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FAC18FII (Howard Community College)

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BROWSE HOWARD COMMUNITY COLLEGE FORMS

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Student’s Last Name Student’s First Name HCC ID Number
2018/2019 Independent Foreign Income Supplement
A. Complete this section if student and/or spouse earned no foreign income in 2016.
Student earned no income from work in 2016 AND
• Studenthasattachedstatementofnonlingfromrelevanttaxauthority(datedonorafterOct.1,2017).
Student earned no income from work in 2016 BUT
• studentcannotprovidestatementof nonling.Pleasecompletethefollowingstatement:
 I cannotobtainastatementofnonlingfromatax
Student’s name
authorityin anddeclarethatIhadnoincomeearnedfromworkin2016.
Nameofcountry
Spouse earned no income from work in 2016 AND
• Spousehasattachedstatementofnonlingfromrelevanttaxauthority(datedonorafterOct.1,2017).
Student earned no income from work in 2016 BUT
• Spousecannotprovidestatementof nonling.Pleasecompletethefollowingstatement:
 I cannotobtainastatementofnonlingfromatax
Spouse’s name
authorityin anddeclarethatIhadnoincomeearnedfromworkin2016.
Nameofcountry
PLEASE READ: If you and your spouse earned no income in 2016, please explain how
you supported your household in 2016. Use the space in Section E on page 2.
B. Complete this section if student and/spouse earned income in a foreign country in 2016.
Checkonebox:
I/we have2016incomefrom
Name or names of earners
andarerequiredtoletaxes.
Nameofcountryandcurrency
Attachforeigntaxtranscript*ifforeigntaxauthority does not charge a fee for transcript.
Ifforeigntaxauthority does charge a fee for transcript,attachsignedcopyofforeigntaxreturn*,
alongwithdocumentationstatingthattaxauthoritychargesafee.Then, skip to section F.
* If transcript or tax return is not in English, student should provide translation containing amount of gross income
earned and income taxes paid in country’s currency and in US dollars.
I/we have2016incomefrom
Name or names of earners
andarenotrequiredtoletaxes. Complete section C (student)
or D (spouse) on page 2, for non-tax lers with income.
Turn to page 2
RESET FORM
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Financial Aid Services
10901LittlePatuxentPkwy
ColumbiaMD21044
443-518-1260;443-518-4576(FAX)
naid@howardcc.edu;www.howardcc.edu
CRI:FAC18FID
ImageNow:
Doctype:UGVerication
FADocName:V-Vericationforms
Work Flow:
Main:FASDocumentProcessing
Sub-queue:AcademicYear
F. Certication and Signature
Eachpersonsigningbelowcertiesthatalloftheinformationreportediscompleteandcorrect.
WARNING:Ifyoupurposelygivefalseormisleadinginformation,youmaybened,senttoprison,orboth.
StudentSignatureDate
E. If student and spouse earned no income in 2016, please explain how they supported their household in 2016.
C. Student’s 2016 Foreign Income Foreign Currency
1.Enteramountstudentearnedfromemploymentbyothers.
2.Entertheamountofincomefromowningoroperatingabusiness.
3.Entertheamountofretirementpensionincomefromemployers.
4.Entertheamountofincomestudentreceivedfromfarming.
Total Foreign Income converted to US Dollars: x
ExchangeRate
= $
U.S.Dollars
5.Enter the amount ofanyincomeearnedintheU.S.in2016. $
Total Income (Dollars):
$
Student’sIncomeTax:
EntertheamountofincometaxpaidtogovernmentsotherthanU.S.
x
ExchangeRate
= $
U.S.Dollars
E. Spouse’s 2016 Foreign Income Foreign Currency
1.Enteramountspouseearnedfromemploymentbyothers.
2.Entertheamountofincomefromowningoroperatingabusiness.
3.Entertheamountofretirementpensionincomefromemployers.
4.Entertheamountofincomespousereceivedfromfarming.
Total Foreign Income converted to US Dollars: x
ExchangeRate
= $
U.S.Dollars
5.Enter the amount ofanyincomeearnedintheU.S.in2016. $
Total Income (Dollars):
$
Spouse’sIncomeTax:
EntertheamountofincometaxpaidtogovernmentsotherthanU.S.
x
ExchangeRate
= $
U.S.Dollars
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FAC18FII (Howard Community College)

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Completed 22 July 2020

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