Get NJ TAG Applciant Information Request Form

Student Financial Aid Services SFAS Tuition Aid Grant TAG Applicant Information Request Form Your record with the New Jersey Higher Education Student Assistance Authority NJHESAA who provides the NJ TAG Grant is currently incomplete. The purpose of this form is to provide vital information to the Higher Education Student Assistance Authority HESAA on your behalf* You will not receive your NJ TAG Grant unless you provide HESAA this pertinent information which is needed to determine your eligibility. There will be cases whereby NJHESAA may request additional information beyond the below questions and you are expected to respond to them within 14 days or you risk the loss of your TAG eligibility. You can also respond to these questions online at www. hesaa*org. Should you have questions about this form please contact our office at 973-596-3476 or at finaid njit. edu. Student s Name NJIT ID Does the student have a driver license Yes No Student s Driver License Number State that issued license Student s 2012 Untaxed Social Security Benefits If you filed a 1040A tax return it is the sum of 14a minus 14b. If you filed a 1040 tax return it is the sum of 20a minus 20b. Student s 2012 Earned Income Tax Credit return it is the amount shown on line 64a* For Dependent Students Only Parent s 2012 Untaxed Social Security Benefits Parent s 2012 Earned Income Tax Credit tax return it is the amount shown on line 64a* Student s Signature Date Parent s Signature Date Return to NJ 07102-1982 Fax 973-596-6471. The purpose of this form is to provide vital information to the Higher Education Student Assistance Authority HESAA on your behalf* You will not receive your NJ TAG Grant unless you provide HESAA this pertinent information which is needed to determine your eligibility. There will be cases whereby NJHESAA may request additional information beyond the below questions and you are expected to respond to them within 14 days or you risk the loss of your TAG eligibility. There will be cases whereby NJHESAA may request additional information beyond the below questions and you are expected to respond to them within 14 days or you risk the loss of your TAG eligibility. You can also respond to these questions online at www. hesaa*org. Should you have questions about this form please contact our office at 973-596-3476 or at finaid njit. You can also respond to these questions online at www. hesaa*org. Should you have questions about this form please contact our office at 973-596-3476 or at finaid njit. edu. Student s Name NJIT ID Does the student have a driver license Yes No Student s Driver License Number State that issued license Student s 2012 Untaxed Social Security Benefits If you filed a 1040A tax return it is the sum of 14a minus 14b. edu. Student s Name NJIT ID Does the student have a driver license Yes No Student s Driver License Number State that issued license Student s 2012 Untaxed Social Security Benefits If you filed a 1040A tax return it is the sum of 14a minus 14b. If you filed a 1040 tax return it is the sum of 20a minus 20b. Student s 2012 Earned Income Tax Credit return it is the amount shown on line 64a* For Dependent Students Only Parent s 2012 Untaxed Social Security Benefits Parent s 2012 Earned Income Tax Credit tax return it is the amount shown on line 64a* Student s Signature Date Parent s Signature Date Return to NJ 07102-1982 Fax 973-596-6471. .