Fillable 1718 DEP V1 (De Anza College)

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1718 DEP V1 (De Anza College)

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Page 1 of 3 04/11/17
FOOTHILL COLLEGE DE ANZA COLLEGE
FINANCIAL AID OFFICE FINANCIAL AID OFFICE
13245 El Monte Rd. 21250 Stevens Creek Blvd.
Los Altos Hills, CA 94022-4599 Cupertino, CA 95014-5793
Student’s Name: __________________________________________________________ (Student ID#) SID:___________________
Last First
Preferred Name (if different than above) ______________________________________________________________________________________
Last First
Because your FAFSA (Free Application for
Federal Student Aid) was selected for
‘Verification’, we must verify the tax information
reported for you and your parent(s). If there are
discrepancies, we will make the necessary
corrections to your FAFSA.
Note: If 2015 U.S. taxes were filed, try to use the IRS Data Retrieval Tool (IRS
DRT) through your FAFSA for each return. If you are either unable to use or choose
not to use the IRS DRT, you must attach an IRS Tax Return Transcript. If you did
not file taxes, you must attach a Verification of Non-filing Letter. To get these and
other types of transcripts, you can go to www.irs.gov/individuals/get-transcript or call
1-800-908-9946. Go to your campus’ Financial Aid webpage for more information.
Section A. Parent Tax Forms and Income Information
Important Note: The instructions on this page apply to each parent included in the household size as reported on the ‘Verification of
Household Size’ form. Notify the Financial Aid Office if your parents filed separate IRS income tax returns for 2015 or had a change
in marital status after December 31, 2015.
Do not submit this form until your parent(s) successfully complete the IRS DRT and/or have attached all required documents. If you
need clarification or are unable to obtain the necessary documents, please contact your campus’ Financial Aid Office.
Box 1: Complete this box only if your parents filed a 2015 Income Tax Return in any country.
Check and complete all that apply (you must be able to check at least one):
My parent(s) have successfully used the IRS Data Retrieval Tool (DRT) through my 2017-18 FAFSA to transfer their 2015 IRS income
tax return information.
My parent’s/parents’ 2015 Tax Return Transcript(s) is/are attached to this worksheet. (If your parents filed separate 2015 IRS income tax
returns, a 2015 IRS Tax Return Transcript must be provided for each parent.)
My parent(s) filed a second 2015 U.S. Tax Return (an ‘Amended Tax Return’) to make corrections to their first 2015 Tax Return. I have
attached both a signed copy of their filed 2015 Amended Tax Return (IRS Form 1040X) and a copy of their 2015 IRS Tax Return Transcript.
My parent(s) filed a 2015 Income Tax Return in a country other than the U.S. and a signed copy of that filed tax return, along with a
conversion of information to U.S. dollars, is attached to this worksheet.
Box 2: Complete this box only if one or both of your parent(s) did not file a 2015 Income Tax Return
in any country.
You must attach an IRS Verification of Non-filing Letter for 2015 for the parent(s) who did not file.
Check and complete all that apply:
I have attached an IRS Verification of Non-filing Letter for 2015 for the parent(s) who did not file.
My parent(s) were not employed and had no 2015 income earned from work (including business income, odd jobs, etc.).
One or both parents were employed in 2015 and have listed below the names of all employers, the amount earned from each
employer in 2015, and whether the employer provided a W-2 form.
List every source of income earned in or out of the U.S., even if a W-2 form was not issued. Include odd jobs, etc.
You must attach a copy of all W-2 forms issued. If a W-2 form was not issued, please attach an explanation.
Employer’s (source’s) Name
If more than one parent,
which one?
Amount earned in 2015
IRS W-2 Form
Issued?
If earned outside of the
U.S., which country?
Example:
Sarah’s Bakery
Father
$2,000
No
Canada
If you need more space, please attach a signed separate page with the students name and ID number at the top.
Page 2 of 3 04/11/17
____________________________________________________________________________ _______________________________
Student’s Last Name First Name SID
Section B. Student Tax Forms and Income Information
Important Note: The instructions on this page apply to income earned by the student.
Do not submit this form until you have successfully completed the IRS DRT and/or have attached all required documents. If you
need clarification or are unable to obtain the necessary documents, please contact your campus’ Financial Aid Office.
Complete either Box 1 or Box 2 (not both):
Box 1: Complete this box only if you (the student) filed a 2015 Income Tax Return in any country.
Check and complete all that apply (you must be able to check at least one):
I have successfully used the IRS Data Retrieval Tool (DRT) through my 2017-18 FAFSA to transfer my 2015 IRS income tax
return information.
I have attached my 2015 IRS Tax Return Transcript to this worksheet.
I filed a second 2015 U.S. Tax Return (an ‘Amended Tax Return’) to make corrections to my first 2015 Tax Return. I have
attached both a signed copy of my filed 2015 Amended Tax Return (IRS Form 1040X) and a copy of my 2015 IRS Tax Return
Transcript.
I filed a 2015 Income Tax Return in a country other than the U.S. and I have attached a signed copy of that filed tax return,
along with a conversion of information to U.S. dollars, to this worksheet.
Box 2: Complete this box only if you (the student) did not file a 2015 Income Tax Return in any country.
Check the box that applies:
I was not employed and had no income earned from work (including business income, odd jobs, etc.) in 2015.
I was employed in 2015 and have listed below the names of all employers, the amount earned from each employer in 2015,
and whether the employer provided a W-2 form.
List every source of income earned in or out of the U.S., even if a W-2 form was not issued. Include odd jobs, etc.
For more space, attach a signed separate page with the student’s name and ID number at the top.
You must attach a copy of all W-2 forms issued. If a W-2 form was not issued, please attach an explanation.
Employer’s (source’s) Name
Amount earned in 2015
IRS W-2 Form
Issued?
If earned outside of the U.S.,
which country?
Example:
Sarah’s Bakery
$2,000
No
Canada
If you need more space, please attach a signed separate page with the students name and ID number at the top.
Page 3 of 3 04/11/17
SECTION C. Family Information
Please list the following people in the chart below:
Yourself
The parent(s) you live with (including stepparent) or, if you’re not living at home, the parent(s) whose
information you provided on your 2017-18 FAFSA.
The listed parents’ other children only if: (a) the listed parent(s) will provide more than half of the children’s
financial support from July 1, 2017 through June 30, 2018; or (b) the children attend college at least half-time
and would be required to provide parental information when applying for financial aid.
Other people currently living with your listed parent(s) only if your parent(s) currently provide and will continue
to provide more than half of their financial support from July 1, 2017 through June 30, 2018.
Do not include any people who live with them but support themselves with their own income, even if they share
some expenses.
Full Name
Age
Relationship to Applicant
Name of College (if attending half-time or
more during the 2017-18 academic year)
Example:
Susan Jones
30
Self
(name of your primary college)
*NOTE: If you need more space, please attach an additional page with the student’s name and ID number at the top.
Section D. Sign This Worksheet
By signing this worksheet, we certify that all the information reported to qualify for federal student aid is complete
and correct. I understand that, periodically, additional documents and/or information may be requested of me and my
family by the Financial Aid Office. At least one parent must sign this form.
______________________________________________ ____________________________________________
Student’s Signature Date Parent’s Signature Date
_______________________________________
Parent’s Name Printed
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Completed 18 July 2020

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