Dependent Student Verification Worksheet - 2015-16
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Financial Aid Services
243 Whitmore Administration Building
DVER
181 Presidents Drive, Amherst, MA 01003
Phone: 413-545-0801
Fax: 413-545-1700
Web: umass.edu/umfa
Email: fi naid@fi naid.umass.edu
2015-2016 Dependent Student Verifi cation Worksheet
PART I: STUDENT INFORMATION
Name:_______________________________________________________________________________________ SPIRE ID:____________________________
Last
First
Middle
Home Address:______________________________________________________________________________________________________________________
# Street
City
State
Zip
Date of Birth: _________/_______/_____________
Phone Number: (
) _________-_______________
PART II: PARENT INFORMATION
Please read all questions carefully to determine if one or two parents should be listed in the spaces provided below.
Are your biological/adoptive parents married or living together?
£
Yes - List their names as Parent 1 and Parent 2 below and continue to Part III.
Parent 1:________________________________________________ Parent 2:__________________________________________
£
No - Write the name of the parent you lived with the most during the past 12 months as Custodial Parent below.
If you lived with both parents equally, write the name of the parent who provided you with the most fi nancial support.
Custodial Parent: _______________________________________________
What is the current marital status of your Custodial Parent?
£
Single (Never Married)- Continue to Part III.
£
Widowed AND Not Remarried - Continue to Part III.
£
Divorced and not currently married-
. Continue to Part III.
Submit copy of the fi nal Divorce Decree to Financial Aid Services
£
e
married- Stepparent - Name:______________________________________________. Continue to Part III.
R
NOTE: Your stepparent is required to report his/her information, even if the marriage occurred after fi ling the FAFSA.
£
Separated (check one) from my:
£
Biological Parent - Name: _______________________________________________
£
Stepparent - Name: ____________________________________________________
Submit the following supporting documentation
(
NOTE: additional documentation may be requested after review):
• Legal separation agreement/lawyer statement/court submitted document- detailing amount of spousal and child support provided by the
person your custodial parent is currently separated from.
• Copies of the following forms for both the custodial parent and the person they are currently separated from:
• 2014 Tax Return Transcript(s)
• All 2014 W-2s and/or 1099 forms
• Signed copies of current leases/rental agreements/mortgage statements
• Copies of utility bills (electricity, cable, insurance,etc.)
Please add student name and SPIRE ID to all submitted documents.
Continue to Part III.
*FDVERE*
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