PRELIMINARY FINANCIAL AID ESTIMATE ACADEMIC YEAR 2010-2011

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					                                                       PRELIMINARY FINANCIAL AID ESTIMATE
                                                       ACADEMIC YEAR 2010-2011



SECTION I: STUDENT INFORMATION
      A.      Student General Information
      B.      Student Income, Earnings and Benefits Information
      C.      Student Asset Information

SECTION II: PARENT INFORMATION
      A.      Parent General Information
      B.      Parent Income, Earnings and Benefits Information
      C.      Parent Asset Information

SECTION III: HOUSEHOLD INFORMATION & UNUSUAL CIRCUMSTANCES

IMPORTANT INSTRUCTIONS
1. Do not leave blanks on this form. If an item does not apply, enter a zero. If you have questions, please contact us at
finaid@beloit.edu or 800-356-0751.

2. For purposes of this Preliminary Estimate Form we will refer to the parent with whom you resided the most in the
previous 12 months as your “custodial parent.” If that parent has remarried, you must include stepparent information on this
form and on the Free Application for Federal Student Aid (FAFSA) you will file. On this form, be sure to check the
appropriate box under “Section II: Parent Information,” Item A, number 1.

3. Return completed form along with signed copies of 2008 Federal Tax Returns (including Schedules, 1099’s and W-2’s).


SECTION I: STUDENT INFORMATION
A. Student General Information

           1. Student’s Name _____________________________________________________________________

           2. Email addresses (student & parent) _____________________________ @ ______________________

           3. Address ___________________________________________________________________________

           4. City, State, Zip ______________________________________________________________________

           5. Birth Date _________________________________________________________________________

           6. Student’s marital status (check one) _____ Single                        _____ Married            _____ Divorced/Separated

           7. Are you a veteran of the U.S. Armed Forces? ____________

           8. Are you a ward of the court or are both of your parents deceased? _______________

           9. Do you have legal dependents (other than a spouse)? ____________

(NOTE: If you were born before January 1, 1987, are married, or answered yes to numbers 7, 8, or 9, complete the student section only; otherwise provide
all information requested of the student and parents. Do not leave blanks. If an item does not apply, enter a zero.
B. Student Income, Earnings and Benefits

       1. Did you file a Federal Tax Return for the 2008 tax year? If so, please send a complete, signed copy of your 2008
          Federal Tax Return, including W-2(s), 1099’s, and Schedules. If you did not file a tax return in 2008 but had
          income, please send a copy of your W-2(s) or a summary of your earnings.

       2. Please indicate how much, if any amount, you received in the following:

          a) Social Security Benefits (please send a copy of SS-1099’s)            $____________

          b) Welfare benefits                                                      $____________

          c) Child Support                                                         $____________

          d) Other untaxed income (This includes clergy or military housing,       $____________
          veteran’s benefits, or money received or paid on your behalf.)

C. Student Asset Information                                                  What is it worth today?    What is owed on it?

       1. Cash, savings and checking                                               $____________                  N/A

       2. Home (renters enter zero)                                                $____________          $____________
          Year purchased __________; Purchase price __________

       3. Other real estate and investments (excluding primary                     $____________          $____________
          residence and tax sheltered assets like 401(k)’s,
          403(b)’s, IRA’s, Pensions, Keough’s, etc.)

       4. Business (please include copy of most-recent business tax return)        $____________          $____________

       5. Farm                                                                     $____________          $____________


SECTION II: PARENT INFORMATION
A. Parent General Information

       1. Parents’ marital status (check one):      _____ Single _____ Married        _____ Widowed
                                                    _____ My parents are divorced/separated – the following information is
                                                           from my “custodial parent” (and stepparent if remarried).

       2. Number of dependent children in the household who will be pursuing an undergraduate degree at least half-time
          in 2009-2010 (including student): _______

       3. If the student’s parents are divorced or separated, please include a copy of the non-custodial parent’s 2008 tax
          return or a copy of the divorce/separation agreement that specifies support for college. If no support is expected,
          please include an explanation.

B. Parent Income, Earnings and Benefits Information

       1. Did you file a Federal Tax Return for the 2008 tax year? If so, please send a complete, signed copy of your 2008
          Federal Tax Return, including W-2(s), 1099’s, and Schedules. If you did not file a tax return in 2008 but had
          income, please send a copy of your W-2(s) or a summary of your earnings.

       2. Please indicate how much, if any amount, you received in the following:

          a) Social Security Benefits (please send a copy of SS-1099’s)            $____________
            b) Welfare benefits                                                     $____________

            c) Child Support                                                        $____________

            d) Other untaxed income (This includes clergy or military housing,      $____________
            veteran’s benefits, or money received or paid on your behalf.)

C. Parent Asset Information                                                    What is it worth today?     What is owed on it?

        1. Cash, savings and checking                                               $____________                  N/A

        2. Home (renters enter zero)                                                $____________           $____________
           Year purchased __________; Purchase price __________

        3. Other real estate and investments (excluding primary                     $____________           $____________
           residence and tax sheltered assets like 401(k)’s,
           403(b)’s, IRA’s, Pensions, Keough’s, etc.)

        4. Business (please include copy of most-recent business tax return)        $____________           $____________

        5. Farm                                                                     $____________           $____________


SECTION III: OTHER INFORMATION
A. Family household information. List ALL household members, including student applicant.

Name                                                         Year in school for 09-10     Birthdate      School Attending in
                                                                (FR, SO, JR, SR)                             2009-2010




B. Additional information. If you feel you have special circumstances that should be taken into consideration, please
attach a narrative explanation and any supporting documentation. Make sure the student’s name and social security
number are included on any additional documentation you send.


Certification: All of the information on this form is true and complete to the best of my knowledge:


Student’s signature                Date                       Parent’s signature                    Date




Return completed form along with complete copies of                Beloit College Admissions Office
2008 Federal Tax Returns (including all Schedules,                 700 College Street
1099’s and W-2’s) to:
                                                                   Beloit, WI 53511-5595