ESTIMATION OF IN-KIND SUPPORT
DEPENDENT STUDENT INDEPENDENT STUDENT
(Parents must complete) (Student must complete)
Date: ______________ Academic Year: 2018-2019
Student Name: ID:
I (or my family) reported an unusually low income on my Student Aid Report (SAR). My living
expenses for 2016 were covered by (please check the appropriate box):
Parent(s) Friends Others
This may have included grocery money, rent, utilities, car insurance, etc. The value of the cash
support for the calendar year 2016 received to cover the following items:
Housing _________________
Utilities__________________
Food____________________
Transportation____________
*Other___________________
TOTAL: _________________________
________________________________ ___________________________________
Student Signature Parent Signature
*Other/Explanation:
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