V1-Standard Financial Aid Verification Worksheet For Independent Students Page 2
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3C. Student’s Income Information to Be Verified - Check the box that applies:
I, the student (and if married, the student’s spouse) will not file and is not required to file a 2013 income tax return with
the IRS.
IMPORTANT NOTE: The student (and if married, the student’s spouse) must SUBMIT a 2013 Letter of Non-Filer Form.
Skip Section D.
D. TAX RETURN FILERS-Check the box that applies:
(If the student (and if married, the student’s spouse) were reported in Section B of this worksheet, the instructions and
certifications below refer and apply):
I, the student have used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and
______S-TRT
transfer my (and, if married, my spouse’s) 2013 IRS income information into my FAFSA, either
on the initial FAFSA or when making a correction to the FAFSA. The student’s school will
_____SP-TRT
use the IRS information that was transferred in the verification process.
______P-TRT
Office Use
Check here if an IRS tax return transcript(s) is attached to this worksheet.
E. Child Support Paid
□
No, neither I nor my spouse, if married, PAID child support in 2013.
(Mark the box and skip to signatures below)
Independent Student: Complete this section if you or your spouse PAID child support in 2013.
□
Yes, either I, or if married, my spouse, PAID child support in 2013. I have indicated below the name of the person who paid
the child support, the name of the person to whom the child support was paid, the names of the children for whom child support
was paid, and the total annual amount of child support that was paid in 2013 for each child. If asked by my school, I will provide
documentation of the payment(s) of child support. If you need more space, attach a separate page that includes your name and
ATC ID# at the top.
Name of Peron Who Paid Child
Name of Person to Whom
Name of Child for Whom Support
Yearly Amount of Child
support
Child Support was Paid
Was Paid
Support Paid in 2013
Madison Jones (example)
Christian Smith
Chase Jones
$$
F. SNAP Benefits (formerly known as Food Stamps)
Independent
□
□
Yes
No Did someone listed in the household receive benefits from SNAP any time during the 2012 or 2013 calendar
years?
If yes, SNAP yearly amount received $__________________
If asked by the school, I will provide documentation of receipt of SNAP benefits during 2012 and/or 2013
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