STATEMENT OF INCOME AND LIVING EXPENSES by jrsmith

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									                                                                                                           OFFICE OF FINANCIAL AID
                                                                                                                     1201 Wesleyan Street
                                                                                                             Fort Worth, TX 76105-1536
                                                                                                                           (817)531-4420
                                                                                                                       Fax (817)531-4231
                                                                                                                  financialaid@txwes.edu

                       2007-2008 STATEMENT OF INCOME AND LIVING EXPENSES
                                      For dependent students, to be completed by the parent

Applicants who report little or no family income for the year on the FAFSA are required to provide the Office of Financial
Aid with an estimate of cost of living for the year and the sources from which these costs were met. Please complete this
form as accurately as possible.

 If you are the parent of the above named student, please answer the following questions:

 In 2006, I lived with parents/relatives/friends and did not make house or rent payments for at least six                                  Yes       No
 months.
 In 2006, I received public assistance for at least six months.                                                                            Yes       No
      If you answered yes to either of the above, skip the next section and sign the bottom of the form.

Please provide parents’ monthly costs from January 1, 2006 through December 31, 2006:

              PARENT’S INCOME & RESOURCES                                               PARENT’S EXPENSES
                      (PER MONTH)                                                          (PER MONTH)

 Employment                                   $                    Housing                                              $
 Social Security                              $                    Food                                                 $
 AFDC/ADC/TANF                                $                    Car/Transportation                                   $
 Food Stamps                                  $                    Telephone                                            $
 Veteran's Benefits                           $                    Utilities (gas, electric, water)                     $
 Child Support                                $                    Insurance                                            $
 Gifts From Family                            $                    Clothing                                             $
 Other (Specify)                              $                    Child Care Cost                                      $
                                              $                    Gasoline                                             $
                                              $                    Personal                                             $
                                              $                    Other (Specify)                                      $


 TOTAL                                                             TOTAL
 (PER MONTH)                                  $                    (PER MONTH)                                          $

       If the parent’s monthly expenses exceed monthly income, you must submit a written statement explaining the situation.
                                      Financial aid cannot be processed without this statement.



_________________________                  ____________               __________________________                                  ____________
Student's Signature                        Date                       Parent's Signature                                          Date

__________________________________         ______/_____/______        _________-_______-____________
Student's Printed Name                     Date of Birth              Student’s SSN

                                                                                             I:\Forms\2007-2008\Statement of Income and Living Expenses-Parent

								
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