ࡱ> kmje ,bjbjhh |6iiWWWWWkkkk,,k c.rbtbtbtbtbtbtb9givtbQW***tbWWb*WWrb*rb\aܝ:@^^6^bb0 c^ejejlaaejWavThD~tbtb8 c****ejY :  PAINE COLLEGE Office of Financial Aid Telephone: 706-822-8262 1-800-476-7703 1235 Fifteenth Street Augusta, GA 30901-3182 Fax: 706-822-8691 2024-2025 DEPENDENCY STATUS APPEAL Dependency Status allows the student who does not meet the federal definition of independent status to inform the Financial Aid Office of extenuating circumstances that may warrant a change in their dependency status. Proving self-sufficiency, living on your own, parent(s) refusing to pay for your college education or you do not want your parents assistance and have decided to pay for your own college education are not sufficient reasons for changing the dependency status. However, if there is an unintentional, involuntary, and uncontrollable break in the relations between parents and student, the С Financial Aid Office may be able to consider you an independent student. To make that determination we need you to complete this form along with a notarized detailed written explanation and supporting documentation. Failure to provide any information requested will result in an automatic denial. A decision letter will be mailed to you no later than fourteen days from the date the completed request is received by the Financial Aid Office, including all required documentation. The decision of the С Financial Aid Office is FINAL and cannot be appealed to the U.S. Department of Education. Deadline for students attending Fall semester is September 1st of the academic year. Deadline for students attending Spring semester is February 1st of the academic year. PLEASE NOTE THAT AN APPEAL MUST BE DONE ON AN ANNUAL BASIS. PLEASE PRINT THE FOLLOWING INFORMATION: Name: _________________________________ ID #: _________________ Local Address: _________________________________ SSN: _________________ _________________________________ Telephone #: ____________________ Check one: ____ I am applying for an initial dependency status appeal. ____ I am applying for a renewal of a previous dependency status appeal that was granted by С. Check the type of circumstance(s) that apply to your situation. Each circumstance lists three (3) required documents for you to submit to the Financial Aid Office. % Your custodial parent has died and the other natural parent is living. You, however, have not had contact with or received any financial support from the living parent for a significant period of time. Required Documentation: Notarized letter from you explaining the situation in detail A copy of the death certificate for the deceased custodial parent A notarized letter from an objective third party which supports your claim that you have not lived with or received financial support from the non-custodial parent for a significant period of time. CONTINUED % Your family situation is untenable. The dysfunction may result from physical abuse, emotional abuse, or drug or alcohol abuse. In many cases, a professional counselor has counseled you to live apart from your parent(s). Required Documentation: Notarized letter from you explaining the situation in detail A letter (on official letterhead) explaining the situation in detail from a social worker, psychologist, medical doctor, or another counseling professional Police reports, court reports or documentation from a social agency \^_es    ]_uھھڶxhxhxhrIhrICJH*OJQJaJhrIhrICJOJQJaJhrIh^Y>*CJOJQJaJhrIh^YCJOJQJaJhwpOJQJh&OJQJh^YOJQJhECJOJQJ^JaJhnSCJOJQJ^JaJh^YCJOJQJ^JaJh^YCJOJQJaJh^YCJOJQJaJ"svwx!$op0]0$a$$a$gdrI$a$ 0^`0 &dPuvwx !$2W[op#nopµ||m]hEh=>*CJOJQJaJhEh^YCJOJQJaJh^Y5CJOJQJaJh^Y5>*CJ\aJh^Yh^YCJaJh^Y5>*CJaJh^Y5CJaJh^Y5CJOJQJaJh^Y5>*CJOJQJaJhah^YCJOJQJaJhrI56CJOJQJaJhrIhrI5CJOJQJaJ$nop#e+,-./0123=>?@$a$ & F^^0]0gdE0]0#e+,-./0123=>?@AB7$&&&&&&&'ƾUh=CJOJQJaJh^Y5CJOJQJaJh^YCJOJQJaJh^Y5CJOJQJaJh^YCJaJh=h=5CJOJQJaJhECJOJQJaJhEh^YCJOJQJaJhEh=CJOJQJaJ6@AB7&&&'\'H(J((((6*8*:*$a$ & F$^a$ & F & F ^`^^% You do not meet the independent definition, but you are divorced with no dependents. Required Documentation: Divorce Decree Attach a copy of your 2022 IRS Tax Transcript Did your parent(s) provide you with any support in 2022? _____ Yes _____ No If yes, amount of support $__________ Certification Statement I hereby certify that all information contained in this appeal is true and complete to the best of my knowledge. I have not knowingly or intentionally provided any fraudulent documentation. ________________________________________________________________________________________ Student Signature Date *****FOR OFFICE USE ONLY**** APPROVED ______ DENIED ______ REVIEWED BY _________________________________________ DATE __________________________ COMMENT(S): ','2'4'Z'\''''H(J(((((6*8*:*p*****&+(+*+,+.+h+j+++++++,$,L,h,j,ķħzrffffh=CJOJ QJ aJh^YOJ QJ h^Y5OJ QJ h^YCJOJ QJ aJh4CJOJ QJ aJh^YCJOJ QJ aJh=h^Y5CJOJQJaJh^Y5CJOJQJaJh^YCJOJQJaJhaCJOJQJaJh&CJOJQJaJhnSCJOJQJaJh^YCJOJQJaJ(:**&+(+*+,+.+h+j+++j,l,,,,,,,-$$d%d&d'dNOPQ^a$gd4*$d%d&d'dNOPQ^gd4^j,l,,,,,,,,,,,,,h^YCJOJ QJ aJh^YOJ QJ ,,,,,,,*$d%d&d'dNOPQ^gd4z+p,p-p.p1h/R 4567:p4/ =!"#h$ % x2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List HH  Balloon TextCJOJ QJ ^J aJDBD Body Text$a$CJOJQJ^JPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V (BO)MBT.$@0H!A>풠Uc-zD[&!rX=}zC0` ި%.]Ssd--7 +fOZեrŵVœ\lji2ZGwm-3˵j7\ Uk5FҨ-:xRkcr3Ϣ+9kji9OP Et-j|#p;E=Ɖ5Z2sgF=8 K}*7c<`*HJTcB<{Jc]\ Ҡk=ti"MGfIw&9ql> $>HmPd{(6%z:"'/f7w0qBcF6f Iöi1(\}B5ҹ~Bcr6I;}mY/lIz1!) ac 1fm ƪN^I77yrJ'd$s<{uC>== Ƌ(uX=WA NC2>GK<(C,ݖm: &-8j^N܀ݑ$4:/x vTu>*ٞn{M.Ǿ0v4<1>&ⶏVn.B>1CḑOk!#;Ҍ}$pQ˙y')fY?u \$/1d8*ZI$G#d\,{uk<$:lWV j^ZơSc*+ESa1똀 k3Ģxzjv3,jZU3@jWu;z \v5i?{8&==ϘNX1?  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