Financial Aid Office ● 197 Franklin St. • Auburn, NY  13021

   315-255-1743 ext. 2470 • Fax 315-252-2185


 

2014-2015 HOUSEHOLD SIZE AND NUMBER IN COLLEGE VERIFICATION FORM


 

 

You have been selected by the Federal Government for verification of your household size and number in college.  Please complete the following form on page two.  Once you have entered the necessary information online, you will need to print the form, provide all required signatures and return it to the CCC Financial Aid Office.  Additional information may be requested. 

 

 

Please follow these instructions when completing your Household Size and Number in College Form

 

Independent Student:   List the people in your household; include

·         yourself

·         your spouse, if married

·         your unmarried spouse if living together

·         a partner who is financially contributing to your household

·         your children, if you will provide more than half of their support from July 1, 2014 through

June 30, 2015 people.  Do not include your children if they are being claimed as a dependent on your parents’ tax return.

·         any other people if they now live with you and you provide more than half of their support and will continue to provide more than half of their support from July 1, 2014 through June 30, 2015. 

 

Dependent Student:  List the people in your parent’s household; include

·         yourself

·         your parent(s), if married

·         if  the legal parent whose information you reported on the FAFSA is remarried, stepparent information should be included on this form and on your FAFSA

·         your noncustodial parent only if they live in your household

·         your parents’ other children,  if your parents will provide more than half of their support between July 1, 2014 through June 30, 2015

·         any other people if they now live with your parents, and your parents will provide more than half of their support and will continue to provide more than half of their support between July 1, 2014 through June 30, 2015.

 

 

 

 

Complete the information on the reverse side

 

 

   Financial Aid Office ● 197 Franklin St. • Auburn, NY  13021

   315-592-4143 • Fax 315-252-2185


 

2014-2015 HOUSEHOLD SIZE AND NUMBER IN COLLEGE


 

 

_____________________________________________________________________________________________

Student’s Printed Name                                                                                                       Cayuga ID #

 

 

Complete the box below.  Include everyone in your household as described in the instructions.

Write in the name of the college for any family member who will be attending college at least half-time between July 1, 2014 and June 30, 2015.

 

Full Name

Age

Relationship to Student

College

Example: Cathy Money

24

Wife

City University

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification

I certify that the above information is true and complete.  I understand that failure to accurately report information may jeopardize my eligibility for financial aid.  I also understand that the U.S. Department of Education has the authority to verify information reported on the FAFSA with the Internal Revenue Service and other federal agencies.  I understand that giving false or misleading information may lead to fines up to $20,000, prison or both.

Student Signature_________________________________________________Date______________

 

Dependent Student’s only:

Parent Printed Name:_______________________________________________________________

Parent Signature__________________________________________________Date______________