Fillable FAC19FID (Howard Community College)

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FAC19FID (Howard Community College)

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File type: PDF

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Student’s Last Name Student’s First Name HCC ID Number
A. Complete this section if student and/or parent(s) earned income in a foreign country in 2017.
I/we have 2017 income from
Name or names of earners
Name of country and currency
and are required to le taxes.
Attach signed copy of foreign tax return AND Complete section B (student) or C (parents), below, using the
information from the tax return.
I/we have 2017 income from
Name or names of earners
Name of country and currency
and are NOT required to le taxes.
Complete section B (student) or C (parents), below.
2019/2020 Dependent Foreign Income Supplement
B. Student’s 2017 Foreign Income
Foreign Currency
1. Enter amount of foreign income you earned in 2017
x
Exchange Rate
= $
U.S. Dollars
2. Enter the amount of any income you earned in the U.S. in 2017
$
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
C. Parent(s)’ 2017 Foreign Income
Foreign Currency
1. Enter amount parent(s) 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 parent(s) 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 2017. $
Total Income (Dollars):
$
Parent(s)’ Income Tax:
Enter the amount of income tax paid to governments other than U.S.
x
Exchange Rate
= $
U.S. Dollars
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.edu; www.howardcc.edu
CRI: FAC19FID
ImageNow:
Doc type: UG Verication
FA Doc Name: V-Verication forms
Work Flow:
Main: FAS Document Processing
Sub-queue: Academic Year
D. 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.
Parent Signature Date
Student Signature Date
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FAC19FID (Howard Community College)

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Completed 22 July 2020

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