2007-2008 Low Income Statement
First name: Middle initial: Last name:
Social Security number: - -
A review of your financial aid application indicates that your total family income was extremely low. Please complete the information below to explain how you and those in your household met expenses throughout 2006.
Income:
Work (Attach copies of all W-2s):
Cash from family and friends:
AFDC/TANF:
Child support received:
Social Security benefits:
VA benefits:
Disability benefits:
HOC/Food stamps:
Worker's Compensation:
Other:
Total:
Expenses:
Housing:
Food:
Transportation:
Personal expenses:
Day care:
If there is a difference in the total amounts listed for your income and expenses, please provide an explanation as to how you were able to sustain yourself in 2006. Please attach supporting documentation, including copies of your 2006 federal taxes or, if you did not file tax returns, copies of your W-2s.
Do not enter text beyond the limits of the box as you will not be able to read that information when you print the form.
Warning: If you purposely give false or misleading information on this application, you could be subject to a fine, a prison sentence, or both.
_______________________________ Student signature Date
_______________________________ Spouse's signature Date
_______________________________ Mother's signature Date
_______________________________ Father's signature Date
Please fill out the form completely, print it, and mail or fax it to:
University of Maryland University College - Europe Unit 29216 APO AE 09102
FAX: + 49 (0)6221-378-398
Phone: Civ +49 (0)6221-378-324 DSN: 370-6762/7157
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