported yourself and/or your family in 2018. In all cases, the total 2018 “Income” must
equal or exceed the total 2018 “Expenses”. If an expense/income category is not applicable to you, indicate “0,” DO NOT LEAVE
ANY CATEGORY BLANK. Please explain any “0’s” for rent/mortgage and utilities in the comments section below.
_____________________________________
__________________________________
________________________
Last Name
First Name
CUNYfirst ID
This form is being completed by the:
1. Did you live with someone who provided you with free room and board in 2018?
❒ Yes Whom did you live with? ________________________________
Will this arrangement continue for 2020-2021? ❒ Yes ❒ No
❒ No
2. Did you live in another country in 2018?
❒ No If No, skip to Question 3.
❒ Yes When did you arrive in the United States? ___________________________
(month/year)
What was your total foreign income in 2018 (in US dollars)?
___________________
3. Did you live in public housing in 2018?
❒ Yes
❒ No
EXPENSES
YEARLY AMOUNT
FOR 2018
INCOME
YEARLY AMOUNT
FOR 2018
Rent/Mortgage/Property Tax
$
Savings (amount used to meet expenses)
$
Utilities
$
Social Security
$
Food
$
Veteran’s Benefits
$
Transportation
$
Public Assistance (TANF)
$
Unreimbursed Medical/Dental
$
Veteran’s Benefits
$
Credit Card Payments
$
SNAP (Food Stamps)
$
Personal expenses
$
HUD – Housing and Urban Development/ Section 8
$
Child Support Paid
$
Foreign Income and Support
(convert to US Dollars)
$
Student Loan Payments
$
Cash gifts from Relatives/Friends
$
Child/Adult Care
$
Child Support Received
$
Miscellaneous (please describe)
$
Unemployment
$
Worker’s Comp. /Disability
$
*Expenses billed to you, and paid by others
$
Support provided by others
$
Miscellaneous A (please describe)
$
Miscellaneous B (please describe)
$
TOTAL EXPENSES
$____________________
TOTAL INCOME
$ __________________
*Examples include: food, shelter, non-cash gifts etc.
Student
Parent(s)
Financial Aid Services ♦ 65-30 Kissena Blvd ♦ Queens, NY 11367-1597 ♦ Phone: 718-997-5102 ♦ Fax: 718-997-5122
Revised 2/28/20
Comments:
Certification and Signature(s)
By signing this form, you certify that all of the information you provided is true and complete to the best of your knowledge and you agree, if asked,
to provide information that will verify the accuracy of your completed form.
Student’s Signature:
____________________________________________
Date:
___________________
Parent’s Signature:
____________________________________________
(Parent’s signature only required if student is dependent)
Date:
___________________
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2020-2021 INCOME & EXPENSE WORKSHEET (City University of New York)

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Completed 12 August 2020

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