North Central State College
FAFSA Parent Section 16/17
Financial Aid Office
Student Name (print)_____________________________________________
NCSC ID__________________________
The following information was not reported on the FAFSA. It is required to determine your eligibility for financial aid.
The FAFSA has specific definitions for who is considered to be your parents.
1. If your biological parents are living with each other, they are your mother and father for the FAFSA.
2. If your biological parents are not, and will not be, living with each other, report information only for the parent you
live with, or lived with most in the last 12 months, or lived with when you last received parental support.
3. If you have been legally adopted, your adoptive parent/s are your parents for the FAFSA.
4. If the parent you report information for in #2 is now married, his/her spouse is your mother or father for the FAFSA.
Report information for both.
58. As of today, what is the marital status of your legal parent/s?
 Married/Remarried
 Never married
 Divorced or Separated
 Widowed
 Unmarried and both parents living together
59. Month and year they were married, remarried, separated, divorced or widowed:
Month__________________ Year____________
60 - 67. Your parents’ last names (LN), first initials (FI), social security numbers (SS#), and dates of birth (DOB):
Parent #1 LN_______________________________ FI_____ SS#_____________________ DOB_________________
Parent #2 LN_______________________________ FI_____ SS#_____________________ DOB_________________
69. What is your parents’ state of legal residence? ________________________
70. Did your parent/s become legal residents of this state before January 1, 2011?
 Yes
 No
71. If the answer to question 70 is No, give the month and year legal residency began for the parent who has lived in the
state (in question 69) the longest. Month________________ Year_______________
74 – 78. Did anyone in your parents’ household receive benefits from any of the following in 2014 or 2015? Mark all that
apply.
□ SSI
□ SNAP (Food Stamps)
□ Free/Reduced Price Lunch
□ TANF
□ WIC
As of today, is either of your parents a dislocated worker (not working due to layoff)?
□ Yes □ No
82.
88. As of today, what is your parents’ total current balance of cash, savings, and checking accounts?
$_________________
89. As of today, what is the net worth or your parents’ investments, including real estate (not your parents’ home)?
Net Worth means current value minus debt.
$_________________
90. As of today, what is the net worth or your parents’ current businesses and/or investment farms?
Do not include a business that has fewer than 100 employees or
a farm that your parents live on and operate.
$_________________
Read, Sign, and Date.
A parent whose information is reported above must read, sign, and date.
By signing here, you certify that all of the information you provided on this document and on the FAFSA of the student identified
above is true and complete to the best of your knowledge and you agree, if asked, to provide information that will verify the
accuracy of the completed FAFSA. This information may include U.S. or state income tax forms that you filed or are required to
file. Also, you certify that you understand that the Secretary of Education has the authority to verify information reported
here and on the completed FAFSA with the Internal Revenue Service and other federal agencies. If you sign any document
related to the federal student aid programs electronically using a Personal Identification Number (PIN), username and password,
and/or any other credential, you certify that you are the person identified by that PIN, username and password, and/or other
credential, and have not disclosed that PIN, username and password, and/or other credential, to anyone else. If you purposely give
false or misleading information, you may be fined up to $20,000, sent to prison, or both.
Parent Signature_____________________________________________ Date__________________________
143 Byron Kee Hall
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2441 Kenwood Circle
[email protected]
•
Mansfield, Ohio 44906
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419-755-4899 (voice) • 419-755-4729 (fax)
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http://www.ncstatecollege.edu/cms/financial-aid.html