Verification Worksheet, Independent Student 2014 – 2015 Academic Year V1/V5/V6 Your 2014–2015 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information, the financial aid officer at Durham Tech will compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You must complete and sign this worksheet, attach any required documents, and submit them to the Financial Aid office at Durham Tech. Durham Tech may ask for additional information as required. If you have questions about verification, contact the Financial Aid office as soon as possible so that your financial aid will not be delayed. Independent Student’s Information _____________________________________________________________ ____________________________________ Student’s Last Name Student ID or Social Security Number First Name M.I. _____________________________________________________________ ____________________________________ Street Address (include apt. no.) Date of Birth _____________________________________________________________ ____________________________________ City Student’s Email Address State Zip Code _____________________________________________________________ ____________________________________ Home Phone Number (include area code) Cell Phone or Alternate Number Independent Student’s Family Information List the people in your household below. Include:  Yourself;  Your spouse, if you are married;  Your children, if you will provide more than half of their support from July 1, 2014, through June 30, 2015, or if the child would be required to provide your information if they were completing a FAFSA for 2014– 2015. Include children who meet either of these standards, even if they do not live with you; and,  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, through June 30, 2015. Please include each household member, including those who will be enrolled at least half-time, in a degree, diploma, or certificate program at a post-secondary educational institution any time between July 1, 2014 and June 30, 2015. (Example) Full Name Age Relationship In College? Mary Smith 28 SPOUSE Name of College SELF Durham Tech Will be Enrolled at Least Half Time? DAUGHTER SON IVF14-15 0614 Page 1 Independent Verification Worksheet C. Independent Student’s Income Information to Be Verified Important Note to Tax Return Filers: If you (or your spouse) filed, or will file, an amended 2013 IRS tax return, you must contact a financial aid officer before completing this section. Instructions: Complete this section whether you, the student (or your spouse), filed, will file, or will not file a 2013 income tax return with the IRS. The best way for the college to verify your income is for you to use the IRS Data Retrieval Tool, which is part of the FAFSA application. If you have not already used the tool, log in to your FAFSA record at FAFSA.gov, select “Make FAFSA Corrections,” and navigate to the Financial Information section of the form. From there, follow the instructions to determine if you are eligible to use the IRS Data Retrieval Tool to transfer 2013 IRS income tax information into your FAFSA. Check the box that applies: I, the student, (and, if married, my spouse) was not employed and had no income earned from work in 2013. (Please complete the ‘Verification of Income/Non-Filer Form’). I, the student, (and, if married, my spouse) was employed and had income earned from work in 2013 but was not required to file. (Please complete the ‘Verification of Income/Non-Filer Form’ and include all 2013 W-2 Forms) I, the student, have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my (and my spouse’s) 2013 IRS income information into my FAFSA, either on the initial FAFSA or when making a correction to the FAFSA. Durham Tech will use the transferred IRS information in the verification process. I, the student, am unable to or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to the school 2013 IRS tax return transcript(s)—not photocopies of the Federal 1040 tax return. To obtain an IRS tax return transcript, go to http://www.irs.gov/Individuals/get-transcript or call 1800-908-9946. Make sure to request the “IRS tax return transcript” and not the “IRS tax account transcript.” Check here if an IRS tax return transcript(s) is attached to this worksheet. D. SNAP Benefits Please check the appropriate box below: One of the persons listed in Section B of this worksheet received SNAP benefits (formerly food stamps) in 2012 or 2013. If requested by Durham Tech, I will provide documentation of the receipt of SNAP benefits during 2012 and/or 2013. No person(s) listed in Section B of this worksheet received SNAP benefits in 2012 or 2013. E. Certification and Signature I certify that all of the information reported on this worksheet is complete and correct. The student must sign this worksheet. If married, the spouse’s signature is optional. WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. _________________________________________________ __________________________________ Student’s Signature (Required) Date _________________________________________________ __________________________________ Spouse’s Signature (Optional) Date Please return this completed form to: Durham Technical Community College, Financial Aid office 1210 Wynn Student Services Center – Main Campus 1637 Lawson Street, Durham, NC 27703 Fax: 919-686-3672 Email: [email protected] IVF14-15 0614 Page 2