Fill - Free fillable TASFA (Texas Application for State Financial Aid) Check (Collin County Community College District) PDF form

TASFA (Texas Application for State Financial Aid)

Check list – Dependent Students

Name: ______________________________CWID: __________________

Texas Application for State Financial Aid Application

 Check to be sure ALL spaces are filled in

 Application must be signed and dated by both student and 1 parent

SB1528 Statement Form

Dependent Verification

 Check to be sure ALL spaces are filled in

 Application must be signed and dated by both student and 1 parent

Student Tax Return Transcript or Tax Return, if filed, or W-2’s, or a detailed

statement of income earned and support provided to student/family

Parent Tax Return Transcript or Tax Return, if filed, or W-2’s, or a detailed

statement of income earned and support provided to student/family

If male, student must register for Selective Service

 Must provide a copy of registration card

 If male is under 18, provide the Selective Service Statement

HS Transcript (HSGEDV)

Internal USE:

 SGASTDN (Check Residency)

 TASFA students are coded as J or K (Print SGASTDN)

 If coded anything else, notify student we cannot award them until

Admissions notes they are eligible for SB1528 status.

Office use only:

Aid Year:______ Campus:______ Date:__________ RRAAREQ Code: SB1528 Status Code:_______ Initials:_______

The Texas Application for State Financial Aid (TASFA) collects information to help determine eligibility for state (or institutional) financial aid programs

administered by institutions of higher education in the state of Texas. Students classified as Texas Residents who are not eligible to apply for federal

financial aid using the Free Application for Federal Student Aid (FAFSA) are encouraged to complete the TASFA. To review the FAFSA filing requirements,

visit www.fafsa.ed.gov or visit the financial aid office at the institution you plan to attend for the 2020-21 award year. Note: The federal application covers

federal and state financial aid opportunities. If you meet the FAFSA filing requirements, then you should submit a completed FAFSA. You do not need to

complete both the FAFSA and TASFA.

The Texas state priority deadline for many institutions of higher education is January 15, 2020 for the 2020-21 award year. It is recommended that

applicants complete and submit this application and any other required documentation to the financial aid office on or before January 15.

Note: Texas residency and final eligibility for financial aid can only be determined by the institution that you plan to attend.

To complete this application, answer each item within the applicable sections. For clarification on specific items, refer to the TASFA Notes on pages 6-8.

If you have further questions, contact the financial a

id office at your institution.

SECTION ONE: STUDENT INFORMATION (See Notes for questions 5-6)

1. Last Name 2. First Name 3. M.I.

4. Date of Birth

5. Social Security Number

(e.g., DACA )

[ ] N/A 6. College Student ID #

7. Permanent Mailing Address

8. City 9. State 10. Zip Code 11. Phone Number

12. Email Address Alternate Email:

13. What will your high school completion status be when

you begin college in the 2020-21 school year?

High school diploma [ ] Homeschooled [ ]

(Skip to Question 16)

General Educational Development (GED) certificate [ ] None of these [ ]

(Skip to Question 16) (Skip to Question 18)

14. High School Name

(If applicable)

15. High School City

(If applicable)

16. HS

State

(If applicable)

17. Date of

Graduation

(HS or GED)

18. Will you have your first bachelor’s degree before you begin the 2020-21 school year? [ ] Yes [ ] No

19. What will your college grade level be when you begin the 2020-21

school year?

20. What degree or certificate will you be working on when you begin

the 2020-21 school year?

Never attended college ……………………………………………………….…………..…… ☐

(No college credits)

1st year undergraduate ……………………………………………………….…………..……

☐

2nd year undergraduate/sophomore ………………….………………………..………

☐

3rd year undergraduate/junior ……………………………………………….……………. ☐

4th year undergraduate/senior …………………………………………….……………… ☐

5th year/other undergraduate …………………………………………………………..…

☐

1st year graduate/professional ……………………………………………….……………

☐

Continuing graduate/professional or beyond

……………………………………… ☐

1st bachelor’s degree ……………………………………………………….………………….. ☐

2nd bachelor’s degree ……………………………………………………….………….……… ☐

Associate

egree

…………………………………………………

…….……………….………

…

☐

(occupational, technical, general education, or transfer program)

Certificate or diploma ……………………………………………………….…………….……. ☐

Teaching credential ……………………………………………………….…………….….……. ☐

(nondegree program)

Graduate or professional degree ………………………………………….………………. ☐

Other/undecided …………………………………………………………………………………... ☐

2020-21 TASFA

Texas Application for State Financial Aid July 1, 2020 – June 30, 2021

2020-21 Texas Application for State Financial Aid (TASFA) Page 1

STUDENT INFORMATION CONTINUED… (See Notes for questions 24-29)

21. Where do you plan to live during the 2020-21 school year?

[ ] On-campus [ ] Off-campus [ ] With parent or relative

22.

23.

At the start of the 2020-21 school year, how many credits/hours will

you be enrolled in?

[ ] Full-time (12 hours or more) [ ] Three-quarter time (9-11 hours)

[ ] Half-time (6-8 hours) [ ] Less than half-time (5 hours or less)

[ ] Not sure

If you are transferring schools, have you earned an

Associate Degree?

[ ] Yes

(Enter date you earned Associate Degree: _____________)

[ ] No

24. Were you born male or female?

[ ] Male (Must complete the following Selective Service section)

[ ] Female

25. Have you been convicted of a felony or a crime involving a controlled

substance?

[ ] Yes [ ] No

26. Have you previously received state Financial Aid?

[ ] Yes [ ] No

27. (A) Are you interested in being considered for the Texas College

Work-Study program?

[ ] Yes [ ] No [ ] Don’t know

(B) If yes, do you have authorization to work in the U.S.?

[ ] Yes [ ] No [ ] Don’t know [ ] N/A

28. What is your current marital status?

[ ] I am single [ ] I am separated

[ ] I am married/remarried [ ] I am divorced or

widowed

29. Month and year you were married, remarried, separated, divorced or

widowed

. Month:_________ Year:_____________ [ ] N/A

SELECTIVE SERVICE STATEMENT OF REGISTRATION STATUS

Male students must verify their current Selective Service registration status by marking one of the statements below and providing proof of their

registration status to their current institution. Failure to do so may result in the loss of eligibility for state financial aid.

______ I am under the age of 18 and not currently required to register.

_______ I am REGISTERED with the Selective Service and,

Check the following box that applies:

 I have already submitted proof of registration to my current institution.

 Proof of registration is included with this application.

 I will submit proof of my registration.

NOTE: Proof is required to be considered eligible for financial aid.

_____ I am EXEMPT from registration and,

Check the following box that applies:

 I have already submitted proof of my exemption to my current institution.

 Proof of my exemption is included with this application.

 I will submit proof of my exemption.

NOTE: Proof is required to be considered eligible for financial aid.

______ I am over the age of 18. I am not registered with Selective Service and I am not exempt from registration with Selective Service.

SECTION TWO: STUDENT DEPENDENCY STATUS DETERMINATION (See Notes for questions 30 and 35-40)

30. Were you born before January 1, 1997? ............................................................................................................................................

31. As of today, are you married? (Answer Yes if you are separated but not divorced.) ………………………………………………………………….….…….…

32. At the beginning of the 2020-21 school year, will you be working on a master’s or doctorate program? ........................................

(e.g., MA, MBA, JD, PhD, EdD, MD, graduate certificate, etc.)

33. Do you now have or will you have children who will receive more than half of their support from you between July 1, 2020 and

June 30, 2021?...................................................................................................................................................................................

34. Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their

support from you, now and through June 30, 2021?.........................................................................................................................

35. At any time since you turned age 13, were you in foster care, were you a dependent or ward of the court, or were both your

parents deceased? (You do not have to currently be a ward of the court.)………………………………………………..…………………………………….…...

36. As determined by the state’s court, are you or were you an emancipated minor? ..........................................................................

37. As determined by the state’s court, does someone other than your parent or stepparent have legal guardianship of you?...........

38. At any time on or after July 1, 2019, did your high school or school district’s homeless liaison determine that you were an

unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?.................................................

39. At any time on or after July 1, 2019, did the director of an emergency shelter or transitional housing program, funded by the

U.S. Department of Housing and Urban Development, determine that you were an unaccompanied youth who was homeless or

were self-supporting and at risk of being homeless?..........................................................................................................................

40. At any time on or after July 1, 2019, did the director of a runaway or homeless youth basic center or transitional living program

determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?....

☐ Yes ☐ No

2020-21 Texas Application for State Financial Aid (TASFA) Page 2

SECTION THREE: PARENT INFORMATION (See Notes for questions 41-56)

STOP: If you answered “Yes” to any of the questions in SECTION TWO, parental information is not required. Proceed to SECTION FOUR.

If you answered “No” to all the questions in SECTION TWO, you must include parental information, even if you do not live with your legal parents

(biological, adoptive, or as determined by the state [for example, if the parent is listed on the birth certificate]). Grandparents, foster parents, legal

guardians, widowed stepparents, aunts, uncles, and siblings are not considered parents on this form, unless they have legally adopted you.

If your legal parents are married to each other, or are not married to each other and live together, answer the questions about both of them. If you are in

a single-parent home (e.g., parent(s) was never married or is remarried, divorced, separated, etc.), review the TASFA Notes for further clarification.

PARENT MARITAL STATUS

41. As of today, what is the marital status of your legal parents?

[ ] Married or Remarried [ ] Never Married

[ ] Divorced or Separated [ ] Widowed

[ ] Unmarried and both parents living together

42. Month and year your parents were married, remarried, separated,

divorced or widowed:

Month:_________ Year:_____________ [ ] N/A

PARENT 1 (Mother/Father/Stepparent)

43. Last Name 44. First Name

45. Date of Birth

46. Social Security Number

(e.g., DACA )

47. Phone

Number

48. Email Address

49. Highest level of education completed. [ ] Middle School/Jr. High [ ] High School [ ] College or Beyond [ ] Other/Unknown

PARENT 2 (Mother/Father/Stepparent)

50. Last Name 51. First Name

52. Date of Birth

53. Social Security Number

(e.g., DACA )

54. Phone

Number

55. Email Address

56. Highest level of education completed. [ ] Middle School/Jr. High [ ] High School [ ] College or Beyond [ ] Other/Unknown

SECTION FOUR: INCOME INFORMATION (See Notes for questions 57-66)

STOP: If you answered “Yes” to any of the questions in SECTION TWO, parental information is not required. You are only required to enter income

information for yourself (and your spouse).

If you answered “No” to all the questions in SECTION TWO, you must include parental information, as defined in SECTION THREE.

PART A. EARNINGS - Documentation will need to be submitted to the financial aid office. (e.g., W-2s, tax transcripts, tax returns, etc.)

Student Earnings

Parent Earnings

57. Did you (or spouse) work in 2018? [ ] Yes [ ] No

58. If yes, how much did you (and spouse) earn from working in 2018?

Student: _________________ Spouse:____________________

59. Did you (or spouse) file a 2018 tax return?

Student [ ] Yes [ ] No

Spouse [ ] Yes [ ] No

60. Was an Individual Taxpayer Identification Number (ITIN) used

to file a 2018 tax return? If so, enter below or mark N/A.

Student:_________________ [ ] N/A

Spouse:_________________ [ ] N/A

61. As of today, are you (or spouse) a dislocated worker (currently un-

employed)?

Student [ ] Yes [ ] No [ ] Don’t know

Spouse [ ] Yes [ ] No [ ] Don’t know

62. Did your parent(s) work in 2018? [ ] Yes [ ] No

63. If yes, how much did your parent(s) earn from working in 2018?

Parent 1: _______________ Parent 2:__________________

64. Did your parent(s) file a 2018 tax return?

Parent 1 [ ] Yes [ ] No

Parent 2 [ ] Yes [ ] No

65. Was an Individual Taxpayer Identification Number (ITIN) used to file

a 2018 tax return? If so, enter below or mark N/A.

Parent 1:_________________ [ ] N/A

Parent 2:_________________ [ ] N/A

66. As of today, is either parent a dislocated worker (currently un-

employed)?

Parent 1 [ ] Yes [ ] No [ ] Don’t know

Parent 2 [ ] Yes [ ] No [ ] Don’t know

[ ] N/A

2020-21 Texas Application for State Financial Aid (TASFA)

For questions, 67-78, if the answer is zero or the question does not

apply to you, enter “0.” DO NOT LEAVE ANY BLANKS. Report whole

dollar yearly amounts with no cents.

STUDENT

SPOUSE

(If applicable)

PARENT 1

PARENT 2

(If applicable)

PART B. 2018 UNTAXED INCOME (See Notes for questions 67-71)

67. Child support received for any of your children.

68. Housing, food, and other living allowances paid to members of the

military, clergy, and others.

69.

Other untaxed income not reported.

(Such as worker’s compensation, disability, veterans noneducation benefits, etc.)

70. Cash earnings. (Income not reported on taxes or W-2 forms)

71. Money received, or paid on your behalf (e.g., bills), not reported

elsewhere on this form.

N/A N/A

72. TOTAL UNTAXED INCOME (Automatically calculates if completed electronically.)

PART C. 2018 ADDITIONAL FINANCIAL INFORMATION (See Notes for questions 73-75)

73. Child support paid.

74. Taxable earnings from work-study or other need-based work programs.

75. Earnings from work under a cooperative education program offered by

a college.

PART D. 2018 ASSETS (See Notes for questions 76-78)

76. As of today, what is your total current balance of cash, savings, and

checking accounts?

77. As of today, what is your net worth of investments, including real

estate?

78. As of today, what is your net worth of current businesses and/or

investment farms?

PART E. FEDERAL ASSISTANCE PROGRAMS

79. At any time during 2018 or 2019, did you, (your spouse), your parents, anyone in your household, or anyone in your parents’ household receive benefits

from any of the federal programs listed?

Mark all that apply or mark N/A.

[ ] Medicaid or

Supplemental Security

Income (SSI)

[ ] N/A

[ ] Supplemental

Nutrition Assistance

Program (SNAP)

[ ] N/A

[ ] Free or Reduced-

Price School Lunch

[ ] N/A

[ ] Temporary Assistance

for Needy Families (TANF)

[ ] N/A

[ ] Special Supplemental Nutrition

Program for Women, Infants, and

Children (WIC)

[ ] N/A

2020-21 Texas Application for State Financial Aid (TASFA) Page 4

$ 0.00

SECTION FIVE: HOUSEHOLD INFORMATION

If you answered “Yes” to any of the questions in SECTION TWO, follow these instructions to complete the table below.

• Total number in household: Include yourself (and spouse) and your children if you will provide more than half of their support between July 1,

2020 and June 30, 2021 (even if they do not live with you). Include any other people if they now live with you, and you provide and will continue

to provide more than half of their support between July 1, 2020 and June 30, 2021.

• Total number in college for 2020-21: Always count yourself as a college student. Do not include family members who are in U.S. military service

academies. Include others only if they will attend, at least half-time in 2020-21, a program that leads to a college degree or certificate.

If you answered “No” to all the questions in SECTION TWO, follow these instructions to complete the table below.

• Total number in household: Include yourself (even if you don’t live with your parents), your parents, and your parents’ other children (even if

they do not live with your parents) if your parents will provide more than half of their support between July 1, 2020 and June 30, 2021. Include

any other people if they now live with your parents, and your parents provide and will continue to provide more than half of their support

between July 1, 2020 and June 30, 2021.

• Total number in college for 2020-21: Always count yourself as a college student. Do not include your parents. Do not include siblings who are in

U.S. military service academies. You may include others only if they will attend, at least half-time in 2020-21, a program that leads to a college

degree or certificate.

Full name of each household member

(Examples: parent(s), sibling(s), grandparent, spouse)

Age

Relationship to student

(e.g., sister, son)

College/University

(If attending July 1, 2020 – June 30, 2021)

Self

80. Total number

in household:

81. Total number in college for 2020–21:

SECTION SIX: SIGNATURE(S) - Application must contain electronic or wet (physical) signature(s) only.

82. I certify that I will use state student financial aid to pay only the cost of attending an institution of higher education, and that the information provided

on this form is true, complete, and correct to the best of my knowledge. I understand that any false statements may void my eligibility for state financial

aid. I also understand that the information provided on this form will be used only for evaluation of eligibility for state (or institutional) financial aid and that

I may need to provide additional information for my school to determine eligibility.

Student Signature Date

Parent Signature* Date

*Only required if all questions in SECTION TWO were answered “No.”

Mark which parent signed above. Parent 1 [ ] Parent 2 [ ]

Note: If you plan to submit your TASFA to multiple institutions, make copies of the completed form and sign each copy.

2020-21 Texas Application for State Financial Aid (TASFA) Page 5

click to sign

signature

click to edit

click to sign

signature

click to edit

Financial Aid Office

2020 – 2021 SB1528 STATEMENT

Student Information

Name: CWID:

To qualify for Texas SB 1528, the student is required to complete the following:

…if the person (student) is not a citizen or permanent resident of the United States, (sign) an affidavit

stating that the person will apply to become a permanent resident of the United States as soon as the

person becomes eligible to apply. Per Texas Education Code Title 3, Subtitle A, Chapter 54, Subchapter

A, Sec 54.053. (3)(B)

I, , affirm that I will file an application to become a

(Student’s printed name)

permanent resident at the earliest opportunity to do so.

Student signature Date

(972)881-5760

Financialaid@collin.edu

Office use only:

Aid Year

:______

Campus

:______

Date

:__________

RRAAREQ

Code

: SB1528

Status Code

:_______

Initials

:_______

Financial Aid Office P: (972) 881-5760

Financialaid@collin.edu

2020 – 2021 DEPENDENT VERIFICATION WORKSHEET

Student Information

Name:

CWID:

Your application has been selected by the Dept. of Education for review in a process called “Verification.” In this process, we

are required by federal law (34 CFR, Part 668) to compare information from your Free Application for Federal Student Aid

(FAFSA) with information from you (and your spouse if you are married) and your parent(s)’/stepparents’ (if you

are

dependent)

2018 federal tax transcripts and/or other financial documents. If there are any discrepancies, we may request

further clarification. If corrections are needed, we will make them on your behalf and notify you of the change. It is important

that you respond promptly to this request. We cannot award you financial aid until your file is complete.

Dependent Student’s Family Information

List below the people in your parent(s)’ household. Include:

• Yourself and your parent(s) (including a stepparent) even if you don’t live with your parent(s).

• Your parent(s)’ other children if your parent(s) will provide more than half of their support from July 1,

202

0, through June 30, 2021, or if the other children would be required to provide parental information if

they w

ere completing a FAFSA for 2020–2021. Include children who meet either of these standards, even if

they do not live with your parent(s).

•

Other people if they now live with your parent(s) and your parent(s) provide more than half of their support

and

will continue to provide more than half of their support through June 30, 2021.

Include the name of the college for any household member, excluding your parents, who will be enrolled at least half

time, in a degree, diploma, or certificate program at a Title IV eligible postsecondary educational institution any time

between July 1, 2020, and June 30, 2021. If more space is needed, attach a separate page with your name and Student ID Number

at the top.

Full Name

Age

Relationship

College

Will be Enrolled at

Least Half Time

Marty Jones(example)

Wife

Central University

Yes

Self

Office use only:

Aid Year:______ Campus:______ Date:__________ RRAAREQ Code: DVST18 Status Code:_______ Initials:_______

Student’s

Name:

CWID:

Income Information to Be Verified

1. Student Information:

A. TAX RETURN FILERS - Check one of the following:

I, the student, certify that I have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my 2018

IRS income information into my FAFSA, either on the initial FAFSA or when making a correction to the

FAFSA. I

also certify that I DID NOT MAKE CHANGES to any of the data once it was transferred.

Your Financial Aid Advisor will verify that you a) used the IRS Data Retrieval Tool in FAFSA and b) made NO CHANGES

to the data once it was transferred. If they can confirm both items, they will use the IRS information that was transferred. However,

if the Financial Aid Advisor cannot confirm one or both of the above, you will be required to submit a 2018 tax transcript.

I, the student, was unable or chose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and am

submitting to the school my 2018 IRS Tax Return Transcript(s)—NOT photocopies of the income tax return.

To obtain an IRS Tax Return Transcript, go to www.IRS.gov and click on the “Get Transcript” link, or call 1-800-908-9946.

Make sure to request the “IRS Tax

Return Transcript

”

and not the “IRS Tax Account Transcript.” You will need your

Social Security Number, date of birth, and the address on file with the IRS (normally this will be the address used when the 2087

IRS tax return was filed). It takes up 2 - 3 weeks for IRS income information to be available for electronic IRS tax return filers,

and 8 – 11 weeks for paper IRS tax return filers.

If you filed an amended tax return, you will need to submit an “IRS Tax

Return Transcript

”

and a signed copy of the 1040X.

B. TAX RETURN

NON-FILERS

– Complete

this section if you, the student, will not file and are not required to

file a 2018 income tax return with the IRS. If you fall into either category below, you MUST provide a

Verification of Non-Filing Letter from the IRS with this form.

Check the box that applies:

I, the student, was not employed and had no income earned from work in 2018.

I, the student, was employed in 2018 and have listed below the names of all employers and the amount earned

from each employer in 2018. Attach copies of all 2018 W-2 forms issued to you by employers

. If more space is

needed, attach a separate page with your name and CWID at the top.

Employer’s Name

2018 Amount Earned

Suzy’s Auto Body Shop (example)

$2,000.00

lease note: Per federal regulations, we can no longer accept copies of the filed federal tax returns (i.e., 1040, 1040A

or 1040EZ). You are required to submit a 2018 Federal Tax Return Transcript. Instructions for obtaining a tax transcript

can be found above. Please make copies of the tax transcript for your own records PRIOR to submitting the verification

paperwork to our office.

Student’s

Name:

CWID:

2. Parent Information:

A. TAX RETURN FILERS

- Check one of the following:

I, the student’s parent, certify that I have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my

(and, if married, my spouse’s) 2018 IRS income information into my FAFSA, either on the initial FAFSA or when

making a correction to the FAFSA. I also certify that I DID NOT MAKE CHANGES to any of the data once it

was transferred.

The Financial Aid Advisor will verify that you a) used the IRS Data Retrieval Tool in FAFSA and b) made NO CHANGES to

the data once it was transferred. If they can confirm both items, they will use the IRS information that was transferred. However, if the

Financial Aid Advisor cannot confirm one or both of the above, you will be required to submit a 2018 tax transcript.

I, the student’s parent, was unable or chose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and

am submitting to the school my (and my spouse’s if married) 2018 IRS tax return transcript(s)—NOT

photocopies of the income tax return.

To obtain an IRS tax return transcript, go to www.IRS.gov and click on the “Get Transcript” link, or call 1-800-908-9946.

Make sure to request the “IRS Tax

Return Transcript

”

and not the “IRS Tax Account Transcript.” See the student’s section

on page 2 for more ordering information.

If you filed an amended tax return, you will need to submit an “IRS Tax

Return Transcript

”

and a signed copy of the 1040X.

B. TAX RETURN

NON-FILERS

—Complete

this section if you, the student’s parent(s), will not file and are not

required to file a 2018 income tax return with the IRS. If you fall into either category below, you MUST provide

a Verification of Non-Filing Letter from the IRS with this form.

Check the box that applies:

I, the student’s parent, (and/or, if married, your spouse) was not employed and had no income earned from

work in 2018.

I, the student’s parent, (and/or, if married, your spouse) was employed in 2018 and have listed below the names

of all employers and the amount earned from each employer in 2018. Attach copies of all 2018 W-2 forms issued

to you (and, if married, to your spouse) by employers. If more space is needed, attach a separate page with your name and

CWID at the top.

Employer’s Name

2018 Amount Earned

Suzy’s Auto Body Shop (example)

$2,000.00

3. Other Information to Be Verified

1. Both the student and the parent need to complete the chart on the next page. Please put $0’s in any space where the

answer is $0. Do not leave blank

Student’s

Name:

CWID:

Student 2018 ADDITIONAL FINANCIAL INFORMATION Parent(s)

Taxable earnings from need-based employment programs such as Federal Work-Study and need-based

employment portions of fellowships and assistantships.

Grant and scholarship aid reported to the IRS in the adjusted gross income. Includes AmeriCorps benefits

(awards, living allowances, and interest accrual payments), as well as grant and scholarship portions of

fellowships and assistantships.

Combat pay or special combat pay. Only enter the amount that was taxable and included in the adjusted

gross income. Do not enter untaxed combat pay reported on the W-2 (Box 12, Code Q).

$ Earnings from work under a Cooperative Education Program offered by a college. $

Student 2018 UNTAXED INCOME Parent(s)

Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings) including, but

not limited to, amounts reported on the W-2 Form (Boxes 12a through 12d, codes D, E, F, G, H, and S).

Child support you received for all children. Do not include foster care or adoption payments.

Housing, food and other living allowances paid to members of the military, clergy, and others (including

cash payments and cash value of benefits). Do not include the value of on-base military housing or the

value of a basic military allowance for housing.

Veterans’ non-education benefits such as Disability, Death Pension, or Dependency & Indemnity

Compensation (DIC) and/or VA Educational Work-Study allowances.

Other untaxed income not reported, such as worker's compensation, disability, Black Lung Benefits,

untaxed portions of health savings accounts from IRS Form 1040 Line 25, Railroad Retirement Benefits,

etc. DO NOT INCLUDE: student aid, earned income credit, additional child tax credit, TANF payments,

untaxed Social Security benefits, Supplemental Security Income (SSI), Workforce Investment Act

educational benefits, combat pay, benefits from flexible spending arrangements (e.g. cafeteria plans),

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.

XXXXXXXX

Certification and Signatures

By signing this worksheet, I (we) certify that all information reported on this worksheet is complete and correct. If dependent, at least one parent

must sign. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

Student’s Signature Date

Parent’s Signature Date

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TASFA (Texas Application for State Financial Aid) Check (Collin County Community College District)

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Fillable TASFA (Texas Application for State Financial Aid) Check (Collin County Community College District)

Fill Online, Printable, Fillable, Blank TASFA (Texas Application for State Financial Aid) Check (Collin County Community College District) Form

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