2014–2015 Verification Worksheet: V1 Dependent Student Your FAFSA was selected by the U.S. Department of Education for a review process called “Verification.” “Verification” is a federal process which must be completed before your financial aid can be finalized. Dependent Student’s Information Student’s Last Name Student’s First Name Student’s M.I. Student’s Street Address (include apt. no.) City Student’s Social Security Number Student’s Date of Birth State Zip Code Student’s Cell Phone Number Household Size Information:  List yourself (the student) below. Full Name  Age List your parent(s) below.       If your legal parents are married to each other, or not married to each other and live together, list both below. If your legal parent has married/remarried, list your legal parent and your stepparent below. If your legal parents are separated or divorced, list only the parent whose information you provided on the FAFSA. Full Name Age Relationship List your parents(s)’ other children below if your parent(s) will provide more than half of their support from July 1, 2014 through June 30, 2015. List other people only if they live with your parent(s) AND get more than half of their support from your parent(s), AND will continue to get this support from July 1, 2014 through June 30, 2015. For those listed below who will be attending college AND enrolled in a degree or certificate program at least halftime between July 1, 2014 and June 30, 2015, provided the name and state of the college. Attach a separate sheet if you need more space for additional household members. Full Name Age Relationship College Will be Enrolled at Least Half Time (yes/no) Child Support Paid Verification: If you or your parent(s) indicated that child support was paid on the FAFSA, please complete the information below. Name of Person Who Paid Child Support Marty Jones (example) Name of Person to Whom Child Support was Paid Chris Smith (example) Name of Child for Whom Support Was Paid Terry Jones (example) Amount of Child Support Paid in 2013 $6,000.00 (example) Student’s Name: ______________________________________________ SSN: __________________________ Food Stamp Verification: In 2012 or 2013, did you, your parents or anyone in your parents’ household receive Food Stamps? YES NO Tax Return Information: Both student and parent(s) must provide 2013 Federal tax information to complete verification. This may be provided in one of two ways: (1) by utilizing the IRS Data Retrieval Tool on the FAFSA or by (2) submitting a Tax Return Transcript. Refer to our website www.cairn.edu for more information on the IRS Data Retrieval Tool and ordering a Tax Return Transcript. STUDENT: Check one: I used the IRS Data Transfer Tool to complete my FAFSA and did not alter the data Attached is a copy of my 2013 IRS Tax Return Transcript I worked but was not required to file a 2013 Federal Tax Return; Attached are copies of my W2 forms. I did not work in 2013 OTHER: If you submitted amended tax returns, also check this box If you did NOT file a federal tax return in 2013, please complete the section below: Employer’s Name Suzy’s Auto Body Shop (example) 2013 Amount Earned $2,000.00 (example) IRS W-2 Attached? Yes (example) PARENT(s): Check one: I used the IRS Data Transfer Tool to complete my FAFSA and did not alter the data Attached is a copy of my 2013 IRS Tax Return Transcript I worked but was not required to file a 2013 Federal Tax Return; Attached are copies of my W2 form(s). I did not work in 2013 OTHER: If you submitted amended tax returns, also check this box If you did NOT file a federal tax return in 2013, please complete the section below: Employer’s Name Suzy’s Auto Body Shop (example) 2013 Amount Earned $2,000.00 (example) IRS W-2 Attached? Yes(example) Each person signing this form certifies that all the information reported on it is complete and correct. The student and at least one parent must sign and date. Student’s Signature Date Parent’s Signature Date WARNING: If you purposefully give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. You should make a copy of this worksheet for your records.