18CHRC
Child Support Received
Statement 2020-2021
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:
Please report the total amount of child support your custodial parent received in
2018 for ALL his/her dependent children (include the student applicant):
CHILD'S NAME AMOUNT RECEIVED
IN 2018
TERMINATION
DATE FOR CHILD
SUPPORT
1. $
2. $
3. $
4. $
Name of non-custodial parent: _________________________________________
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.
Custodial Parent
Signature:
____________________________
Date
Signed:
_________