Form Last Updated 11/12/19 CRI: FAC19UTI
Financial Aid Office
921 Ribaut Road-PO BOX 1288
Beaufort, S.C. 29901-1288
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.
Student (& Spouse
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
-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