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  • INCOME VERIFICATION FORM – Student Support Services

  • If Dependent, applicants must submit a copy of their parent's/guardian's most recent tax return (form 1040). Please submit the tax return of the parent or guardian who claims the student as a dependent.

    If Independent, applicants must submit a copy of their most recent tax return (form 1040).

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  • If you are unable to attach a tax return, you or your parents/guardians MUST answer the questions below.

  • By completing this information, which will serve as a statement of income, you are certifying that the information furnished regarding the family size and taxable income is true to the best of your knowledge.

    If you have any questions about how to complete this application, please contact the ARCHES program at (865) 693-1177 ex. 5018 or arches@tusculum.edu.

  • If Dependent:

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  • If Independent or Dependent:

  • Clear
    • Submit 
    • Should be Empty: