18CSPI
Statement of Child Support Paid by
Student/Spouse
2020-2021
Office of Financial Aid ▪ 100 East 8
th
Street ▪ PO Box 9000 ▪ Holland, MI 49422-9000
P: 616-395-7765 ▪ F: 616-395-7160 ▪ finaid@hope.edu ▪ hope.edu/financialaid
Report the total amount of child support you and/or your spouse paid in 2018. Do
NOT include amounts paid for children reported as being in your household on the
FAFSA.
Name of person who paid child support: ___________________________________
Name of person to whom child support was paid: __________________________
Home address of recipient: _______________________________________
_______________________________________
_______________________________________
WARNING: If you purposely give false or misleading information, you may be fined, sent
to prison, or both.
My signature below certifies that all of the information reported is complete and correct.
NAME & AGE of CHILD
For whom child support was paid
AMOUNT PAID IN
2018
TERMINATION DATE
FOR CHILD SUPPORT
1. $
2. $
3. $
4. $
Spouse Who Paid Child
Support to Another
__________________________
Date
Signed: _________