Fillable 202223 Academic Year Noncustodial Parents Form (International) (Princeton University)

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202223 Academic Year Noncustodial Parents Form (International) (Princeton University)

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The 202223 Academic Year Noncustodial Parents Form (International) (Princeton University) form is 3 pages long and contains:

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Non‐custodial Parent’s Form (International)

2022–23 Academic Year

NOTE: Convert all currency to U.S. dollars

Undergraduate Financial Aid

Box 591, 330 Alexander St.

Princeton, NJ 08542‐0591

T 609.258.3330

F 609.258.0336

E pfaa@princeton.edu

finaid.princeton.edu List currency exchange rate used _________

Student Information

Name: ____________________________________________________________________ DOB: ________________

Application ID Number: ______________________________________________________

Instructions: This form should be completed by the non‐custodial parent of the student l isted above as part of the

Princeton Financial Aid Application. It is Princeton's policy to require both parents to contribute to college costs to the

extent they are able. Determination of need for financial aid will be based on an evaluation of information from both

parents. Documentation of the non‐custodial parent's income is also required. Please attach the 2020 tax return or

equivalent for non‐filers to this form or submit separately as soon as it is available.

Non‐custodial Parent Information ☐

Mother ☐ Father

Name:

Address:

First Last

Street

Age

City

Telephone:

Area Code/Number

Occupation:

Title

Year of separation:

Annual child support paid: $

Province Postal Code

Email:

Employer

Year of divorce:

Year support ends:

address@service.com

Country

# Years

Household Information

Family Size: Number of people in the non‐custodial parent's household,

including spouse and other dependents. Do not include the student applicant.

Number of children (excluding the applicant) who will be enrolled at least

half‐time in 2022‐23 as an undergraduate or graduate student.

Number of parents who will be attending college half‐time or more

in 2022‐23.

Private elementary and secondary school tuition paid by parent

in 2021‐22. Do not include amount paid for the applicant.

For how many students?

How much do you plan to contribute toward

the applicant’s 2022‐23 college expenses?

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If remarried, please exclude spouse’s income, taxes, and assets when completing the following section.

Parent’s Earnings

Income from family business

Income from family real estate holdings

Income from pensions, annuities,

or retirement funds

Interest or dividend income

All other income not included above

Total Income

Government taxes paid on income

Parent’s Expenses

Medical and dental expenses

not reimbursed by insurance

Parent’s Income 2020 2021 (Estimated)

Child support paid by parent

completing

this form to another household

Parents’ repayment of educational loans

(for their own or a child's school costs)

Other special expenses (explain below)

Parent’s Assets

Cash, savings, and checking accounts

Investments (stocks, bonds, money market funds,

trusts, CDs, etc.).

Retirement savings not included in amounts listed above

Business or farm market value

Business or farm debt

Other real estate market value (do not include

primary home)

Amount owed on this real estate

Do you own your own home? ☐ Yes ☐ No

If yes, the current value of home

If yes, amount currently owed

Annual mortgage or rent payments

on primary residence (include real estate tax)

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Household Member List

Please give the following information about all family members in the non‐custodial parent's household for 2021‐22 even if they

are not in school. Continue under "Other information" below if you need more space.

Name Age Relationship

to applicant

School or

College Name

Year in school Full‐ or part‐

time

# of

semesters

Tuition, Room

& Board

Amount paid

by parents

Also give the same information anticipated for 2022‐23.

Name Age Relationship

to applicant

School or

College Name

Year in school Full‐ or part‐

time

# of

semesters

Tuition, Room

& Board

Amount paid

by parents

Other Information

Please use this space to provide us with additional information you think is relevant to your financial circumstances. Attach a separate

sheet if necessary. If, after completing this form, significant changes occur, please send the information directly to Princeton's

Undergraduate Financial Aid Office.

Certification

All members of the University community are expected to be honest and straightforward in their official dealings with University processes,

activities, and personnel. This obligation includes honoring contracts and agreements and providing accurate information on official forms and

documents as well as to official University personnel, offices, and committees. Deliberate violations of this provision will be considered serious

offenses; subsequent violations, or systematic violations in the first instance, will be considered extremely serious. (1.1.5 Honesty and Cooperation

in University Matters, Rights, Rules, Responsibilities, 2021 edition)

I certify that the information contained within this document and all enclosures is complete and accurate at the time of submission. I understand

that this information will be used solely for the purpose of a preliminary financial aid review.

Non‐custodial Parent Signature: __________________________________________________________ Date: _____________________

Rev. Sept. 13, 21

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