Determining what type of support form to use for a given situation can be confusing. This worksheet breaks down the various types of support forms and will help you to determine which one is right for you. It also includes tips on how to write an effective support letter. Featuring both a sample letter and template, this worksheet will help make the process easy and straightforward. With this information in hand, you'll be ready to provide the support your loved one needs.
| Question | Answer |
|---|---|
| Form Name | Worksheet For Determining Support Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | irs, worksheet for determining support example, irs worksheet for determining support, youthe |
Worksheet for Determining Support
On the Free Application for Federal Student Aid (FAFSA), you indicated that you are an independent student because you have a dependent(s) for which you provide over half of their support. In order to demonstrate that you will be providing more than half the support for this individual(s) from July 1, 2014 through June 30, 2015, you must complete this worksheet.
Name _______________________________________ |
Student ID _______________________________ |
Phone _______________________________________ |
|
Is the dependent living in your household? Yes____ No____
If “No” to the question listed above please state your relationship with the dependent.
Relationship to you: ______________________________
Amount of monthly support that you provide to dependent $____________________
Please indicate the Amount of Monthly Resources that you are currently receiving below. This includes all forms of income and any assistance that you may receive from all sources.
|
|
Monthly Amount |
1) |
Income from work |
$__________________ |
2) |
Welfare Benefits (cash benefits from TANF, MFIP)* |
$__________________ |
3) |
Social Security Benefits* |
$__________________ |
4) |
Housing Assistance, food stamps, and/or WIC* |
$__________________ |
5) |
Child Care Assistance from County* |
$__________________ |
6) |
Monetary Support from other individuals |
$__________________ |
7) |
Other Funding (Veteran benefits, financial aid, etc.) |
$__________________ |
*These sources of income will not be included as income on your FAFSA application. It is being collected for informational purposes only.
Answer this section for the total monthly household expenses and the amount of those monthly expenses you are paying.
|
|
Monthly Household Expense |
Monthly Amount You Pay |
1) |
Monthly rent/mortgage payment |
$_____________________ |
$_____________________ |
2) |
Food |
$_____________________ |
$_____________________ |
3) |
Utilities (heat, electric, water, gas) |
$_____________________ |
$_____________________ |
4) |
Health Insurance |
$_____________________ |
$_____________________ |
5) |
Clothing |
$_____________________ |
$_____________________ |
6) |
Child Care Expenses |
$_____________________ |
$_____________________ |
7) |
Medical Expenses |
$_____________________ |
$_____________________ |
I CERTIFY THE ABOVE RESPONSES ARE CORRECT.
Student Signature_____________________________________ Date___________________
Riverland is asking you to provide information that includes private and/or confidential information under state and federal law. Riverland is asking for this information in order to process this form. You are not legally required to provide the information we are requesting; however, the college may not be able to effectively process this form without it.