2014-2015 Verification Worksheet Template (Page 2 of 3) in pdf

Student Name________________________________________________________

Student ID____________________________

Please visit the Financial Aid website for instructions if the student or parent has been granted a filing extension by the IRS, filed an

amended IRS income tax return, or were victims of IRS identity theft.

Student and Spouse (if married) Tax and Income Information

Check the box that applies (check only one):

Tax Filers:

 The student has used the IRS Data Retrieval Tool in FAFSA on the Web.

 The student has attached the IRS tax return transcript.

Non-tax Filers:

 The student was not employed and had no income earned from work in 2013.

 The student was employed in 2013 and has listed below the names of all the student’s employers, the amount earned

from each employer in 2013, and whether an IRS W-2 form is attached. Attach copies of all 2013 IRS W-2 forms issued

to the student by employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed,

attach a separate page with the student’s name and student ID at the top.

Employer’s Name

2013 Amount Earned

IRS W-2 Attached?

Suzy’s Auto Body Shop (example)

$2,000.00(example)

Yes(example)

Parent Tax and Income Information

Note: If two parents were reported in Section B of this worksheet, the instructions and certifications below refer and apply to both parents.

Check the box that applies (check only one):

Tax Filers:

 The parent has used the IRS Data Retrieval Tool in FAFSA on the Web.

 The parent has attached the IRS tax return transcript.

Non-tax Filers:

 The parent was not employed and had no income earned from work in 2013.

 The parent was employed in 2013 and has listed below the names of all the parent’s employers, the amount earned from

each employer in 2013, and whether an IRS W-2 form is attached. Attach copies of all 2013 IRS W-2 forms issued to

the parent by employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach