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left197485002015-2016 Verification WorksheetYour 2015-2016 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal Student Aid we may ask you to confirm the information you and or your parents reported on your FAFSA. To verify that you provided correct information the financial aid administrator at Atlanta Metropolitan State College will compare your FAFSA with the information on this worksheet and with any other required documents. If there are any differences, your FAFSA information may need to be corrected. Student’s Information___________________________________________________ ______________________________________________Student’s Last Name Student’s First Name M.I Atlanta Metropolitan State College Student ID Number____________________________________________________ ______________________________________________Student’s Street Address (include apt #) Student’s Date of Birth__________________________________________________ ______________________________________________City State Zip Code Students Phone Number (Best point of Contact) Independent vs. Dependent StudentAre you at least 24 years old; or will you be 24 years old as of December 31, 2015?Are your married?Do you have any legal dependents (children?)Are you a veteran of the U.S armed forces, having served on active duty?Are you a ward of the court or both of your parents are deceased?If you answered NO to all of these questions you are considered a Dependent Student and must supply parental information.If you are Dependent student include:YourselfYour parent(s)- including step-parentsYour parent(s) other children if your parents will provide more than half of their support from July1, 2015 through June 20, 2016, or they would be required to provide parent information on their FAFSA.If you are an Independent student include:Yourself Your spouse (if you are married)Your children if you will provide more than half of their support from July 1, 2015 through June 30, 2016.Full NameAgeRelationship to StudentName of College/UniversitySelfAtlanta Metropolitan State CollegeIf more space is required please attach a separate page. Tax and Income InformationIndicate below your 2014 federal tax return statusStudent □ filed □ will not file □ extension filed Spouse □ filed □ will not file □ extension filedFather/Stepfather □ filed □ will not file □ extension filedMother/Stepmother □ filed □ will not file □ extension filedData Retrieval Used: Yes _______ No ________2014 Tax Return FilersIf you answered “filed” above and did not use the IRS Data Retrieval Tool, you must submit 2014 IRS Tax Return Transcripts for yourself and parents (For dependent student.)To obtain an IRS tax return transcript go to and click on “Order a Return or Account Transcript” link, or call 1-800-908-9946. Make sure you order the IRS tax return Transcript and not the IRS tax account transcript. If the parents are married, and separate 2014 tax returns were filed, 2014 IRS tax return transcripts must be submitted for each parent. 2014 Tax ExtensionIf you answered “extension filed: above you must submit 2014 IRS Form 4868 and all W-2’s. If aid is awarded and disbursed based on tax extension data submitted, actual tax transcripts or submission of IRS Data Retrieval (on FAFSA) must be supplied to the Financial Aid Office within 30 days of filing your actual filed date.2014 NonfilersIf you or your parents answered “will not file” above, you must complete the following and attach all W2;sList every employer even if they did not issue an IRS W2 form. If more space is needed, attach a separate page with the student’s name and student ID number at the top.StudentIncome Earned (Yes/No)Employer’s Name 2014 Income EarnedMother/StepmotherFather/StepfatherSpouseDid Student’s parents receive any of the following during the 2014 calendar years? Check all that apply.SNAP benefits (food stamps) Supplemental Security Income (SSI) Temporary Assistance for needy Families (TANF) Special Supplemental Nutrition Program for Women (WIC)Did Student or Student’s parent’s pay child support in 2014? If YES, complete the information below for each child. Name of Person who paid Child supportName of RecipientName of ChildFor whom support was paidAnnual Amount of ChildSupport Paid in 2014Certification and SignaturesEach person signing this worksheet certifies that all of the information reported on it is complete and accurate.______________________________ _____________________________________ _____________ Print Student Name Student’s Signature Date______________________________ __________________________________ ______________Print Parent Name Parent Signature Date Submit this Verification Worksheet to: Atlanta Metropolitan State College (Office of Financial Aid) 1630 Metropolitan Parkway S.W Atlanta, GA 30310 Fax (404) 756-4834 ................
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