Number of Household Members: List below the people in the parents household. Include:

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Student s Name Student s ID Number Number of Household Members and Number in College Dependent Student Number of Household Members: 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 the children s 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 the other people s support and will continue to provide more than half of their support through June 30, 2016. Number in College: Include below information about 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.

Verification of 2014 Income Information for Parent Tax File rs Important: This page applies to each parent included in the household. Notify the financial aid office if parents filed separate IRS income tax returns for 2014 or had a change in marital status after the end of the 2014 tax year on December 31, 2014. Fill out this section only if parents filled taxes or will file taxes for the 2014 year. Go to the next page if not taxes will be filed for 2014 by the parents. Instructions: 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 income information that was transferred into the student s FAFSA using the IRS DRT if that information was not changed. In most cases, for electronic tax return 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 financial aid office if more information is needed about using the IRS DRT. The parents have used the IRS DRT in FAFSA on the Web to transfer 2014 IRS income tax return information into the student s FAFSA. The parents have not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2014 IRS income tax return information into the student s FAFSA once the 2014 IRS income tax return has been filed. The parents are unable or choose not to use the IRS DRT in FAFSA on the Web, and instead will provide the school a 2014 IRS Parent Tax Return Transcript(s). To obtain a 2014 IRS Tax Return Transcript, go to www.irs.gov and click on the Order a Return or Account Transcript link. Make sure to request the IRS Tax Return Transcript and not the IRS Tax Account Transcript. Use the Social Security Number (or the IRS individual taxpayer number) and the date of birth of the first person listed on the 2014 IRS income tax return, and the address on file with the IRS. In most cases, for electronic filers, a 2014 IRS Tax Return Transcript may be requested from the IRS within 2 3 weeks after the 2014 IRS income tax return has been accepted by the IRS. Generally, for filers of 2014 paper IRS income tax returns, the 2014 IRS Tax Return Transcript may be requested within 8 11 weeks after the 2014 paper IRS income tax return has been received by the IRS. If the parents filed separate 2014 IRS income tax returns, 2014 IRS Tax Return Transcripts must be provided for both. Check here if a 2014 IRS Parent Tax Return Transcript(s) is provided. Check here if a 2014 IRS Parent Tax Return Transcript(s) will be provided later.

Verification of 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. Neither parent was employed nor 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? Earne d Suzy s Auto Body Shop (example) $2,000.00 Yes Note: We may require you to provide documentation from the IRS that indicates a 2014 IRS income tax return was not filed with the IRS.

Verification of 2014 Income Information for Student Tax Filers Important Note: This page applies only to the student if they filled or will file their own taxes during 2014. Go to the next page if the student will not or is not required to file their own taxes for 2014. Instructions: Complete this section if the student filed or will file a 2014 IRS income tax return. 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 income information that was transferred into the student s FAFSA using the IRS DRT if that information was not changed. In most cases, for electronic tax return 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 financial aid office if more information is needed about using the IRS DRT. The student has used the IRS DRT in FAFSA on the Web to transfer 2014 IRS income tax return information into the student s FAFSA. The student has not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2014 IRS income tax return information into the student s FAFSA once the 2014 IRS income tax return has been filed. The student is unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead will provide the school a 2014 IRS Student Tax Return Transcript(s). To obtain a 2014 IRS Tax Return Transcript, go to www.irs.gov and click on the Order a Return or Account Transcript link. Make sure to request the IRS Tax Return Transcript and not the IRS Tax Account Transcript. Use the Social Security Number (or the IRS individual taxpayer identification number) and the date of birth of the first person listed on the 2014 IRS income tax return, and the address on file with the IRS (normally this will be the address used on the 2014 IRS income tax return). In most cases, for electronic filers, a 2014 IRS Tax Return Transcript may be requested from the IRS within 2 3 weeks after the 2014 IRS income tax return has been accepted by the IRS. Generally, for filers of 2014 paper IRS income tax returns, the 2014 IRS Tax Return Transcript may be requested within 8 11 weeks after the 2014 paper IRS income tax return has been received by the IRS. If the student and spouse filed separate 2014 IRS income tax returns, 2014 IRS Tax Return Transcripts must be provided for both. Check here if a 2014 IRS Student Tax Return Transcript(s) is provided. Check here if a 2014 IRS Student Tax Return Transcript(s) will be provided later.

Verification of 2014 Income Information for Student Nontax Filers The instructions and certifications below apply to the student and spouse, if the student is married. Complete this section if the student and spouse will not file and are not required to file a 2014 income tax return with the IRS. The student is 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 and spouse 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? Earne d Suzy s Auto Body Shop (example) $2,000.00 Yes Note: We may require you to provide documentation from the IRS that indicates a 2014 IRS income tax return was not filed with the IRS.

Student Informati on Student s Last Name First Name M.I. Student s Identificat ion (ID) Number Student s Street Address (include apt. no.) Student s Date of Birth Cit y State Zip Code Student s Email Address Student s Ho me Phone Nu mber (include area code) Student s Alternate or Cell Phone Number Certifications and Signatures Dependent Student Each person signing below certifies that all of the information reported is comp lete 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 you may be fined, be sentenced to jail, or both. Print Student s Name Student s ID Number Student s Signature Date Parent s Signature Date