2015-16 Quality Assurance Prgram Independent Student Verificatin Wrksheet QAIVER Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing infrmatin frm yur FAFSA applicatin with cpies f yur and yur spuse s 2014 Federal Tax Return Transcripts, W-2 frms, r ther financial dcuments. Federal regulatins state that we have the right t ask yu fr this infrmatin befre awarding Federal Aid. If there are differences between yur FAFSA applicatin infrmatin and yur financial dcuments, yu r Temple University may need t make crrectins electrnically r by using yur Student Aid Reprt (SAR). Cmplete this verificatin wrksheet and submit alng with all required dcuments t Student Financial Services (SFS) immediately, as Federal and/r University need-based aid awarded is estimated until this prcess is cmplete. Failure t cmplete verificatin in a timely manner may lead t cancellatin f aid. Upn review f the dcumentatin yu submit, additinal infrmatin may be required; ntificatin f such will be made as quickly as pssible and may necessitate checking yur Temple email accunt. Yu will be ntified if FAFSA crrectins result in changes/cancellatin f award(s). 1. Submit the cmpleted 2015-2016 Independent Verificatin Frm. Make sure the frm is SIGNED by the student. This frm needs t be filled ut cmpletely. If the answer is zer r if the questin des nt apply t yu, write 0, d nt leave blank. 2. Submit 2014 IRS Tax Return Transcript(s) and W2 frms fr bth student (and spuse), if filed. As per federal regulatins, we can n lnger accept cpies f the filed federal tax return unless it is specifically requested by the SFS ffice. Yu can btain a Federal Tax Return Transcript by calling the IRS at 1-800-908-9946 r by visiting www.irs.gv and clicking n the Get a Transcript f yur Tax Recrds link. Make sure t request the IRS Tax Return Transcript and NOT the IRS Tax Accunt Transcript. In mst cases, a 2014 IRS Tax Return Transcript may be requested as sn as the IRS prcesses the tax return. Generally, applicants shuld receive the transcript within 5 t 10 calendar days after their request (rdering nline will likely be fastest). The best way t verify incme is by using the IRS Data Retrieval Tl (IRS DRT) that is part f FAFSA n the web at www.fafsa.ed.gv. If IRS Data Retrieval Tl is used, an IRS Tax Return Transcript is nt required by SFS. Hwever, if yu reprted infrmatin fr Schedule C (Prfit r Lss Frm Business), an IRS Tax Return Transcript will be required even with IRS DRT usage. A. Independent Student s Infrmatin Student s Last Name Student s First Name Student s M.I. Student s Temple University ID# Student s Street Address (include apartment number) Student s Date f Birth City State Zip Cde Student s Phne # (include area cde)/cell
B. Independent Student s Family Infrmatin List belw the peple in yur husehld. Include: Yurself. Yur spuse (if married). Yur children, if yu will prvide mre than half f their supprt frm July 1, 2015, thrugh June 30, 2016, r if the children wuld be required t prvide yur infrmatin if they were cmpleting a FAFSA fr 2015 2016. Include children wh meet either f these standards (even if they d nt live with yu). Other peple if they nw live with yu and yu prvide mre than half f their supprt and will cntinue t prvide mre than half f their supprt thrugh June 30, 2016. If mre space is needed, attach a separate page with the student s name and TUID number at the tp. Full Name Age Relatinship Cllege Attending 7/1/15-6/30/16 Enrlled at least half-time? (Yes/N) Self Temple University During 2014 was child supprt paid by any member f the husehld listed abve? Yes * N *If yes: Name f husehld member wh paid child supprt: Amunt f child supprt paid in 2014: DO NOT include fster care r adptin payments. Name f persn t whm child supprt was paid: Name f child(ren) fr whm child supprt was paid in 2014: Please nte that the children listed belw fr whm child supprt was paid cannt be included n the FAFSA fr number in the husehld (and/r listed in Sectin B abve). Signature f husehld member wh paid child supprt in 2014 2
C. Independent Student s Incme Infrmatin t Be Verified Check here if yu were nt married at the time yu filed the FAFSA. [Cmplete Sectin D] D. Unmarried Students (As f the time yu filed the FAFSA, even if yu are nw married) 1. Check nly ne bx belw. [Tax transcripts include the 2014 IRS tax return transcript frm filing Frm 1040, 1040A, 1040EZ, r a tax return frm Puert Ric. Tax transcripts can be btained by calling the IRS at 1-800-908-9946, r by visiting www.irs.gv.] Check here if yu successfully imprted 2014 IRS tax data using the IRS Data Retrieval Tl. Yu must still submit cpies f all W2 frms r ther earnings statements t SFS. Check here if yu are attaching yur 2014 tax transcript and W-2s. Check here if yu earned incme, but did nt file a 2014 Federal Incme Tax Return, and have attached all 2014 W2 frm(s). If yu did nt file a 2014 Federal Incme Tax Return, but earned incme in 2014, yu must still prvide all W2 frms r ther earnings statements t SFS. Check here if yu did nt earn any wages r taxable incme in 2014. E. Married Students (As f the time yu filed the FAFSA, even if yu are n lnger married) Check here if yu successfully imprted 2014 IRS tax data using the IRS Data Retrieval Tl. Yu must still submit cpies f all W2 frms r ther earnings statements t SFS. Check here if yu are attaching yur and (yur spuse s) 2014 jint tax transcript and W-2s. Check here if yu filed separately frm yur spuse and yu are attaching 2014 tax transcripts and 2014 W-2s fr bth f yu. Check here if yu and/r yur spuse earned incme, but did nt file a 2014 Incme Tax Return. If yu r yur spuse did nt file a 2014 Federal Incme Tax Return, but earned incme in 2014, yu must still prvide all W2 frms r ther earnings statements t SFS. Check here if yu and yur spuse did nt earn any wages r taxable incme in 2014. F. Additinal Financial Infrmatin and Untaxed Incme Use the tables belw t reprt annual (nt mnthly) amunts. If the amunt is zer, r the questin des nt apply t yu, write 0. D nt leave items blank. This sectin is directly frm the 2015-16 FAFSA. 2014 Additinal Financial Infrmatin Grant and schlarship aid reprted t the IRS in yur adjusted grss incme. Includes AmeriCrps benefits (awards, living allwances and interest accrual payments), as well as grant and schlarship prtins f fellwships and assistantships (DO NOT include Temple University schlarships r grants). (cmbined) Did anyne in the husehld receive SNAP (Supplemental Nutritin Assistance Prgram) benefits during 2013 r 2014? Yes N 3
2014 Untaxed Incme (cmbined) Child supprt received fr all children in yur husehld. DO NOT include fster care r adptin payments. Veterans nn-educatin benefits such as Disability Death Pensin r Dependency & Indemnity Cmpensatin (DIC) and/r VA Educatinal Wrk- Study allwances. Other untaxed incme nt reprted elsewhere n this frm, such as wrkers cmpensatin, disability, etc. Als include the Health and Savings accunt deductin frm IRS frm 1040, line 25 and the first-time hmebuyer tax credit frm IRS frm 1040, line 59b. DO NOT include student aid, earned incme credit, child tax credit, welfare payments, untaxed Scial Security benefits, Supplemental Security Incme, Wrkfrce Investment Act educatinal benefits, n base military husing r a military husing allwance, cmbat pay, (if yu are nt a tax filer), benefits frm flexible spending arrangements (e.g. cafeteria plans), freign incme exclusin r credit fr federal tax n special fuels. 2014 Asset Infrmatin (cmbined) As f tday, what is yur (and spuse s) ttal current balance f cash, savings and checking accunts? DO NOT include student financial aid. As f tday, what is the net wrth f yur (and spuse s) investments, including real estate? DO NOT include the hme yu live in. Net wrth means current value minus debt. As f tday, what is the net wrth f yur (and spuse s) current businesses and/r investment farms? DO NOT include a family farm r family business with 100 r fewer full-time r full-time equivalent emplyees. G. Sign this Wrksheet Each persn signing this frm certifies that all the infrmatin reprted n it is cmplete and crrect. If married, spuse s signature is ptinal. Electrnic signatures are NOT acceptable. Student Date Spuse Date WARNING: If yu purpsely give false r misleading infrmatin n this wrksheet, yu may be fined, be sentenced t jail, r bth. 4
H. Submit signed and cmpleted Independent Verificatin Wrksheet t the SFS ffice. SFS highly recmmends students uplad signed and cmpleted frms in the Student Tls tab f the TUprtal. It is fast & easy! Students may als mail r fax t the apprpriate SFS ffice: Temple University: Main Campus Student Financial Services 1801 N. Brad St. Grund Flr, Cnwell Hall Philadelphia, PA 19122 215-204-2244 (phne) 215-204-5897 (fax) Temple University: Ambler Campus Student Financial Services 580 Meetinghuse Rd 103 West Hall Ambler, PA 19002 267-468-8443 (phne) 267-468-8228 (fax) Visit Student Financial Services n the web fr mre infrmatin: sfs.temple.edu 5