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FAC17EI (Howard Community College)

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U.S.A. forms for Howard Community College

BROWSE HOWARD COMMUNITY COLLEGE FORMS

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A. 2018 Estimated Gross Taxable Income
Student
Spouse
(if married)
Parents
(if dependent)
1. Wages, salaries, tips (include severance pay)
$ $ $
2. Pensions and annuities
$ $ $
3. Interest, dividends, and capital gains
$ $ $
4. Business or farm income
$ $ $
5. SocialSecuritybenets(taxable)
$ $ $
6. Income received from rents after expenses (mortgage interest, taxes, and insurance)
$ $ $
7. Alimony
$ $ $
8. Unemployment compensation
$ $ $
9. Any other taxed income
$ $ $
Total 2018 Estimated Taxed Income (1–9)
$ $ $ $
B. 2018 Estimated Untaxed Income
Student
Spouse
(if married)
Parents
(if dependent)
1. Payment to tax-deferred pension and savings plans
(paid directly or withheld from earnings), including, but not limited to, amounts
reported on the W-2 forms in Boxes 12a through 12d, codes D,E,F,G,H and S.
$ $ $
2. Deductible IRA and/or Keogh, SEP, and SIMPLE payments.
$ $ $
3. Child Support received for all children
$ $ $
4. Tax-exempt interest income.
$ $ $
5. Untaxed portions of IRA distributions.
$ $ $
7. Living and housing allowances for clergy, military and others.
Includecashpaymentsorcashvalueofbenefits.
Exclude rent subsidies for low-income housing. Members of the military should only report their
totalBASbenefitsfor2018.Donotreportanymilitaryhousingbenefits(BAH,BAQ,or the value
of on-base military housing).
$ $ $
8. Veteran’sNon-educationalbenetssuchasDisability,DeathPension,orDependency
& Indemnity Compensation (DIC) and /or VA Educational Work-Study allowances.
$ $ $
9. Anyotheruntaxedincomeandbenetsnotreportedelsewhereonthisform.
Include untaxedincomesuchasworkers’compensation,disabilitybenets,BlackLung
Benets,untaxedportionsofhealthsavingsaccounts,RailroadRetirementbenets,etc.
$ $ $
10. Money received or paid on the student’s behalf e.g., cash, rent, books
$
Source (Ex:uncle):
Total 2018 Estimated Untaxed Income (1–10)
$ $ $ $
Certication and Signature
Eachpersonsigningbelowcertiesthatalloftheinformationreportediscompleteandcorrect.Ifstudentis
dependent, the student and one parent whose information was reported on the FAFSA must sign and date.
Student’s Signature
Date
Parent’s Signature
(if dependent)
Date
WARNING:Ifyoupurposelygivefalseormisleadinginformation,youmaybened,senttoprison,orboth.
Financial Aid Services
10901 Little Patuxent Pkwy 443-518-1260
Columbia MD 21044 443-518-4576 (fax)
CRI: FAC17 EI
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Work Flow Sub-queue: Academic Year
C. 2018—Other Resources
Type of Financial Support Name of Recipient
Yearly Amount
Expected in 2018
Provide information about any other
resources, benets, and other amounts
received by the student and any members
of the student’s household. This may include
items that were not required to be reported on the
FAFSAorotherformssubmittedtothenancial
aidoce,andincludessuchthingsasfederal
veterans’educationbenets,militaryhousing,
SNAP, TANF, etc.
Legal Settlement
Medical Assistance
SSI/SSDI
Savings
SNAP
WIC
$
Estimated Income—Jan. 1, 2018 - Dec. 31, 2
0
18
Report the income your family
expects to receive from
January 1, 2018 through December 31, 2018.
In sections A and B, report estimated income before exemptions, adjustments, or deductions. If there will
be no income in a category, enter “0.” This form must be typed—handwritten forms will not be acceped.
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FAC17EI (Howard Community College)

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Completed 24 July 2020

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