Payments to tax-deferred pension and retirement savings plans (paid directly or withheld from earnings), including, but not limited to, amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H, and S. Don't include amounts reported in code DD (employer contributions toward employee health benefits).
IRA deductions and payments to self-employed SEP, SIMPLE, and Keogh and other qualified plans from IRS Form 1040 schedule 1, line 28.
Child support received for all children. Don't included foster care or adoption payments.
Tax exempt interest income from IRS Form 1040-line 2b.
Untaxed portions of IRA distributions and pensions from IRS Form 1040-lines (4a minus 4b). Exclude rollovers. If negative, enter a zero here.
Housing, food, and other living allowances paid to members of the military, clergy, and others (including cash payments and cash value of benefits). Don't include the value of on-base military housing or the value of a basic military allowance for housing.
Veterans non-education benefits such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC), and/or VA Educational Work-Study allowances.
Other untaxed income not reported in items 44a through 44g, such as workers' compensation, disability benefits, etc. Also include the untaxed portions of health savings accounts from IRS Form 1040 Schedule 1-line 25. Don't include extended foster care benefits, student aid, earned income credit, additional child tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income, W.I.O.A., educational benefits, on-base military housing or housing allowance, combat pay, benefits from flexible spending arrangements, foreign income exclusion or credit for federal tax on special fuels.
Money received, or paid on your behalf (e.g., bills), not reported elsewhere on this form. This includes money that you received from a parent or other person whose financial information is not reported on this form and that is not part of a legal child support agreement.
This is to certify that all of the information on my application for Federal Student Aid is true and correct. If the amount on this worksheet differs from the amount listed on the FAFSA, you must provide documentation. If any blank is unanswered, the amount will be assumed zero.