Form Last Updated 11/12/19 CRI: FAC19UTI
Financial Aid Office
921 Ribaut Road-PO BOX 1288
Beaufort, S.C. 29901-1288
Phone 843.470.5961
Fax 843.525.8285
www.tcl.edu
financialaid@tcl.edu
Student Name __________________________________ TCL Student ID ______________________
Please provide the following information for the 2018 calendar year (January-December, 2018). If an
item does not apply to you, enter “0”. Each blank must have a response.
Items
Student (& Spouse
if Married)
Parent (if
dependent)
Payments to tax-deferred pension and savings plans
(paid directly or withheld from earnings), including,
but not limited to, amounts reported in the W-2 Form in
Boxes 12a-12d, codes D, E, F, G, H and S. Do not
include amounts reported in code DD (employer
contributions toward employee health benefits).
IIRA deductions and payments to self-employed SEP,
SIMPLE, and KEOGH and other qualified plans from
Form 1040
-total of lines 28 + 32 or 1040A-line 17.
Child support received for all children. Don’t include
foster care or adoption payments.
Tax exempt interest income from Form 1040, line 8b or
1040A, line 8b.
Untaxed portions of IRA distributions from 1040- lines
(15a minus 15b) or 1040A- lines (11a minus 11b).
Exclude rollovers. If negative, enter “0”.
Untaxed portions of pensions from 1040- lines (16a minus
16b) or 1040A- lines (12a minus 12b). Exclude rollovers.
If negative, enter “0”.
Housing, food, and other living allowances paid to
members of the military, clergy and others (including cash
payments and cash value of benefits). Don’t include the
value of on-base military housing or the value of a basic
military allowance for housing.
2020-2021 UNTAXED INCOME FORM
Form Last Updated 05/20/20 CRI: FAC20UTI
Financial Aid Office
921 Ribaut Road-PO BOX 1288
Beaufort, S.C. 29901-1288
Phone 843.470.5961
Fax 843.525.8285
www.tcl.edu
financialaid@tcl.edu
Student Name __________________________________ TCL Student ID ______________________
Please provide the following information for the 2018 calendar year (January-December, 2018). If an
item does not apply to you, enter “0”. Each blank must have a response.
Items
Student (& Spouse
if Married)
Parent (if
dependent)
Veterans’ non-education benefits, such as Disability,
Death Pension or Dependency & Indemnity
Compensation (DIC) and/or VA Educational Work Study
allowances.
Other untaxed income and benefits, such as workers’
compensation, disability, etc. Include the untaxed
portions of health savings accounts from IRS Form 1040-
line 25. Do not include extended foster care benefits,
student aid, earned income credit, additional child tax
credit, welfare payments, untaxed Social Security
benefits, SSI, WIA educational benefits, combat pay,
benefits from flexible spending arrangements, foreign
income exclusion or credit for federal tax on special fuels.
Money received or paid on your behalf (e.g. bills), not
reported elsewhere on this form or the FAFSA. This
includes money that you received from a non-custodial
parent that is not part of a legal child support agreement.
I certify that all of the information reported on this form is complete and correct.
Student Signature _________________________________________ Date _______________
Spouse Signature _________________________________________ Date _______________
(if married)
Parent’s Signature ________________________________________ Date _______________
(if dependent)
2020-2021 UNTAXED INCOME FORM