Name of Recipient
Type of
Resource
Annual Amount of Support
Received in 2018
Total Amount of Support Received $
Did you (and/or your spouse if married) live with someone who provided
housing
during 2018?
Yes No
Do you have children or other dependents for whom someone other than you (and your
spouse if married) provided more than half their support during the school 2019-20 year or will
provide during the 2020-21 school year?
Yes No
Did you (and/or your spouse if married) file a U.S. or foreign tax
return for the 2018 tax year?
Yes No
Did you (and/or your spouse if married) earn income the U.S. during 2018?
If
YES, how much was earned for the year.
Yes
No
$
Did you (and/or your spouse if married) live in another country during 2018? If YES,
In which country did you (and/or your spouse if married) live during 2018?
Yes
No
Name of Country:
Did you (and/or your spouse if married) earn income outside the U.S. during 2018?
If
YES, how much was earned for the year, converted to U.S. dollars?
Yes
No
$
Did you or any member of your household receive any resources such as housing assistance, SNAP,
TANF, SSI, SSDI, or other benefit? If YES, complete the information below.
Yes No
Section A: Student Information
MC ID#: ________________ Last Name: ___________________________ First Name: ____________________
Office of Student Financial Aid
Phone : (240)567-5100
Email:FinancialAid@montgomerycollege.edu
Office use only Code: IHRESO/ FA HH RES IND ODD
2020-2021 Independent Household Resource Form
Page 1
M
Did you (and/or your spouse if married) receive child support during 2018 tax year? If
YES, how much was received for the year?
Yes No
$
Section B: Instructions
You (and your spouse if married) must complete this form and return it and any other requested documents to
the
Montgomery College Office of Student Financial Aid (OSFA). You are being asked to complete this form because the
income information you (and/or your spouse if married) reported on your FAFSA does not seem to support the number of
people you have reported as part of your household. Upon review, we may ask for additional information and/or ask you to
update information on your FAFSA.
Answer each question below as it applies to the student (and the student’s spouse, if married) whose information is on the
FAFSA.
All questions must be answered.
PLEASE COMPLETE ALL SECTIONS OF THIS FORM BEFORE SUBMITTING IT WITH ALL OTHER REQUESTED DOCUMENTS TOGETHER