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V1-D 2015-16 Dependent Standard Verification Verification information What is verification and why was I selected? Verification is the process by which certain required information on the FAFSA is reviewed for accuracy and completeness. Students are selected for verification for one of the following reasons: The Central Processing System found inconsistencies and/or potential errors in the student s FAFSA Random selection School selection Steps to complete verification: Complete all sections of this worksheet, sign it, and send the completed worksheet along with any required documentation to the Office of Student Financial Aid. The Office of Student Financial Aid will notify you if there is additional documentation needed or any other questions to be answered. The Office of Student Financial Aid cannot process your financial aid package until verification has been completed, so it is imperative that you provide the required documents as soon as possible. \ Section Student 1 - Information Student Information Student s Last Name First Name M.I. Student s Social Security Number Student s Street Address (include apt. no.) City State Zip Code Student s Home Phone Number (include area code) Student s Date of Birth Student s Email Address Student s Alternate or Cell Phone Number Student and Parent must initial Page 1 of 7

2014 IRS Income Tax Return Information for Parent Tax Filers Important Note: The instructions below apply to each parent included in the household. Instructions: Complete this section if the parents filed or will file a 2014 IRS income tax return(s). The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at FAFSA.gov. In most cases, no further documentation is needed to verify 2014 IRS income tax return information that was transferred into the student s FAFSA using the IRS DRT if that information was not changed. In most cases, for electronic filers, 2014 IRS income tax return information for the IRS DRT is available within 2 3 weeks after the 2014 electronic IRS income tax return has been accepted by the IRS. Generally, for filers of 2014 paper IRS income tax returns, the 2014 IRS income tax return information is available for the IRS DRT within 8 11 weeks after the 2014 paper IRS income tax return has been received by the IRS. Contact the Office of Student Financial Aid if more information is needed about using the IRS DRT. Check all that apply: My parents have used the IRS DRT in FAFSA on the Web to transfer 2014 IRS income tax return information into the student s FAFSA. My parents are unable or choose not to use the IRS DRT in FAFSA on the Web, and instead must provide the school a 2014 IRS Tax Return Transcript(s). (signature not required) On-line Request - Go to www.irs.gov, under the Tools heading on the IRS homepage, click "Get Transcript of Your Tax Records." Click Get Transcript ONLINE or Get Transcript by MAIL. Make sure to request the IRS Tax Return Transcript. Telephone Request - 1-800-908-9946 My parents filed separate IRS income tax returns for 2014. (If the parents filed separate 2014 IRS income tax returns, 2014 IRS Tax Return Transcripts must be provided for both.) My parents had a change in marital status after the end of the 2014 tax year on December 31, 2014. Check here if all 2014 IRS Tax Return Transcript(s) are provided. Student and Parent must initial Page 2 of 7

2014 IRS Income Tax Return Information for Student Tax Filers Important Note: The instructions below apply to the student. Instructions: Complete this section if the student filed or will file a 2014 IRS income tax return(s). The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at FAFSA.gov. In most cases, no further documentation is needed to verify 2014 IRS income tax return information that was transferred into the student s FAFSA using the IRS DRT if that information was not changed. In most cases, for electronic filers, 2014 IRS income tax return information for the IRS DRT is available within 2 3 weeks after the 2014 electronic IRS income tax return has been accepted by the IRS. Generally, for filers of 2014 paper IRS income tax returns, the 2014 IRS income tax return information is available for the IRS DRT within 8 11 weeks after the 2014 paper IRS income tax return has been received by the IRS. Contact the Office of Student Financial Aid if more information is needed about using the IRS DRT. Check all that apply: I have used the IRS DRT in FAFSA on the Web to transfer 2014 IRS income tax return information into the student s FAFSA. I am unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead must provide the school a 2014 IRS Tax Return Transcript(s). (signature not required) On-line Request - Go to www.irs.gov, under the Tools heading on the IRS homepage, click "Get Transcript of Your Tax Records." Click Get Transcript ONLINE or Get Transcript by MAIL. Make sure to request the IRS Tax Return Transcript. Telephone Request - 1-800-908-9946 Check here if a 2014 IRS Tax Return Transcript is provided. Student and Parent must initial Page 3 of 7

2014 Income Information for Parent Nontax Filers The instructions and certifications below apply to each parent included in the household. Complete this section if the parents will not file and are not required to file a 2014 income tax return with the IRS. Check the box that applies: Neither parent was employed and had no income earned from work in 2014. One or both parents were employed in 2014 and have listed below the names of all employers, the amount earned from each employer in 2014, and whether an IRS W-2 form is provided. [Provide copies of all 2014 IRS W-2 forms issued to the parents by their employers]. List every employer even if the employer did not issue an IRS W-2 form. If more space is needed, provide a separate page with the student s name and ID number at the top. Employer s Name 2014 Amount IRS W-2 Provided? Earned Suzy s Auto Body Shop (example) $2,000.00 Yes 2014 Income Information for Student Nontax Filers The instructions and certifications below apply to the student. Complete this section if the student will not file and is not required to file a 2014 income tax return with the IRS. Check the box that applies: The student was not employed and had no income earned from work in 2014. The student was employed in 2014 and has listed below the names of all employers, the amount earned from each employer in 2014, and whether an IRS W-2 form is provided. [Provide copies of all 2014 IRS W-2 forms issued to the student by their employers]. List every employer even if the employer did not issue an IRS W-2 form. If more space is needed, provide a separate page with the student s name and ID number at the top. Employer s Name 2014 Amount IRS W-2 Provided? Earned Suzy s Auto Body Shop (example) $2,000.00 Yes Student and Parent must initial Page 4 of 7

Household Size and Number in College List below the people in the parents household. Include: The student. The parents (including a stepparent) even if the student doesn t live with the parents. The parents other children if the parents will provide more than half of their support from July 1, 2015, through June 30, 2016, or if the other children would be required to provide parental information if they were completing a FAFSA for 2015 2016. Include children who meet either of these standards even if the children do not live with the parents. Other people if they now live with the parents and the parents provide more than half of their support and will continue to provide more than half of their support through June 30, 2016. For any household member, excluding the parents, who will be enrolled at least half time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2015, and June 30, 2016, include the name of the college. If more space is needed, provide a separate page with the student s name and ID number at the top. Full Name Age Relationship College Will be Enrolled at Least Half Time (Yes or No) Self Note: We may require additional documentation if we have reason to believe that the information regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate. Student and Parent must initial Page 5 of 7

Child Support Paid If one of the parents included in the household, or the student, paid child support in 2014 complete all that applies. If more space is needed, provide a separate page that includes the student s name and ID number at the top. Name of Person Who Paid Child Support Name of Person to Whom Child Support was Paid Name of Child for Whom Support Was Paid Amount of Child Support Paid in 2014 Check this box if neither parent in the household paid child support in 2014. Check this box if student did not pay child support in 2014. Note: If we have reason to believe that the information regarding child support paid is not accurate, we may require additional documentation, such as: A copy of the separation agreement or divorce decree that shows the amount of child support to be provided; A statement from the individual receiving the child support certifying the amount of child support received; or Copies of the child support payment checks or money order receipts. Supplemental Nutrition Nutrition Assistance Assistance Program Program (SNAP) (SNAP-Food benefits Stamps) The parents certify that a member of the parents household, received benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly known as the Food Stamp Program) sometime during 2013 or 2014. SNAP may be known by another name in some states. For assistance in determining the name used in a state, please call 1-800-4FED-AID (1-800-433-3243). The parents household includes all those listed on page 5 under Household Size and Number in College : Check this box if SNAP benefits do apply to your household. Check this box if SNAP benefits do not apply to your household. Note: If we have reason to believe that the information regarding the receipt of SNAP benefits is inaccurate, we may require documentation from the agency that issued the SNAP benefits in 2013 or 2014. Student and Parent must initial Page 6 of 7

Certifications and Signatures Each person signing below certifies that all of the information reported is complete and correct. The student and one parent whose information was reported on the FAFSA must sign and date. WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. Student s Signature Parent s Signature Date Date Do not mail this worksheet to the U.S. Department of Education Submit this worksheet to Edison Community College Office of Student Financial Aid 1973 Edison Dr. Piqua, OH 45356 Student and Parent must initial Page 7 of 7