FAFSA COMMENT CODE 399 VERIFICATION

[Pages:1]FAFSA COMMENT CODE 399 VERIFICATION

Student Name________________________________________ Student ID__________________

The US Department of Education selected your 2017-2018 FAFSA for a special review because the 2015 information you reported on your 2016-17 and 2017-18 does not match. Since there is a discrepancy, you are required to complete this form, and if required, submit copies of your signed 2015 Federal Income Tax Return and/or 2015 W2 Forms. Please review your Checklist in WebAdvisor for items requiring action.

Upon receipt, both years will be reviewed and the discrepancy corrected. You will be notified if the correction caused a change in your financial aid eligibility on you 2016-2017 FAFSA.

If you do not respond within two weeks, you may lose your 2016-17 financial aid awards. There is a limited amount of time in which you can be reinstated.

You are required to provide a signed copy of your 2015 IRS Federal Tax Return for either you/your spouse and/or your parent. Please review your Checklist in WebAdvisor for more information.

You are required to provide a copy of your 2015 W2 Forms for either you/your spouse and/or your parent. Please review your Checklist in WebAdvisor for more information.

Report your TOTAL 2015 (not per month) UNTAXED INCOME below.

PARENT

CHILD SUPPORT RECEIVED

$

OTHER UNTAXED

$

MONEY REC'D NOT REPORTED ELSEWHERE

$ N/A

STUDENT/SPOUSE $ $ $

Report your TOTAL 2015 (not per month) ADDITIONAL INCOME below. PARENT

CHILD SUPPORT PAID OUT TO SOMEONE

$

NEED BASED EMPLOYMENT (FWS)

$

TAXABLE GRANTS OR SCHOLARSHIPS

$

COMBAT PAY

$

COOP EDUCATION EARNINGS

$

STUDENT/SPOUSE

$ $ $ $ $

CERTIFICATION: By signing below, both student and parent(s) acknowledge and confirm that the above is complete and correct. If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. If parent's(s') income is included on this form, at least one parent must sign.

Student _____________________________________________________

Date____________________________

Parent _______________________________________________________ Date ___________________________

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