Verification Worksheet
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3OTERO JUNIOR COLLEGE
13VWD
2012-2013 VERIFICATION WORKSHEET
Dependent
Student Id # S
Name
________________________________________________
______________________________________________________
Phone
E-Mail
_
______________________________________________________
______________________________________________________
Verification is the process where your school’s financial aid office will compare the information on this worksheet with the information you reported on
your FAFSA application. Make certain your (the student’s) name and SID or SSN is on every page.
Student/Parent(s) Information – Complete Below
1.
List below the people your parent(s) will provide support to between July 1, 2011 and June 30, 2012. Include the following:
Yourself, as the student
Your Parent(s), even if you don’t live with your parents. Include step-parent if married to the parent whose income information was provided on
FAFSA.
Your parent(s) other dependent children, if your parent(s) will provide more than ½ of their support from 7/1/11-6/30/12.
Other people if they now live with your parents & if your parents provide more than ½ of their support & if your parents will continue to provide
more than ½ of their support from July 1, 2011 - June 30, 2012.
FULL NAME
AGE
RELATIONSHIP TO
COLLEGE ATTENDING
between July 1, 2011
and June 30, 2012. Must be ½ time & working on an
STUDENT
eligible degree or certificate. Exclude parents in college.
Student:
Self
Otero Junior College
2.
Student Tax Forms and Income Information
Check only one box below (the one that applies to your tax filing status)
Check here if you completed the IRS data retrieval when submitting your FAFSA. If you used the IRS retrieval, you do NOT need to attach a
copy of the tax transcript.
Check here if you filed and are attaching a copy of your IRS Tax Transcript. Tax transcripts must be requested directly from
the IRS by
and clicking on “Order a Transcript,” or by calling 1-800-908-9946.
visiting
Check here if you will not file and are not required to file a 2011 U.S. Income Tax Return. If you checked this box, please provide a copy of
your 2011 W2 for to the financial aid office.
3.
Parent Tax Forms and Income Information
Check only one box below (the one that applies to your tax filing status)
Check here if you completed the IRS data retrieval when submitting your FAFSA. If you used the IRS retrieval, you do NOT need to attach a
copy of the tax transcript.
Check here if you filed and are attaching a copy of your IRS Tax Transcript. Tax transcripts must be requested directly from the IRS by
and clicking on “Order a Transcript,” or by calling 1-800-908-9946.
visiting
Check here if you will not file and are not required to file a 2011 U.S. Income Tax Return. If you checked this box, please
provide a copy of your 2011 W2 for to the financial aid office.
TAX RETURN NONFILERS—Complete this section if you, the student (and, if married, your spouse), will not file and are not required to file a 2011
income tax return with the IRS.
Check the box that applies:
The student or parent was not employed and had no income earned from work in 2011.
The student or parent was employed in 2011 and has listed below the names of all employers, the amount earned from each employer in
2011. Attach copies of all 2011 W-2 forms issued to you (and, if married, to your spouse) by employers. List every employer even if the
employer did not issue an IRS W-2 form. If more space is needed, attach a separate page with your name and SID at the top.
Employer’s Name
Student or Parent’s Income
2011 Amount Earned
IRS W-2 Attached
Suzy’s Auto Body Shop (example)
Student
$2,000.00
Required!
1802 Colorado Ave, La Junta, CO 81050
(719) 384-6834 office
(719) 384-6933 fax
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