2011-2012 Dependent Verification Worksheet
2020-2021 Verification Worksheet V1
[pic]Dependent Student [pic]Independent Student
List below the people in your parent’s household. Please Include:
• Yourself and your parent(s) (including stepparent) even if you don’t live with your parents.
• Your parents’ other children, if your parents will provide more than half of their support from July 1, 2020 through June 30, 2021, or the children would be required to provide parental information if they were completing a FAFSA for 2020-2021. Include children who meet either of these standards, even if they do not live with your parent(s).
• Other people if they now live with your parents and your parents provide more than half of their support and will continue to provide more than half of their support through June 30, 2020.
.
Include the name of the college for any household member EXCLUDING YOUR PARENT(s), who will be attending at least half time between July 1, 2020 and June 30, 2021, enrolled in a degree or certificate program. Attach separate sheet for more space.
|Full Name |Age |Relationship |College or University |Will be Enrolled at|
| | | |(Please do not list schools from |least Half Time |
| | | |Pre-School-High School) | |
| | |SELF | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
______Yes, I have used the IRS Data Retrieval tool to retrieve and transfer my 2018 IRS income information on the FAFSA.
_______I, have not used the IRS Data Retrieval Tool, but will use the tool to transfer my 2018 IRS income information to the
FAFSA once I have filed.
_______I, am unable or choose not to use the IRS Retrieval tool on the FAFSA. I will submit my 2018 IRS tax return transcript.
________ No…I, the student, did not work and are not required to file a tax return for 2018.
________No…I, the student, did not work but had supporting income {Please complete Table A}
| 2018 Source of Income |Total Amount |
|Child Support Received |$ |
|Social Security or Disability Benefits |$ |
|Welfare benefits (TANF) |$ |
|Untaxed Pensions |$ |
|Workers’ Compensation |$ |
|Monetary support (Money received or paid on your behalf for necessities |$ |
|such as food, bills, housing and living allowance, etc.) | |
Table A {Please Include a Copy of Supporting Documents}
Total $______________
________Yes…I, or my spouse (if married) were employed but did NOT file.
MUST attach a copy of your W-2 Form(s). {Complete Table B}
Table B
| Employer’s Name | 2018 Amount Earned | W-2 Attached? |
| | | |
| | | |
| | | |
(INDEPENDENT STUDENTS ONLY….STOP HERE!!!!!!!!!)
|D. Parent’s Income Information |Parent’s SSN |Parent’s DOB |
| |Mother:_______/___/________ |Mother:_____/_____/________ |
| |Father:_______/___/_________ |Father: _____/_____/________ |
ONLY USE BOTH PARENTS INFORMATION IF PARENTS ARE MARRIED
_______ I/we, the student’s Parent(s), did work and have completed my Federal Income Tax for 2018. Attached is a
copy of IRS Tax Return Transcript and W-2 Form(s).
.
_______I/we, the student’s parent(s) did work and have completed my Federal Income Tax for 2018. I/we will be submitting
a copy of the IRS Tax Return Transcript and W-2 Form(s) at a later date.
_______I/we, the student’s parent(s) did work but HAVE NOT completed my/our Federal Income Tax at this time. I/we will be
submitting the IRS Tax Return Transcript once I/we have filed.
_______No…I, the Student’s Parent was not employed and had ZERO INCOME for 2018.
_______No…I, the Student’s Parent DID NOT work but had supporting income for 2018. {Must Complete Table C Below}
Table C {Please Include a Copy of Supporting Documents}
| 2018 Source of Income |Total Amount |
|Child Support Received |$ |
|Social Security or Disability Benefits |$ |
|Welfare benefits (TANF) |$ |
|Untaxed Pensions |$ |
|Workers’ Compensation |$ |
|Monetary support (Money received or paid on your behalf for necessities |$ |
|such as food, bills, housing and living allowance, etc.) | |
Total $______________
_______Yes…I, or my spouse (if married) were employed but did not file.
Attached is a copy of my W-2 Form(s). {Must Complete Table E Below}
Table E
| Employer’s Name | 2018 Amount Earned | W-2 Attached? |
| | | |
| | | |
| | | |
Please sign before returning {All Dependent Students & Parents}
-----------------------
Rust College Office of Financial Aid
150 Rust Ave
Holly Springs, MS 38635
(662) 252-8000 ext. 4062 Fax: (662) 252-7901
Email: nsmith2@rustcollege.edu
Your 2014-2015 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 your parents reported on your FAFSA. To verify that you provided correct information the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You and at least one parent must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school. Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible so that your financial aid will not be delayed.
A. Student Information
1. Collect your and your parent(s)’ financial documents (signed Federal Tax forms, W-2 forms, etc.).
2. Complete and sign the verification worksheet. You and at least one parent MUST sign the worksheet.
3. Submit completed verification worksheet, tax forms, and any other documents as requested by the Office of Financial Aid.
4. Contact the Office of Financial Aid if you have questions about completing the verification process.
_________________________________________ ____________________________________
Last Name First Name MI Student ID
_____________________________________________________________ ______________________________________________________
Student Email Address Student Social Security Number
(_____)_______________________________________________________ (_____)________________________________________________
Home Number Parent or Guardian Number
______________________________________________________________ ______________________________________________________
Mailing Address (include Apt. No.) City ST Zip
______________________________________________________________ (____)_________________________________________________
Student Date of Birth Student’s Cell
B. Dependency Status & Household Information
Student Name:_____________________________________ SSN:___________________________________
PLEASE PRINT
IMPORTANT CHANGES IN VERIFICATION
The next section contains income information for students and Parents. A copy of tax filers 2018 IRS Tax Return and W-2 Form must be attached to this document.
C. Student Income Information
Tax Filing Students
NON TAX FILING STUDENTS with LOW or NO Income (COMPLETE THIS SECTION IF YOU DID NOT FILE TAXES IN 2018).
I/we certify that all information reported is complete and correct. I/we understand that no federal aid can be awarded or disbursed until the verification process is complete.
Student’s Signature________________________________________ Date_________________________________
Tax Filing Parents
NON TAX FILING PARENTS ONLY
I/we certify that all information reported is complete and correct. I/we understand that no federal aid can be awarded or disbursed until the verification process is complete.
Student’s Signature___________________________________ Parent’s Signature_________________________________
Date______________ Date_______________
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