Parent Certification of Expenses for 2019 (inactive)

CMC Student Name CMC Student Name First Middle Last
CMC Student ID #
Must be 8 digits. Currently Entered: 0 digits.
CMC Student Email

Confirm Email Address
Number of people in the household supported by these expenses:
Do you pay rent/mortgage?

Do you pay rent/mortgage? Rent Mortgage Neither
If neither rent nor own, provide an explanation:
Physical address of where you currently reside (could be different than mailing address) Physical address of where you currently reside (could be different than mailing address)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you pay for food/groceries?

Do you pay for food/groceries? Yes No
If no, provide an explanation:
General Expenses
Typical 2019 monthly expense- rent/mortgage $ Dollars . Cents
Estimated 2020 monthly expense- rent/mortgage $ Dollars . Cents
Typical 2019 monthly expense- food/groceries $ Dollars . Cents
Estimated 2020 monthly expense- food/groceries $ Dollars . Cents
Typical 2019 monthly expense- clothing $ Dollars . Cents
Estimated 2020 monthly expense- clothing $ Dollars . Cents
Utilities
Typical 2019 monthly expense- gas/electricity/water $ Dollars . Cents
Estimated 2020 monthly expense- gas/electricity/water $ Dollars . Cents
Typical 2019 monthly expense- phone/cable/internet $ Dollars . Cents
Estimated 2020 monthly expense- phone/cable/internet $ Dollars . Cents
Transportation
Typical 2019 monthly expense- gasoline $ Dollars . Cents
Estimated 2020 monthly expense- gasoline $ Dollars . Cents
Do you have a car payment?

Do you have a car payment? Yes, it is leased Yes, it is to-own No
Make of car #1
Model of car #1
Year of car #1
Typical 2019 monthly expense- car #1 payments $ Dollars . Cents
Estimated 2020 monthly expense- car #1 payments $ Dollars . Cents
Do you have a 2nd car payment?

Do you have a 2nd car payment? Yes, it is leased Yes, it is to-own No
Make of car #2
Model of car #2
Year of car #2
Typical 2019 monthly expense- car #2 payments $ Dollars . Cents
Estimated 2020 monthly expense- car #2 payments $ Dollars . Cents
Do you have a 3rd car payment?

Do you have a 3rd car payment? Yes, it is leased Yes, it is to-own No
Make of car #3
Model of car #3
Year of car #3
Typical 2019 monthly expense- car #3 payments $ Dollars . Cents
Estimated 2020 monthly expense- car #3 payments $ Dollars . Cents
Do you have a 4th car payment?

Do you have a 4th car payment? Yes, it is leased Yes, it is to-own No
Model of car #4
Make of car #4
Year of car #4
Typical 2019 monthly expense- car #4 payments $ Dollars . Cents
Estimated 2020 monthly expense- car #4 payments $ Dollars . Cents
Do you have any additional car payment?

Do you have any additional car payment? Yes No
Include additional car payments typical 2019, estimated 2020 monthly expenses, make, model, year as well as, if the car payments are due to a lease or "to-own" in the other section below.
Typical 2019 monthly expense- car insurance $ Dollars . Cents
Estimated 2020 monthly expense- car insurance $ Dollars . Cents
Typical 2019 monthly expense- bus fare $ Dollars . Cents
Estimated 2020 monthly expense- bus fare $ Dollars . Cents
Personal/Miscellaneous
Typical 2019 monthly expense- medical/dental/optical not covered by insurance $ Dollars . Cents
Estimated 2020 monthly expense- medical/dental/optical not covered by insurance $ Dollars . Cents
Typical 2019 monthly expense- child care $ Dollars . Cents
Estimated 2020 monthly expense- child care $ Dollars . Cents
Typical 2019 monthly expense- elementary/secondary school tuition $ Dollars . Cents
Estimated 2020 monthly expense- elementary/secondary school tuition $ Dollars . Cents
Typical 2019 monthly expense- consumer credit $ Dollars . Cents
Estimated 2020 monthly expense- consumer credit $ Dollars . Cents
Other
Other expense #1
Typical 2019 monthly expense- other expense #1 $ Dollars . Cents
Estimated 2020 monthly expense- other expense #1 $ Dollars . Cents
Other expense #2
Typical 2019 monthly expense- other expense #2 $ Dollars . Cents
Estimated 2020 monthly expense- other expense #2 $ Dollars . Cents
Other expense #3
Typical 2019 monthly expense- other expense #3 $ Dollars . Cents
Estimated 2020 monthly expense- other expense #3 $ Dollars . Cents
Total
Typical 2019 monthly expense total $ Dollars . Cents
Estimated 2020 monthly expense total $ Dollars . Cents
Certification Statement

Certification Statement I/we hereby certify that all information reported on this form is true, complete, and accurate. False statements or misrepresentation will be cause for denial, reduction, withdrawal, and/or repayment of financial aid.

Parent Certification of Expenses for 2019 (inactive)

General Expenses

Utilities

Transportation

Personal/Miscellaneous

Other

Total