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SOWELA TECHNICAL COMMUNITY COLLEGE
Non-Tax Filer Form and Low Income Form
Your Student Aid Report indicated that you have not filed your 2015 taxes or you reported an unusually low income. Please
complete and return this form to verify your 2015 monthly expenses and how these expenses were paid. Your financial
aid will not be processed until this form has been completed, returned, and verified.
Student’s Name Social Security Number
Did you (student) file taxes for 2015? Yes No _______ Student’s Initials
Did your parents file taxes for 2015? Yes No _______ Parent’s Initials
Please check one of the following and supply the information for the appropriate persons:
____ I am a DEPENDENT* student: Please complete the monthly expense and source of payment information for
your parents.
____ I am an INDEPENDENT* student: Please complete the monthly expense and source of payment information for
student/spouse
* U.S. Dept. of ED definition
Please indicate below the Monthly Cost for each item listed and check the sources used to pay each expense.
IMPORTANT: Do not leave any item blank.
Approximate
Monthly Costs
Please Indicate how these expenses are paid. (ex.
work, relatives, public assistance, etc.)
(Car note, gas, insurance)
Please list the TOTAL ANNUAL AMOUNT of money received from the following sources for 2015.
Relatives $__________ Public Assistance $___________ Income from Work $ ___________
Social Security Income/SS Disability Income $___________ Other Sources $_________
By signing this worksheet, we certify that all the information reported on this worksheet is complete and correct. At least one parent must
sign for a dependent student. WARNING: IF YOU PURPOSELY GIVE FALSE OR MISLEADING INFORMATION ON THIS
WORKSHEET, YOU MAY BE FINED, SENTENCED TO JAIL, OR BOTH.
Student’s Signature Date Parent’s Signature Date
If any information is left unanswered, this form will be returned to you, which will delay your financial aid from being processed.
3820 Sen. J. Bennett Johnston Ave.
Lake Charles, LA 70615
Phone: 337-421-6545 Email:
Financialaid@sowela.edu
www.sowela.edu/financialaid.asp
SOWELA Technical Community College does not discriminate on the basis of
race, color, national origin, sex disability or age in its programs or activities
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