Special Conditions Form

Transcription

1 Special Cnditins Frm Cntact Infrmatin If yur family has experienced a majr reductin in incme, the Financial Aid Office may be able t reevaluate yur financial need based n yur 2018 incme r yur ttal prjected 2019 incme. Please realize that aid funds are limited and, if additinal aid is available, it will usually take the frm f a new r increased lan. Because many situatins require yur final 2018 incme data, yu must wait until after 1/1/2019 t submit this frm, but yu may begin cllecting the data earlier. If yu had t prvide parent data n yur FAFSA, cmplete this frm as a Dependent student. If yu were nt required t prvide any parent data n yur FAFSA, cmplete this frm as an Independent student. Please prvide as much infrmatin as pssible. Each request is evaluated n a case-by-case basis. Because f the individualized nature f these requests, we may need t request additinal infrmatin. If we d, we will cntact yu after ur initial review. Frequently Asked Questins 1) If I submitted an apprved Special Cnditins Frm fr , d I need t resubmit all f my dcuments? If we reevaluated yur eligibility fr aid based n prjected 2018 incme, we need final tax data t evaluate yur eligibility. Please submit this frm, and the dcuments requested in Part II and IV. If yu have nt yet filed 2018 taxes, please keep in mind that yu will be required t submit them nce they are cmplete. If yu previusly submitted the 2017 tax dcumentatin listed in Part 4, yu dn t need t resubmit it. 2) What if I have business, self-emplyment, r irregular incme? Fr reductins in 2018 incme: We are unable t accurately predict business r self-emplyment incme withut yur final federal tax return. Please submit a cpy f yur (r yur parents) 2018 tax return (IRS Frm 1040, 1040A, 1040EZ). Fr reductins in 2019 incme: We are unable t accurately prject irregular incme (self-emplyment, businesses, vertime r irregular hurs) befre the year is ver. We can t prcess yur request until yu have filed yur 2019 taxes and can prvide a Tax Return. If yur request is submitted in 2020, we can usually retractively award yu any federal aid fr which yu were eligible fr fall ) What if I have a tax extensin fr 2018? Please fllw the instructins in Part II and prvide yur 2018 year-end tax data (i.e. W-2s, final paystubs). If yu are unable t prvide a final 2018 tax transcript data by 6/1/2019 because f an apprved tax extensin, yu must: Submit a cpy f yur 2018 IRS frm 4868 by 6/1/2019. Please keep in mind that if there were any errrs in the data yu prvided fr 2018, we might have t reduce yur aid. These changes will ccur after yur aid has disbursed fr the fall semester and may result in a balance t the university, which may prevent students frm registering fr spring classes if nt paid immediately.

2 Part I Husehld Infrmatin TU Special Cnditins Frm Student Name (Last, First, M.I.): TU ID #: 1) Cmplete Sectin A r Sectin B: A. Parent(s) Of Dependent Students: 1) Marital Status f Yur Legal Parents: Married r Remarried (including stepparents) Divrced r Separated & Living Apart Single Parent/ Never Married Widwed Unmarried and Bth Parents Living Tgether including divrced, separated, and never married parents.(only chse this ptin if yur parent is living with smene that s/he is nt currently married t and that persn is yur bilgical r legal parent as defined by the laws in yur state.) 2) List all the peple in yur parents financial husehld frm July 1, 2019 t June 30, Include yurself & yur parent(s) as defined abve. If yur parent is remarried, yu must include yur stepparent s data. Include yur parents ther children if yur parents will prvide mre than half f their supprt frm 7/1/2019 t 6/30/2020, r if the children wuld be required t prvide yur parents infrmatin if they were cmpleting a FAFSA. Include children wh meet either f these standards, even if they dn t live with yur parent(s) r are t yung t attend cllege. Only include ther peple if they will live with yur parent(s) and will receive mre than half f their financial supprt frm them frm July 1, 2019 thrugh June 30, OR B. Independent Students: 1) Student Marital Status: Single Married / Remarried Married, but separated Divrced r Widwed 2) List the peple in yur financial husehld. Include yurself (and yur spuse). (If yu are separated, d nt include yur spuse r his/her data n this frm.) Include yur children if yu will prvide mre than half f their supprt frm July 1, 2019 thrugh June 30, 2020, r if the children wuld be required t prvide yur parental infrmatin if they were cmpleting a FAFSA. Include children wh meet either f these standards, even if they d nt live with yu. Include ther peple if they will live with yu and receive mre than half f their financial supprt frm yu frm July 1, 2019 thrugh June 30, ) Cmplete all clumns fr every husehld member. Dn t leave Age r Relatinship blank. Example Will they attend If yes, list Cllege Name Husehld Relatinship Full Name Age cllege at least Members half-time? Dn t list Undecided 2 TU Student Self t Applicable Twsn University Father/Mther /Stepparent t Applicable See Parent in Cllege frm. Student s Spuse All ther siblings, children r dependents wh meet the criteria defined abve in Sectin A r B. 1 Only check Yes fr cllege if they will be seeking a degree r certificate and attending at least half-time between 7/1/2019 and 6/30/ If they are undecided abut which cllege they will attend, please list the names f ALL the clleges they are cnsidering at the bttm f this page r n an attached separate sheet with yur name and TU ID number. Office Use: Revised 1/24/ SFORM Page 1 f 5

3 Part II - Adjustment Type Check all the cnditins belw that describe yur situatin and attach the required dcumentatin. Parent r spuse f student died after filing FAFSA. Enter the date f death: Attach a cpy f the death certificate. Parents have separated r a married independent student has separated, after filing FAFSA. Enter date f marital separatin:. Attach a cpy f legal separatin agreement r fficial letter frm attrney stating when legal prceedings will begin. Lss f ne-time incme surce received in 2017 (i.e. severance, 401k distributin, pensin distributin, etc) Surce f incme: Attach supprting dcumentatin f lst incme surce Untaxed incme received in 2017 has ceased r has been reduced (i.e. child supprt ended). Enter date f change:. Attach supprting dcumentatin f lst untaxed incme. (Example: Divrce agreement fr child supprt change.) Parent, spuse r student suffered permanent and ttal disability after January 1, Enter date f disability:. Attach a signed letter frm a physician stating the extent and duratin f disability Attach dcumentatin f year-t-date incme Attach a Disability Benefit Statement frm the Scial Security Administratin Parents f a dependent student r an independent student (and spuse, if married) experienced a significant reductin in annual incme since 2017 because f jb lss r reductin in pay/hurs. Parent/spuse/student reprted unusually high medical expense deductins n their 2017 r 2018 federal tax return. Which year were they highest? Submit a signed cpy f yur 2017 r 2018 Tax Return and a cpy f yur IRS Schedule A (Itemized Deductins) We can nly cnsider medical expenses that were already reprted n yur federal tax return. Part III Required Dcumentatin (frms withut dcumentatin will nt be reviewed) 1) Explanatin f Special Circumstances (t be cmpleted by parent r independent student): Please prvide specific details abut the changes in yur financial situatin since Include a timeline f any incme changes and relevant emplyer names. (ATTACH ADDITIONAL SHEET IF NECESSARY) Page 2 f 5

4 2) Will yur ttal annual husehld incme be lwest fr 2018 r 2019 (check ne)? ) Prvide the required dcumentatin fr the year yu selected abve. Required Dcumentatin fr 2018: Dependent Students: Parents signed 2018 Tax Return (1040EZ, 1040, 1040A)and 2018 W2s Independent Students: Student (and spuse, if married) signed 2018 Tax Return (1040EZ, 1040, 1040A)and 2018 W2s Required Dcumentatin fr 2019: Emplyer letter/dcument stating when yur emplyment ended r changed. Unemplyment Benefits Statement, if applicable Final Paystub frm prir jb (with details abut yur current and year-t-date earnings) Mst recent pay stubs frm all current jbs fr student and parents r spuse. Estimated 2019 Wrksheet in Part IV (next page) If yu have self-emplyment incme, business incme, incnsistent hurs, r vertime pay, we may nt be able t prcess yur request until yur 2019 taxes have been filed. 4) All students must attach all f the dcumentatin listed belw. Student s 2017 signed Tax Return (1040EZ, 1040, 1040A) Student s 2017 W2 (r 1099) frms fr all 2017 emplyers If student did nt file, IRS Verificatin f n-filing Letter Dependent Students must als submit: Parent s 2017 signed Tax Return (1040EZ, 1040, 1040A) (If yur parents didn t file a jint return we need Tax Returns fr bth parents frm part I.) Parent s 2017 W2 (r 1099) frms fr all 2017 emplyers If parent s did nt file, IRS Verificatin f n-filing Letter Married Students must als submit: Spuses 2017 signed Tax Return (1040EZ, 1040, 1040A) Spuses 2017 W2 (r 1099) frms fr all 2017 emplyers If spuse did nt file, IRS Verificatin f n-filing Letter If yu submit this frm after 1/1/2020, yu must als submit cpies f yur 2019 W2 r 1099 frms listed abve, and a signed cpy f yur 2019 Tax Return (1 page EZ r 2 page 1040/1040A). Page 3 f 5

5 Part IV- Estimated 2019 Incme If yur ttal 2019 incme will be lwer than yur 2018 incme, yu must cmplete this sectin. Cmplete bth tables. Reprt all f yur incme befre exemptins, adjustments, and deductins. Include all incme/benefits that yu r yur parents/spuse expect t receive frm 1/1/2019 thrugh 12/31/2019. Cmplete all items. If an item desn t apply, yu must enter Estimated Grss Taxable Incme Dependent Students Only: Father Mther Independent Students Only: Student Spuse 1. Wages, salaries, tips (include severance pay) $ $ 2. Pensins and annuities $ $ 3. Interest and dividends and capital gains $ $ 4. Business r farm incme $ $ 5. Scial Security benefits (taxable) $ $ 6. Incme received frm rents after expenses (mrtgage interest, taxes, and insurance) $ $ 7. Alimny $ $ 8. Unemplyment cmpensatin $ $ 9. Any ther taxed incme $ $ Ttal 2018 Estimated Taxed Incme (1-9) $ $ 2019 Estimated Untaxed Incme Dependent Students Only: Father Mther Independent Students Only: Student Spuse 1. Payment t tax deferred pensin and savings plans (paid directly r withheld frm earnings). Including, but nt limited t, amunts reprted n the W-2 frms in Bxes 12a thrugh 12d, cdes D,E,F,G,H and S. $ $ 2. Deductible IRA and/r Kegh, SEP, and SIMPLE payments. $ $ 3. Child Supprt received fr all children. $ $ 4. Tax exempt interest incme. $ $ 5. Untaxed prtins f IRA distributins. $ $ 6. Untaxed prtins f pensins. $ $ 7. Living and husing allwances fr clergy, military and thers. Include cash payments r cash value f benefits. Exclude rent subsidies fr lw incme husing. Members f the military shuld nly reprt their ttal Basic Allwance fr Subsistence (BAS) benefits fr D nt reprt any military husing benefits (BAH, BAQ, r the value f n-base military husing). $ $ 8. Veteran s n-educatinal benefits such as Disability, Death Pensin, r Dependency & Indemnity Cmpensatin (DIC) and /r VA Educatinal Wrk-Study allwances. $ $ 9. Any ther untaxed incme and benefits such as Wrkers Cmpensatin, disability, etc. $ $ 10. Cash supprt r mney paid n behalf f the student r the family. $ $ 11. Cash r any mney paid n yur behalf, nt reprted elsewhere n this frm. List Type: $ $ List Type: $ $ List Type: $ $ Ttal 2019 Estimated Untaxed Incme (1-12) $ $

6 Page 4 f 5 Part V - CERTIFICATION Because many situatins require yur final 2018 incme data, yu must wait until 1/1/2019 t submit this frm. I understand that I must submit this frm after 1/1/2019. I certify that the infrmatin n this frm is true and crrect t the best f my knwledge and belief. I understand that if I underestimate my incme, I may have t repay any aid that I receive based n that data I understand that yur ffice may need t request additinal dcumentatin. Student Signature Parent Signature Date Date Name f Parent (please print) Yu will receive a respnse t this request apprximately 4 weeks after receipt f all required dcumentatin. Mail r Fax r In Persn Please d nt submit frms by . Twsn University Financial Aid 8000 Yrk Rad Twsn, MD Enrllment Services Center Rm 339 Mnday Thursday 8:00 5:00 Friday 8:00 4:30 Instead f calling t cnfirm receipt f faxes: Please wait at least 2 business days. Then check yur nline T-D-List. Page 5 f 5