2022-23 Student Untaxed Income Form (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
Report untaxed income or benefits from received from January 1, 2020 to December 31, 2020 for the student. If no untaxed income or benefits were received from any of the following sources, please indicate "0".
Child support received for all children (do not include foster care or adoption payments) $ Dollars . Cents
Social Security Benefits (untaxed portion only, such as SSI) $ Dollars . Cents
Welfare benefits, including Temporary Assistance for Needy Families (TANF). Do not include food stamps. $ Dollars . Cents
Worker's Compensation $ Dollars . Cents
Housing, food, and other living allowances (excluding rent subsidies for low-income housing) paid to members of the military, clergy, and others (including cash payments and cash value of benefits) $ Dollars . Cents
Veterans non-education beenfits such as Disability, Death Pension or Dependency & Indemnity Compensation (DIC) and/or VA Educational work-study allowances $ Dollars . Cents
Cash received or any money paid on your behalf $ Dollars . Cents
Do you have any other untaxed income?

Do you have any other untaxed income? No Yes, please specify Yes, please specify
Other untaxed income $ Dollars . Cents
Total 2020 amount received $ Dollars . Cents
Certification Statement

Certification Statement I 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.