Income Reduction Form I 2013-2014 - South Texas College

Student Financial Services – Bldg. K 1.7003201 W. Pecan Blvd., McAllen TX 78502Phone: (956) 872-8375*Fax: (956) 872-6461Income Reduction Form I2013-2014The purpose of this form is to request a reassessment of your information dueto a change in income. Please follow the instructions below to submit yourIncome Reduction Form.STUDENT INFORMATIONSTC ID: ________________________________ Name: ___________________________________________SSN: __________________________________ STC email address: ________________________________STEP ONE:INSTRUCTIONSSubmit the following documents along with this completed form to the Office of Student FinancialServices:1. The student must write a detailed letter explaining the reason(s) why the total income for thehousehold in 2013 will be different from 2012, (i.e. why a change in income occurred, when itoccurred, etc.).2. A letter from the current or former employer on company letterhead with his/her name and contactphone number. The letter must include:• The beginning and ending dates of employment• Number of hours worked per week and• Rate of payOrIf the employer is unable or unwilling to provide information, a signed statement from the personwho experienced a change in employment will also be accepted. The statement must include:• The beginning and ending dates of employment• Number of hours worked per week and• Rate of pay3. A copy of the last paycheck stub from any previous and current job(s) held in 2013. The lastpaycheck stub must include the year-to-date wages.4. If unemployment benefits were received, provide a print-out from the Texas WorkforceCommission reflecting the amount of benefits received in 2013.5. Complete the verification process: Provide the Verification Worksheet completely filled out. If theIRS Data Retrieval Tool transfer was not used at the time of application, provide an IRS TaxReturn Transcript. If not required to file, be sure to state that in the Verification Worksheet.6. If the income change is the result of the death of a spouse, please include a copy of the deathcertificate.7. If the income change is the result of a divorce, please include a copy of the divorce decree.

STEP TWO:Do Not Leave This Section BlankProvide the source of expected monthly income for the year 2013 in the rows below. Income sources canbe wages, unemployment benefits, family support, etc. Keep in mind that supporting documentation mustbe attached for sources of income listed. Remember to include Income Totals per month.Source of expected monthly Income for the year 2013Income TotalJanuary $February $March $April $May $June $July $August $September $October $November $December $STEP THREE:Total Estimated Income for the year 2013: _________________Note: It may take up to 2 weeks from the time this document is submitted to the time a decision isreached, provided all requested or appropriate documentation is submitted initially; otherwise, theprocess will be delayed. During this review the student must be prepared to pay his/her ownexpenses, such as tuition, fees, books, supplies, etc.I hereby certify that the above information is true and complete to the best of my knowledge. Iacknowledge it is my responsibility to check on the status of this Income Reduction Form throughmy Jag Net account, by clicking on the Student Services link, then Student & Financial Aidlink, then Financial Aid link, then Financial Aid Status link, then select appropriate awardyear, then click on messages link in “You have active messages”. My signature on thisdocument binds me to all the conditions stated within.Student Signature: _________________________________ Date: ______________Spouse Signature: _________________________________ Date: ______________Student Financial Services Department Use OnlyApproved ________ Disapproved ________ Pending ________ Initials __________ Date ________________Additional Information Requested/Comments: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________No person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored orconducted by South Texas College on the basis of race, color, national origin, religion, sex, age, veteran status, or disability.Rev 7/01/13 FAC