Supplemental Alternative Documentation of Income (for use when other income documentation is not available) Instructions

Enter the borrower's first name.

Enter the borrower's last name.

Enter the borrower's loan or servicer account number.

Enter the borrower's Social Security number.

Enter your adjusted gross income (income before taxes are taken out) for the pay type you select (annual or per pay period).

Check this box if the adjusted gross income (AGI) amount you entered is your annual (yearly) income before taxes.

Check this box if the adjusted gross income (AGI) amount you entered is the amount you earn each pay period (not an annual total).

Enter the name of the borrower’s income source (for example, employer or organization name).

Enter the street address of the borrower’s income source.

Enter the city, state, and ZIP code for the borrower’s income source.

Check this box if you have no taxable income to report (instead of selecting a pay frequency). Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Check this box if you selected “Pay Per Period” above and you are paid weekly. Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Check this box if you selected “Pay Per Period” above and you are paid every two weeks. Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Check this box if you selected “Pay Per Period” above and you are paid twice per month. Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Check this box if you selected “Pay Per Period” above and you are paid once per month. Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Check this box if you selected “Pay Per Period” above and your pay frequency is not listed, then write the frequency on the line provided. Fill only if 'Section 1 AGI Income Type - Pay Per Period' is 'Yes'.

Enter the borrower’s pay frequency if it is not one of the listed options and you selected “Other.” Fill only if 'Section 1 Pay Frequency: Other' is 'Yes'.

Enter your spouse’s adjusted gross income (income before taxes are taken out) for the selected pay type.

Check this box if the spouse’s adjusted gross income (AGI) amount entered is an annual (yearly) income figure.

Check this box if the spouse’s adjusted gross income (AGI) amount entered is the amount earned each pay period rather than an annual total.

Enter the name of your spouse’s income source (for example, the employer or paying organization).

Enter the street address of your spouse’s income source.

Enter the city, state, and ZIP code for your spouse’s income source address.

Check this box if the spouse has no taxable income for the income being reported in Section 2. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Check this box if, after selecting "Pay Per Period" in Section 2, the spouse is paid weekly. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Check this box if, after selecting "Pay Per Period" in Section 2, the spouse is paid every two weeks. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Check this box if, after selecting "Pay Per Period" in Section 2, the spouse is paid twice per month. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Check this box if, after selecting "Pay Per Period" in Section 2, the spouse is paid monthly. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Check this box if, after selecting "Pay Per Period" in Section 2, the spouse is paid on a different schedule and enter the schedule in the blank line. Fill only if 'Section 2 Spouse AGI: Pay Per Period' is 'Yes'.

Enter the spouse’s pay frequency if it is not one of the listed options (e.g., describe the pay schedule for “Other”). Fill only if 'Section 2 Pay Frequency - Other' is 'Yes'.

Enter the date the borrower signs the form.

Enter the date the spouse signs the form (if Section 2 is completed).