STATEMENT OF INCOME EXPENSE INCOME

							                                                                                Kingsborough Community College
                                                                                    2001 Oriental Boulevard
                                                                                      Brooklyn, NY 11235
                                                                                      Financial Aid Office



                               STATEMENT OF INCOME/ EXPENSE

                                                  INCOME

I, ______________________ do hereby swear and affirm that my total income for the
calendar year __2008____was from:

$________________Earned Income                              $_________________Public Assistance

$________________Social Security                            $_________________Veterans Benefits

$________________Unemployment Ins.                          $_________________Worker’s Comp.


$________________Other (Please state)

                                                EXPENSE

                                               WHAT IT COSTS YOU PER
          TYPE OF EXPENSE                                                               WHO PAYS FOR IT
                                                       MONTH
1.   FOOD

2.   HOUSING /RENT/ MORTGAGE

3.   UTILITIES
4.   CLOTHING
5.   TRANSPORTATION
6.   MEDICAL
7.   PERSONAL
8.   OTHER ________________

                                                                     TOTAL        $

IF MONTHLY RESOURCE TOTAL DOES NOT MEET MONTHLY EXPENSE TOTAL, GIVE AN
EXPLANATION HOW EXPENSES WERE MET:



STUDENT/PARENT CERTIFICATION: I/we declare that all information submitted on this form is true and complete.
__________________________            _________ _              ________________________           _________
       Student Signature                  Date                 Spouse / Parents Signature            Date