St. John’s University Office of Student Financial Services 2015-2016 Proof of Separation/ Divorce Student’s Name: ____________________________ ID Number X ___________________________ Contact Number: _______________________ Alternate/Cell Number_________________________ Please return this form to our Processing Center: St. John’s University P.O. Box 548 Randolph, MA 02368-0548 Please complete the appropriate section and submit the required documentation below  2015-2016 Separation Statement for Parent I (custodial parent) _____________________________ have been separated from my spouse (noncustodial parent/ex-spouse) _____________________________ since ______________ (month/year). The marital status reported on my FAFSA has changed/an error was made in reporting my filing status and my spouse and I have not lived together in the same household since the date above. __________________ _________________ Student signature Date __________________ _________________ Parent signature Date  2015-2016 Separation Statement for Student I (student) _____________________________ have been separated from my spouse _____________________________ since ______________ (month/year). The marital status reported on my FAFSA has changed/an error was made in reporting my filing status and my spouse and I have not lived together in the same household since the date above. __________________ ________________ Student signature Date Please submit the following documentation: I. Copy of Court documents filed for divorce or legal separation  All parties, including lawyers have signed  Letter from lawyer representing parties is also acceptable II. If not legally separated or divorced, please submit the following:  Letter from custodial parent and student signed and dated, explaining marital situation, including whereabouts of other spouse and at least one of the following to prove the establishment of separate residences:  Utility bills (gas/ electric) from each parent  Copy of lease agreements from each parent  Notarized letter from landlord outlining the name and address for each parent CERTIFICATION: I (we) hereby attest that all the information on this form is accurate to the best of my (our) knowledge. I (we) understand that providing false or misleading information can jeopardize financial aid eligibility and subject me (us) to federal penalties. STJ_FA_SEP