Standard Verification Page 3
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C. VERIFICATION OF 2014 TAX FILING STATUS FOR STUDENT/PARENT
Student Income Information
Parent’s Income Information
Student: Complete ONE section ONLY!
Parent(s): Complete ONE section ONLY!
Check ONLY one box!
Check ONLY one box!
Tax Filers
Tax Filers
Check here if you used the IRS Data Retrieval Tool
Check here if you used the IRS Data Retrieval Tool
on the FAFSA
on the FAFSA
. – See instructions on Page 1 of the
. – See instructions on Page 1 of the
Verification worksheet.
Verification worksheet.
Check here if you did not use the IRS Data
Check here if you did not use the IRS Data
Retrieval Tool
Retrieval Tool
.
.
You must request a tax return transcript from the Internal
You must request a tax return transcript from the Internal
Revenue Service at 1 – 800 – 908 – 9946 or
Revenue Service at 1 – 800 – 908 – 9946 or
Non-Tax Filers
Non-Tax Filers
Check here if you were UNEMPLOYED for the entire
Check here if you were UNEMPLOYED for the entire
year of 2014 and will not file a tax return.
year of 2014 and will not file a tax return.
Check here if you were employed in 2014, but will
Check here if you were employed in 2014, but will
not file and are not required to file a U.S. income
not file and are not required to file a U.S. income
tax return.
tax return.
Attach your W-2 form(s) - REQUIRED for NON-Tax Filers!
Attach your W-2 form(s) - REQUIRED for NON-Tax Filers!
D. CHILD SUPPORT PAID
If one or more of the parents included in the household or the student paid child support in 2014, list below the
names of the persons who paid the child support, the names of the persons to whom the child support was paid, the
names of the children for whom the child support was paid, and the total annual amount of child support that was
paid in 2014 for each child.
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
Name of Person to
Name of Child for
Age of Child for
Amount of Child
Paid Child Support
Whom Child Support
Whom Support Was
Whom Support
Support Paid in
was Paid
Paid
Was Paid
2014
D. CERTIFICATIONS AND SIGNATURES
The person signing below certifies that all of the information reported on this worksheet is complete and correct. The student and at
least one parent must sign this worksheet.
_______________________________________
________________________
WARNING
: If you purposely give false
Student’s Signature (Required)
Date
or misleading information you may be fined,
be sentenced to jail, or both.
________________________________________
________________________
Parent’s Signature (Required)
Date
V1 (3 of 3) Dependent
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