Irs Form 1040 2008 Tax Return by bvu64416

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									                               MISSOURI SOUTHERN STATE UNIVERSITY

                                   2009-2010 Verification Worksheet
 Your 2009-2010 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called
 verification. If your FAFSA is incorrect, we may need to make corrections electronically with the Federal Processing
 Center. Please submit this verification worksheet and all required financial documents to the Financial Aid Office at the
 address below. We cannot process your aid package until all documents requested are submitted.

 A. Student Information

                                                                                                                        S
 Last Name                                        First Name                              M.I.                          I.D. Number


 Address (include apt. no.)                                                                                             Date of birth

                                                                                                                        (   )
 City                                             State                                   ZIP code                      Phone number

                                                                                                                        (    )
 Email address                                                                                                          Cell phone number

 B. Family Information
 * If you are an independent student as defined by the FAFSA, include yourself and your spouse (if married) and your children (if you will provide
 more than half of their support from July 1, 2009 through June 30, 2010 – even if they do not live with you.) You may include 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, 2009
 through June 30, 2010.
 * If you are a dependent student as defined by the FAFSA, include:
           Yourself and your parent(s) (including stepparent) even if you do not live with your parent(s)
           Your parent(s)’ other children, even if they do not live with your parent(s), if
                     a.    Your parent(s) will provide more than half of their support from July 1, 2009 through June 30, 2010 or
                     b. The children would be required to provide parental information when applying for federal student aid
           Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide
           more than half of their support from July 1, 2009 through June 30, 2010.
 Write in the name of all household members (as defined above). Also write in the name of the college for any household
 member, excluding your parent(s), who will be attending college at least half time between July 1, 2009 and June 30,
 2010, and will be enrolled in a degree, diploma, or certificate program.
         FULL NAME                                   AGE                          RELATIONSHIP                               COLLEGE
                                                                                          Student                             MSSU




Financial Aid Office MSSU 3950 E Newman Road Joplin, MO 64801 Ph: 417.625.9325 Fax: 417.659.4474 Email: finaid@mssu.edu
 C. Tax Forms and Income Information
 Check applicable boxes below. Tax forms include the 2008 Federal IRS Form 1040, 1040A, 1040EZ. If you did not keep
 a copy of your tax return, request a copy from your tax preparer or request an IRS (Internal Revenue Service) transcript
 that lists tax account information.
       Check here if you are attaching a signed copy of your 2008 federal tax return. (Do not submit state, county or city tax forms)
       Check here if you are attaching a signed copy of your spouse’s 2008 federal tax return (if tax returns were filed separately)
       Check here if you are attaching a signed copy of your parent(s) 2008 federal tax return. (If married but filing separately,
        copies of both parental returns are required.)
       Check here and sign below, ONLY if you will not file and are NOT required to file a 2008 federal tax return.

 ___________________________                  ______________________________                    _________________________________
    Student (if not filing 2008 return)                Spouse (if not filing 2008 return)         Parent(s) (if required and not filing 2008 return)

 If you, your spouse (if married) or your parent(s) did not and are not required to file a 2008 federal tax return, please list below
 employer(s) and any income received in 2008 (use the W-2 form or other earnings statements if available). Refer to www.irs.gov for
 income filing requirements. Attach an additional page if needed.
        Employer/Source                                    Name of non-filer                                       2008 Income




 D. 2008 Additional Financial Information
 Student/Spouse                   Additional Financial Information                                                                  Parent(s)
                        Education credits from IRS Form 1040 – line 50 or 1040A – line 31
                        Child support paid because of divorce, separation or as a result of a legal requirement.
                        Do not include support for children in your household, as reported in Section B
                        Taxable earnings from need-based employment programs, such as federal work study and need-
                        based employment portions of fellowships and assistantships.
                        Grant and scholarship aid reported to the IRS in your adjusted gross income
                        Including Americorps, as well as grant and scholarships portions of fellowships and assistantships
                        Combat pay or special combat pay – box 12 code Q of 2008 W-2 form
                                                   2008 Untaxed Income
                        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 forms in boxes 12a through 12d
                        IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans
                        from IRS form 1040 – line 28 + line 32 or 1040A – line 17
                        Child support received for all children. Do not include foster care or adoption payments.
                        Tax exempt interest income from IRS form 1040 – line 8b or 1040A – line 8b
                        Untaxed portions of IRA distributions from IRS form 1040 – lines (15a minus 15b) or 1040A –
                        lines (11a minus 11b) Untaxed portions of pensions from IRS form 1040 – lines (16a minus 16b)
                        or 1040A – lines (12a minus 12b) Excludes rollovers, if negative, enter a zero here.
                        Housing, food and other living allowances paid to member of the military, clergy and others
                        (including cash payments and cash value of benefits)
                        Veterans non-education benefits, such as disability, death pension, DIC or VA work study
                        Other untaxed income not reported, such as workers’ compensation. Also, money received, or paid
                        on your behalf (e.g. bills), not reported elsewhere on this form.

 F. Sign this Worksheet – By signing this worksheet, we certify that all the information reported on it is complete and correct. 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                                  Date                                   Parent                                             Date

 Make sure all documents are complete and signed. Also, please note student’s name and student ID number on all documents being submitted.




Financial Aid Office MSSU 3950 E Newman Road Joplin, MO 64801 Ph: 417.625.9325 Fax: 417.659.4474 Email: finaid@mssu.edu

								
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