California Form G 6 PDF Details

If you're a California taxpayer, you may have to file Form G-6 by April 18, 2016. This form is used to report certain information about your income and expenses. Failing to file this form may result in penalties from the state government. If you have any questions about what needs to be reported on Form G-6, or how to complete the form, please consult with a qualified tax professional.

QuestionAnswer
Form NameCalifornia Form G 6
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCSAC, California, Cordova, cal grant g6 form

Form Preview Example

2010-11 Transfer Entitlement Cal Grant Certiication Form

The California Student Aid Commission (CSAC) requires the completion of this form to verify your eligibility to receive

a Transfer Entitlement Cal Grant award. Read this form carefully, then complete ALL questions, sign, date and mail to the address listed on the back of this form within 30 days of receiving this letter. Failure to return this form within

30 days will adversely impact your ability to be considered for the Transfer Entitlement Cal Grant and the Competi-

tive Cal Grant awards. Please see other side for instructions. Faxed copies of this form will not be accepted.

Transfer Entitlement Program Requirements:

You received award consideration because we received a California Community College GPA of at least 2.40.

In addition, every Transfer Entitlement Cal Grant recipient must also meet all of the following:

graduate from a California high school (unless military orders required the student or the student’s

parent or guardian to be out of state at the time of graduation), or complete a high school graduation equivalency (including GED or the California High School Proiciency Exam) on or after July 1, 2000;

be a California resident at the time of high school graduation or its equivalent,

attend a California Community College during the 2009 - 10 year and then transfer and attend at a qualifying California institution that offers a bachelor’s degree for the 2010 - 11 year.

Student Certiication. I certify under penalty of perjury that the following information is accurate and true:

1.

First Name

MI

Last Name

 

Social Security number or CSAC ID

2. Print month and year of your high school graduation or the equivalent:

MonthYear

3.Mark this box only if you were a California resident at the time of high

 

school graduation but graduated from a high school outside of Cali-

 

fornia due to you or your parent or guardian’s military orders from the

 

 

United States Armed Forces.

 

4.

Print the name of the high school from which you gradu-

 

 

ated. If you completed high school by passing the GED

 

 

or the California High School Proiciency Examination

 

 

 

(CHSPE), please write GED or CHSPE.

 

5.

Print the city and state of your high school:

 

 

 

City

State

6. Print the date you became a California resident:

Day

Month

Year

7.Print the name(s) of the college(s) you attended during the 2009 - 10 school year:

8.Print the name of the college or university you expect to attend during the 2010 - 11 school year:

Student certiication: I have read the information printed above. I certify that the information I listed above is true and correct to the best of my knowledge. I understand that it is illegal to report false or misleading information. I certify under

penalty of perjury under the laws of the State of California, that the foregoing is true and correct.

Signature

 

Date

G-6 (409)

Daytime telephone number

 

In order to receive further consideration for a Cal Grant award, you must complete all questions, sign and return this form to CSAC within 30 days of the date of your letter. If you are not eligible

for a Cal Grant Transfer Entitlement award, you may be considered for a Competitive Cal Grant award, but only if you complete and return this form within 30 days. Faxed copies of the completed form will not be accepted. DO NOT LEAVE ANY QUESTION BLANK.

Instructions for illing out the Student Certiication section:

When completing this form, please print clearly using black ink only.

Answer each question by illing in the response or checking the appropriate box as it applies to your situation.

1.Print your name as it appears on your Social Security card. Enter your irst name, middle initial and last name. Print your Social Security number as it appears on your Social Security card or your CSAC ID as it appears on your CSAC notiication letter.

2.Print the month and year you graduated from high school or achieved the equivalent by passing the GED or

California High School Proiciency Examination. For example: June 2006.

3.Mark this box only if you were a California resident at the time of high school graduation but graduated from

a high school outside of California due to you or your parent or guardian’s military orders from the United

States Armed Forces. If you graduated from a California high school, leave this box empty.

4.Print the name of the high school from which you graduated. If you completed high school by passing the GED or the California High School Proiciency Examination, please write in “GED” or “CHSPE.”

5.If you graduated high school, list the city and state of the high school.

6.Print the date you became a California resident. If you have resided in California since your birth, please put your date of birth.

7.Print the name of the colleges you attended during the 2009 - 10 year. For example: College of the Red- woods.

8.Print the name of the college or university you expect to attend during the 2010 -11 school year. For example, CSU Humboldt. If uncertain, more than one can be listed.

Signature: By signing this form, you certify that you have read the instructions and the information you provided

is correct. It is illegal to report false or misleading information on this form and in doing so, may result in any

Cal Grant award being revoked and CSAC potentially seeking repayment of any grant amount that is obtained

based on the submission of inaccurate information.

For more information on filling out this form or for questions on Cal Grant eligibility, contact CSAC at

(888) 224-7268 or by email at studentsupport@csac.ca.gov.

Faxed copies of this completed form will not be accepted.

Mail completed forms to:

California Student Aid Commission

Cal Grant Operations Branch

PO Box 419028

Rancho Cordova, CA 95741-9028

G-6 (4/09)