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Applicant’s Financial Aid Information

Please provide parent/guardian and student income, expense and asset data for January 1 – December 31, 2020.

Please upload completed IRS Form 1040 for 2020 with this form. For privacy reasons, you are free to black out social security numbers on the tax returns. If your 2020 tax return is not complete you should submit the prior year’s (2019) tax return and supplement it with the 2020 return by February 24, 2021.
The 2020 tax return must be provided to be eligible for a scholarship.

* indicates required information

PARENTS' INCOME INFORMATION
For a complete description, see FAFSA lines 92a-92h, including; a. Payments to tax-deferred pension and retirement savings plans t b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040 Schedule 1—total of lines 28 + 32. c. Child support received for any of your parents’ children. Don’t include foster care or adoption payments. d. Tax exempt interest income from IRS Form 1040—line 2a. e. Untaxed portions of IRA distributions and pensions from IRS Form 1040—line 4a minus line 4b. f. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and cash value of benefits). g. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA Educational Work-Study allowances. h. Other untaxed income not reported in items 92a through 92g, such as workers’ compensation, disability benefits, untaxed foreign income, etc.
ALLOWANCES AGAINST PARENTS' INCOME
PARENTS'S CONTRIBUTION FROM ASSETS

STUDENT'S INCOME IN 2020

CERTIFICATION AND SIGNATURES CERTIFICATION:
I certify that the information on the FINANCIAL ASSISTANCE QUESTIONNAIRE form is true and complete to the best of my (our) knowledge. If asked by Community Scholarship Fund of Barrington, I (we) agree to give proof of the information that I (we) have given on this form. I (we) realize that this proof may include a copy of my (our) 2020 federal and/or state income tax return. I (we) also realize that if I (we) do not give proof when asked, the student may not qualify for a scholarship.
Type signature and date
Upload completed IRS Form 1040 for 2020. If your 2020 tax return is not complete you should submit the prior year’s (2019) tax return and supplement it with the 2020 return by February 24, 2021.
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