08-09 Verification Worksheet.pub

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2008-2009 Federal Verification Worksheet Your application was selected by the U.S. Department of Education for review in a process called “verification.” In this process, we are required by federal law (34 CFR, Part 668) to compare the information from your application with the information provided on this form and on signed copies of your 2007 federal tax forms (and your spouse’s if you are married, or parents’ if you are considered dependent for federal aid purposes). We cannot process your financial aid until verification has been completed, so please provide the required documents as soon as possible. What you need to do: 1. Collect your and your spouse’s or parents’ 2007 signed Federal Income Tax Forms (and W-2s if possible). 2. Complete the appropriate sections and sign the worksheet. 3. Bring or mail this completed worksheet, tax forms, and any other documents to the Financial Aid Office. 4. We will compare this information with your FAFSA data and make corrections if necessary. A. Student Information Last Name First Name M.I. Phone Number (include area code) Social Security Number Student Identification Number Address (include apt. #) City State Zip Code B. Family Information Independent Students (students who did not need to provide parent information on the FAFSA): List the people in your household, include: (a) yourself, and your spouse if you have one; (b) your children, if you provide more than half of their support from July 1, 2008 through June 30, 2009; and (c) other people if they now live with you, and you 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. Dependent Students (students who did need to provide parent information on the FAFSA): List the people in your parents’ household, include: (a) yourself and your parent(s) (including stepparent) even if you don’t live with your parents; and (b) your parents’ other children, even if they don’t live with your parent(s), if (1) your parents provide more than half of their support from July 1, 2008 through June 30, 2009, or (2) the children would be required to provide parental information when applying for Federal Student Aid; and (c) 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. 1. Write the names of all household members. 2. Write in the name of the college for any family member who will be attending at least half-time between July 1, 2008 through June 30, 2009, and will be enrolled in a degree, diploma, or certification program. If you need more space, attach a separate page. Full Name Age Relationship Self College Centralia College C. Tax Forms and Income Information Please complete boxes 1, 2, & 3 below. 2007 Federal Income Tax returns include the 2007 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or foreign income tax return and W-2’s. If you did not keep a copy, call the IRS at 1-800-829-1040 to request a tax transcript. 1 Did you file a 2007 tax return? yes, provide a signed photocopy no, list your 2007 income in the chart below Name of Employer 2 Did your spouse file a 2007 tax return? yes, provide a signed photocopy no, list their 2007 income in the chart below Student Annual Amount Earned in 2007 3 Did your parent(s) file a 2007 tax return? yes, provide a signed photocopy no, list their 2007 income in the chart below Parent(s) Annual Amount Earned in 2007 Spouse’s Annual Amount Earned in 2007 D. Worksheet Information Both tax filers and non-tax filers must list any untaxed income received in 2007. List the annual amount you received. Be sure to enter zeros if no funds were received. Failure to complete this section will delay the processing of financial aid. Student (Spouse) CALENDAR YEAR 2007 FAFSA WORKSHEET A Parent’s (Step-parent) $ $ $ $ $ $ Welfare benefits, including Temporary Assistance for needy Families (TANF). Do Not include food stamps or subsidized housing. Social Security benefits received for all household members as reported in question 90 (or 66 for parents) that were not taxed (such as SSI). Report benefits paid to parents in the parent’s column, and benefits paid directly to student (or spouse) in the Student/Spouse column. $ $ $ $ $ $ FAFSA 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. Child support received for all children. Don’t include foster care or adoption payments Housing, food and other living allowances paid to members of the military, clergy, and others (including cash payments and cash value of benefits) Veterans’ noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA Educational Work Study allowances Other untaxed income or benefits not reported elsewhere on this form, such as Workers’ compensation, untaxed portions of railroad retirements benefits, Black Lung Benefits, etc. Tax filers only: report combat pay not included in adjusted gross income. Don't include student aid, WIA educational benefits, combat pay (if you are a non-tax filer) or benefits from flexible spending arrangements (e.g. cafeteria plans) Money received, or paid on your behalf (e.g., bills) not reported elsewhere on this form $ $ $ $ $ E. $ xxxxxxxxxxxxxx FAFSA WORKSHEET C Child support paid because of divorce or separation or as a result of legal requirement. Do not include support for children in your (or your parents’) household, as reported in question 90 (or question 66 for your parents). Taxable earnings from Federal Work-Study or other need-based work programs. (Only list an amount if you reported it in the Adjusted Gross Income figure on your tax return.) Student grant and scholarship aid reported to the IRS in your (or your parents’) adjusted gross income. Includes AmeriCorps benefits (awards, living allowances, and interest accrual payments), as well as grant or scholarship portions of fellowships and assistantships. $ $ $ Sign this worksheet By signing this worksheet, I (we) certify that all the information reported on this worksheet is complete and correct. If dependent, at least one parent must sign. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. Student’s Signature Date Parent’s Signature (Dependent Students Only) Date

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