Verification 2008-2009 Worksheet
U.S. Department of Education
Dependent
FORM APPROVED OMB NO. 1845-0041
Federal Student Aid Programs
Your application was selected for review in a process called Verification. In this process, your school will be comparing information from your application with signed copies of your and your parent(s) 2007 Federal tax forms, or with W-2 forms or other financial documents. The law says we have the right to ask you for this information before awarding Federal aid. If there are differences between your application information and your financial documents, you or your school may need to make corrections. Complete this verification form and submit it to your financial aid administrator as soon as possible, so that your financial aid wont be delayed. Your financial aid administrator will help you.
1. Collect your and your parent(s) financial documents (signed Federal income tax forms, W-2 forms, etc.). 2. Talk to your financial aid administrator if you have questions about completing this worksheet. 3. Complete and sign the worksheetyou and at least one parent. 4. Submit the completed worksheet, tax forms, and any other documents your school requests to your financial aid administrator. 5. Your financial aid administrator will compare information on this worksheet and any supporting documents with the information you submitted on your application. You or your school may need to make corrections.
What you should do
A. Student Information
Last name Address (include apt. no.) City State ZIP Code First name M.I. Social Security Number Date of birth Phone number (include area code)
B. Family Information
List the people in your parent(s) household, include: Yourself and your parent(s) (including stepparent) even if you dont live with your parents; Your parents other children, even if they dont live with your parent(s), if (a) your parents will provide more than half of their support from July 1, 2008 through June 30, 2009, or (b) the children would be required to provide parental information when applying for federal student aid; and 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 from July 1, 2008 through June 30, 2009. Write the names of all household members in the space(s) below. Also write in the name of the college for any household member, excluding your parent(s), who will be attending at least half time between July 1, 2008 and June 30, 2009, and will be enrolled in a degree, diploma, or certificate program. If you need more space, attach a separate page. Full Name Age Relationship College
Missy Jones (example)
18
Sister Self
Central University
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1845-0041. The time required to complete this information collection is estimated to average twelve minutes, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: US Department of Education, Washington, DC 20202-5345.
C. Students Tax Forms and Income Information (all applicants)
Dependent
1. Check only one box below. Tax returns include the 2007 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or a foreign income tax return. If you did not keep a copy of your tax return, request a copy from your tax preparer or request an Internal Revenue Service form that lists tax account information. Check here if you are attaching a signed copy of your tax return. Check here if a signed tax return will be submitted to the school by ______________________(date). Check here if you will not file and are not required to file a 2007 U.S. Income Tax Return. 2. Funds received for child support and other untaxed income. (See worksheets A&B of the FAFSA.)
Sources of Untaxed Income 2007 Amount Sources of Untaxed Income d. e. f. 2007 Amount
a. Child Support b. Social Security (non-taxed) c. Welfare (including TANF)
$ $ $
$ $ $
3. If you did not file and are not required to file a 2007 Federal income tax return, list below your employer(s) and any income received in 2007 (use the W-2 form or other earnings statements if available).
Sources
$ $ $
2007 Amount
D. Parent(s) Tax Forms and Income Information
1. Check only one box below. Tax returns include the 2007 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or a foreign income tax return. If your parent(s) did not keep a copy of their tax return, request a copy from their tax preparer or request an Internal Revenue Service form that lists tax account information. Check here if you are attaching a signed copy of your parents tax return(s). Check here if a signed tax will return(s) be submitted to the school by ______________________(date). Check here if your parent(s) will not file and are not required to file a 2007 U.S. Income Tax Return. 2. Funds received for child support and other untaxed income. (See worksheets A & B of the FAFSA.)
a. Child Support b. Social Security (non-taxed) c. Welfare (including TANF) Sources of Untaxed Income 2007 Amount Sources of Untaxed Income
2007 Amount
$ $ $
d. e. f.
$ $ $
3. If your parent(s) did not file and are not required to file a 2007 Federal income tax return, list below your parent(s) employer(s) and any income they received in 2007 (use the W-2 form or other earnings statements if available).
Sources 2007 Amount
$ $ $ E. Sign this Worksheet
Each person signing this worksheet certifies that all the information reported on it is complete and correct. The student and at least one parent must sign.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Parent
Date Date DonotmailthisworksheettotheDepartmentofEducation.Submitthisworksheettoyour FinancialAidAdministratoratyourschool.Makesurethattaxformsaresigned.
Student's Name: ________________________________________ Student's Social Security Number: ______________________________ Instructions: Please fill out these forms completely. Do not leave any answers blank. Write "0" or "N/A" if applicable. Incomplete forms will be returned to the student. Student/Spouse Worksheet A Earned income credit from IRS Form 1040 -- line 66a; 1040A -- line 40a; or 1040EZ -- 8a Additional child tax credit from IRS Form 1040 -- line 68 or 1040A -- line 41 Welfare benefits, including Temporary Assistance for Needy Families (TANF). Do not include food stamps or subsidized housing. Social Security benefits received, that were not taxed (such as SSI), for all household members as reported in question 90 (or 66 for your parents). Report benefits paid to parents in the Parents' column, and benefits paid directly to student (or spouse) in the Student/Spouse column. Worksheet B Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited to, amounts reported on the W-2 Form in Boxes 12a through 12d, codes D, E, F, G, H, and S. IRA deductions and payments to self-employed SEP, SIMPLE, and Keogh and other qualified plans from IRS Form 1040 -- line 28 + line 32; or 1040A -- line 17 Child support you received for all children. Do not include foster care or adoption payments. Tax exempt interest income from IRS Form 1040 -- line 8b or 1040A 8b Foreign income exclusion from IRS Form 2555 -- line 45 or 2555EZ -- line 18. Untaxed potions of IRA distributions from IRS Form 1040 -- lines (15a minus 15b) or 1040A -lines (11a minus 11b). Exclude rollovers. If negative, enter a zero here Untaxed portions of pensions from IRS Form 1040 -- lines (16a minus 16b) or 1040A -- lines (12a minus 12b). Exclude rollovers. If negat...