Your (and your spouse's) reported income for 2012 was unusually low. Please indicate how your household expenses were paid from January 1, 2012 to December 31, 2012. Please enter amounts for all items. If the item does not apply indicate "zero".
Expenses for 2012
Income for 2012
If the total amount of expenses is greater than your total income please explain how this expense was provided for.
I certify that the inforamtion 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