                                                  Income Reevaluation Form 2008-2009
   Stephen M. Ross School of Business Financial Aid ● E2540 ● 701 Tappan● Ann Arbor, MI 48109
                                                                    Tel: (734) 764-5139 ● Fax (734) 763-7804 ● Email: rossfinaid@umich.edu

Name _______________________________ UMID# ____________________________

You may submit this form to request a recalculation of your Estimated Family Contribution if you have
completed the FAFSA, received an official award notice offering less than $8,500 in subsidized loan and
will earn less in 2008 than you did in 2007. You must submit a signed & dated copy of your 2007 federal tax return with the form. (Please disregard, if you have already submitted your tax return to our office).
Only students who meet the stated criteria should submit this form.

SECTION A - PROJECTED 2008 INCOME AND BENEFITS.
Report the total projected income from all sources for 2008 (Jan. 1 - Dec. 31) for yourself, and your spouse (if applicable).

INCOME	STUDENT	SPOUSE
Wages, Tips, Salary	$	$
Interest and/or Dividend Income	$	$
Welfare Benefits/General Assistance	$	$
Alimony and/or Child Support	$	$
Unemployment Compensation	$	$
Severance Pay	$	$
Social Security/SSI Benefits	$	$
Pensions and/or Annuities	$	$
Business/Farm Income	$	$
Rental Income	$	$
Housing Allowance	$	$
Other:	$	$

SECTION B - STUDENT'S DECREASE IN INCOME.

Please review each allowable circumstance on page 2. If your situation meets one of the circumstances, check the appropriate circumstance, complete the questions asked, and provide all requested information and/or documentation.

Circumstance 1: Your income from 2007 to 2008 will decrease because you have, or will, return to school after at least one year of full-time employment.
List the name and address of your full-time employer;

Name: _______________________________ Address: _________________________________

City/State/Zip: __________________________________________________________________

List the dates of your full-time employment: _____________ to _____________

Please provide:
1) A letter from your previous employer, which confirms your employment dates and specifies that you are no longer employed on a full-time basis.
2) A copy (copies) of your most recent earnings statement/pay statement, etc. for all employment during 2008.

Estimate your gross income for (provide actual income where applicable):

Jan - Apr, 2008: $___________ May - Aug, 2008: $___________ Sep - Dec, 2008: $___________

Circumstance 2: Your income from 2007 to 2008 will decrease because a medical condition prevents or limits your ability to work.

Please provide:
1) A letter from your physician or health practitioner, which clarifies your employment restrictions.
2) A copy (copies) of your most recent earnings statement/pay statement, etc. for all employment during 2008.

Estimate your gross income for (provide actual income where applicable):

Jan - Apr, 2008: $___________ May - Aug, 2008: $___________ Sep - Dec, 2008: $___________

SECTION C: CERTIFICATION AND AUTHORIZATION.

I declare that the information herein is true and complete to the best of my knowledge and belief and is given in good faith.

Student's Signature ______________________________ Date ___________________

Spouse's Signature ______________________________ Date ___________________