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0910IVWS (Cerritos College)

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The 0910IVWS (Cerritos College) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Cerritos College

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Your application was selected for review in a process called
“Verification.” In this process, your school will be comparing
information from your application with signed copies of your
(and your spouse’s, if you are married) 2008 Federal tax forms,
or with W-2 forms or other financial documents. The law says
we have the right to ask you for this information before awarding
Federal aid. If there are differences between your application in-
formation and your financial documents, you or your school may
need to make corrections electronically or by using your Student
Aid Report (SAR).
Complete this verification form and submit it to your financial
aid administrator as soon as possible, so that your financial aid
won’t be delayed. Your financial aid administrator will help you.
What you should do
1. Collect your (and your spouse’s) financial documents (signed
Federal income tax forms, W-2 forms, etc.).
2. Talk to your financial aid administrator if you have questions
about completing this worksheet.
3. Complete and sign the worksheet.
4. Submit the completed worksheet, tax forms, and any other
documents your school requests to your financial aid
administrator.
5. Your financial aid administrator will compare information on
this worksheet and any supporting documents with the
information you submitted on your application. You or your
school may need to make corrections electronically or by
using your SAR.
A. Student Information
Last name First name M.I.
Address (include apt. no.)
City State ZIP Code
Social Security Number
Date of birth
Phone number (include area code)
B. Family Information
List the people in your household, including:
• yourself, and your spouse if you have one, and
• your children, if you will provide more than half of their support from July 1, 2009 through June 30, 2010, even if they do not live
with you, and;
• other people if they now live with you, and you provide more than half of their support and will continue to provide more than half
of their support from July 1, 2009 through June 30, 2010.
2009-2010 Verification Worksheet
Federal Student Aid Programs
U.S. Department
of Education
FORM APPROVED
OMB NO. 1845-0041
Full Name Age Relationship College
Martha Jones (example) 24 Wife City University
Self
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection
is 1845-0041. The time required to complete this information collection is estimated to average twelve minutes, including the time to review instructions, search existing data resources, gather the data needed, and complete and re-
view the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: US Department of Education, Washington, DC 20202-5345.
Independent
Write the names of all household members in the space(s) below. Also write in the name of the college for any household member,
excluding your parent(s), who will be attending at least half time between July 1, 2009 and June 30, 2010, and will be enrolled in a
degree, diploma, or certificate program. If you need more space, attach a separate page.
Student ID #:
C. Student’s Tax Forms and Income Information (all applicants)
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, be
sentenced to jail, or both.
Each person signing this form certifies that all the information reported
on it is complete and correct. If married, spouse’s signature is optional.
E. Sign this Worksheet
Student Date
Do not mail this worksheet to the Department of Education. Submit this worksheet to your
Financial Aid Administrator at your school. Don’t forget to sign your tax forms.
1. Check only one box below. Tax returns include the 2008 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico
or a foreign income tax return. If your spouse did not keep a copy of the tax return, request a copy from the tax preparer
or request an Internal Revenue Service form that lists tax account information.
D. Spouse’s Tax Forms and Income Information (if student is married)
Check here if you are attaching a signed copy of your tax return.
Check here if a signed tax return will be submitted to the school by ______________________(date).
Check here if you will not file and are not required to file a 2008 U.S. Income Tax Return.
1. Check only one box below. Tax returns include the 2008 IRS Form 1040, 1040A, 1040EZ, a tax return from
Puerto Rico or a foreign income tax return. If you did not keep a copy of your tax return, request a copy from your tax
preparer or request an Internal Revenue Service form that lists tax account information.
3. If you did not file and are not required to file a 2008 Federal income tax return, list below your employer(s) and any
income received in 2008 (use the W-2 form or other earnings statements if available).
2. Funds received for child support and other untaxed income. (See Question 47 of the Free Application for Federal Student
Aid (FAFSA).)
Check here and attach spouse’s signed tax return if your spouse filed a separate return.
Check here if a signed spouse’s tax return will be submitted to the school by ______________________(date).
Check here if your spouse will not file and is not required to file a 2008 U.S. Income Tax Return.
3. If your spouse did not file and is not required to file a 2008 Federal income tax return, list below your spouse’s
employer(s) and any income received in 2008 (use the W-2 form or other earnings statements if available).
2. Funds received for child support and other untaxed income. (See Question 47 of the FAFSA.)
Sources 2008 Income
Independent
a. Child Support
b. Workman’s Compensation
c. Untaxed Pensions
d.
e.
f.
Check here if you are attaching a signed copy of your and your spouse’s joint tax return.
$
$
$
$
$
$
Sources of Untaxed Income 2008 Amount Sources of Untaxed Income 2008 Amount
a. Child Support
b. Workman’s Compensation
c. Untaxed Pensions
d.
e.
f.
$
$
$
$
$
$
Sources of Untaxed Income 2008 Amount Sources of Untaxed Income 2008 Amount
$
$
$
Sources 2008 Income
$
$
$
Spouse Date
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0910IVWS (Cerritos College)

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Completed 20 July 2020

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