Great Basin College



2012-2013PARENT INCOME AND EXPENSE 1500 College ParkwayE-Mail: financial-aid@gbcnv.eduPhone: (775) 753-2399 Elko, NV 89801 Website: gbcnv.edu/financial Fax: (775) 753-2390Student Name: SS# or Student ID#Parent Name: Mailing Address: City: St.: Zip: Phone #: E-Mail: The income information your parent reported on your FAFSA application is unusually low. The federal processor considers the reported income to be insufficient to support the basic living expenses of your parent’s family size. We will use the information below to help us determine how your parent’s basic living expenses were covered during 2011. Your PARENT is required to answer each step, failure to do so will result in delays in processing your application.1. Did you (and/or your spouse) file a 2011 Federal Tax Return? 2. Were your living expenses covered by someone else in 2011? If yes, State the relationship, , and estimated annual value of support: $3. Were you incarcerated during 2011? If yes, please indicate the time frame: Note: The table below will ask you to compare your income to your expenses. Please include all income even if you did not receive a W2 for it. Everyone has expenses; you are not allowed to indicate all zeros under the expense column. At minimum, you should have food and clothing expenses. In addition, include any bills/utilities that are in your name or that you are responsible for paying. When compared side by side, your income amounts should justify how your expenses are being covered. Parent Income 2011Annual IncomeParent Expenses Paid 2011Annual ExpensesIncome earned by parent(s) (cash or check)$Rent or Mortgage$Social Security$Utilities and Phones$Veterans$Food and household products$Welfare/TANF/Energy Assistance/SNAP$Car Payment/Registration Fee/maintenance$Child Support Received$Clothing$Spousal Support Received$Child support Paid$Workman’s Comp./Unemployment$Child Care$Disability benefits$Credit Card Payments/Loan Payments$Retirement/Pension Income$Miscellaneous/Personal Expenses$Investment Income$Recreational$Other Income/Savings$Other:$Financial Aid (include loans)$Other:$Support From Relative/Friend/Etc.$Other:$TOTAL INCOME$TOTAL EXPENSES$TOTAL INCOME LESS TOTAL EXPENSES$5. Please provide a detailed explanation of your living situation. How and by whom were living expenses and utilities paid during 2011? (You may attach an additional sheet)I hereby certify that all information reported on this form and any attachments is true, correct, and complete to the best of my knowledge. False statements or misrepresentation will be cause for denial, reduction, withdrawal, and/or repayment of financial aid.Parent Signature: Date: ................
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