2017-2018 Federal Verification Worksheet - Independent Student Page 4

Student’s Name: ___________________________

ID: P_________________

Section IV: Certification and Signature

Certification and Signature

WARNING: If you purposely give false or

misleading information you may be fined,

Each person signing below certifies that all of the

be sentenced to jail, or both.

information reported is complete and correct.

________________________________________ ________________________

Print Student’s Name

Student’s ID Number

________________________________________ ________________________

Student’s Signature (Required)

Date

________________________________________ ________________________

Spouse’s Signature (Optional)

Date

Please submit this worksheet to:

Ave Maria University Office of Financial Aid

5050 Ave Maria Blvd.

Ave Maria, FL 34142

FAX 239-280-2566.

You should make a copy of this worksheet for your records

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