Student’s Last Name Student’s First Name HCC ID Number
A. Complete this section if student and/or spouse 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 2017 foreign tax return AND complete section B (student) or C (spouse), 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 (spouse), below.
2019/2020 Independent Foreign Income Supplement
B. Student’s 2017 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 2017. $
Total Income (Dollars):
$
Students Income Tax:
Enter the amount of income tax paid to governments other than U.S.
x
Exchange Rate
= $
U.S. Dollars
C. Spouse’s 2017 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 2017. $
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
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.edu; www.howardcc.edu
CRI: FAC19FII
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.
Student Signature Date
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