This worksheet collects income that is taxable by the IRS
, but is not counted when your eligibility for federal student aid is calculated.
Please complete the worksheet below using 2012 tax year information
If the amount of this worksheet differs from the amount listed on the FAFSA, you must provide documentation.
If any blank is unanswered this form will be rejected which will delay your Financial Aid.
I certify that the above information on this form is true and correct by signing with either an original or electronic signature.
Complete, print, and return completed form to:
Office of Financial Aid
Box 93260 MSU
Lake Charles, LA 70609
Phone: (337) 475-5065
Fax: (337) 475-5068