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Get Lake Road Merced, Ca 95343 Phone 209-228-4243 Fax 209-228-7861 E-mail: Finaid Ucmerced

ION FORM Please list your income and expenses using the dates provided. Complete each line. If the answer is zero, or does not apply to you, enter 0. DO NOT LEAVE BLANKS. If expenses exceed income an explanation is required. Student UCM ID Student Full Name Last Name First Name E-mail M.I. Phone Number STUDENT/SPOUSE INCOME STATEMENT Students/Spouse income for the twelve (12) month period of January 1, 2011 through December 31, 2011. You must also submit a completed copy of your 2011 Fede.

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