2019 -2020 Verification Worksheet - Central Arizona College

[Pages:2]2019 -2020 Verification Worksheet

Federal Student Aid Programs

Dependent

Your Free Application for Federal Student Aid (FAFSA) is selected for a review process called "Verification." This process is used to verify certain information on the FAFSA to ensure its accuracy. The federal government requires colleges and universities to verify or confirm the data reported on the FAFSA application before awarding Federal Student Aid. Documents requested will be compared with your application, any discrepancies found will be corrected and reported back to FAFSA.

What you should do: Do not leave any sections blank, any blank sections will be valued at zero.

1. Complete and sign the worksheet with at least one parent. 2. Collect you and your parent(s) financial documents (2017 federal tax return transcripts). 3. Talk to your financial aid office if you have questions about completing this worksheet. 4. Submit this completed worksheet along with tax return transcripts, and any other documents to your financial aid office.

A. Student Information

________________________________________________

Last Name

First Name

M.I.

________________________________________________________________ Address (include apt. no.)

________________________________________________________________

City

State

Zip Code

________________________________

CAC ID #

________________________________ ___________ Date of Birth

________________________ __________________ Phone Number (include area code)

B. Family Information

Number of Household Members. List in the space below people in your parent(s) household. Include: ?yourself and your parent(s) and stepparent even if you don't live with your parents ?your parent(s) other children if your parent(s) will provide more than half of their support from July 1, 2019 through June 30, 2020. ?other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide more than half of their support through June 30, 2020.

Also include below: The name of college for any household member listed, excluding parent(s), who will be enrolled in at least half-time in a degree or certificate program at a postsecondary institution any time between July 1, 2019 and June 30, 2020. Note: We may require additional documentation if we have reason to believe that the information regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate.

Full name

Age Relationship

College

Will be enrolled at least ? time

Self

Central Arizona College Yes/No

(If more space is needed, attach a separate page with your name and student id number at the top)

C. Student's Tax Forms and Income Information

1. If you did not use the IRS Data Retrieval Tool on your FAFSA application, you must request a copy of a 2017 IRS tax return transcript from the Internal Revenue Service. (Note:1040, 1040A, 1040EZ, will not be accepted in lieu of a tax return transcript) Check all that apply:

Attach a copy of your IRS tax return transcript. If you amended a federal tax return attach a copy of your IRS tax return transcript and signed 1040X Form. Used or corrected the FAFSA using the IRS Data Retrieval Tool. No income earned in 2017 and did not file a federal tax return. Earned income in 2017 and are not required to file a federal tax return attach a copy of all W-2 forms.

2. Student Other Income Exclusions from Tax Return

Sources:

2017 Amount

Taxable Earnings from Federal Workstudy $

Student Grants & Scholarships reported to $

IRS

Sources: Taxable Combat Pay Cooperative Education Program Earnings

2017 Amount $ $

D. Parent(s) Tax Forms and Income Information

1. If you did not use the IRS Data Retrieval Tool on your FAFSA application, you must request a copy of a 2017 IRS tax return transcript from the Internal Revenue Service. If you did not file a federal tax return in 2017, then you must request a copy of a Verification of Non-Filing Letter from the IRS (Form 4506-T). (Note:1040, 1040A, 1040EZ, will not be accepted in lieu of a tax return transcript) Check all that apply:

Attach a copy of your parent (s) tax return transcript. Based upon marital/tax filing status a separate tax return transcript may be required from each parent. If parent amended their federal tax return; attach a copy of their IRS tax return transcript and a signed 1040X form. Used or corrected the FAFSA using the IRS Data Retrieval Tool.

No income earned in 2017 and did not file a federal tax return complete D3. In addition, attach a copy of the IRS Verification of Non-Filing Letter. Income earned in 2017 and are not required to file a federal tax return attach a copy of all W-2 forms. In addition, attach a copy the IRS Verification of Non-Filing Letter.

2. Parent(s) Other Income Exclusions from Tax Return

Sources:

2017 Amount

Taxable Earnings from Federal WorkStudy $

Student Grants & Scholarships reported to $

IRS

Sources: Taxable Combat Pay Cooperative Education Program Earnings

2017 Amount $ $

3. If zero income was reported on your FAFSA, please explain below how you supported self, spouse, children and others in 2017? Explain your housing (where you live), nutrition (food) and personal/ miscellaneous family financial resources for 2017.

________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________

E. Sign and Date

Each person signing this form certifies that all the information reported on this form is complete and accurate. The student and at least one parent must sign and date.

__________________________________________

Student

Date

________________________________________________________

Parent

Date

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

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