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2018-19 V1 Standard Verification - Independent
___________________________________________ ______________________________
Student’s Last Name First Name M.I. Student’s Identification (ID) Number
___________________________________________ ______________________________
Student’s Street Address (include apt. no.) Student’s Date of Birth
___________________________________________ ______________________________
City State Zip Code Student’s Email Address
___________________________________________ ______________________________
Student’s Home Phone Number (include area code) Student’s Alternate or Cell Number
Number of Household Members and Number in College
List below the people in the student’s household
. Include:
The student.
The student’s spouse, if the student is married.
The student’s or spouse’s children if the student or spouse will provide more than half of their
support from July 1, 2018, through June 30, 2019, even if the children do not live with the student.
Other people if they now live with the student and the student or spouse provides more than half of
their support and will continue to provide more than half of their support through June 30, 2019.
For any household member who will be enrolled at least half time
in a degree, diploma, or certificate
program at an eligible postsecondary educational institution any time between July 1, 2018, and June 30,
2019, include the name of the college.
If more space is needed, provide a separate page that includes the student’s name and ID number at the top.
Full Name
Age
Relationship
College
Will be
Enrolled at
Least Half
Time
(YES or NO)
Self
Jacksonville University
Note: We may require additional documentation if we have reason to believe that the information regarding
the household members enrolled in eligible postsecondary educational institutions is inaccurate.
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Verification of 2016 Income Information for Student
Complete part A if you filed a 2016 tax return; complete part B if you did not file a tax return.
A. Tax Return Filers
Important Note: Important Note: The instructions below apply to the student and spouse, if the student is
married. Notify the financial aid office if the student or spouse filed separate IRS income tax returns for 2016
or had a change in marital status after the end of the 2017 tax year on December 31, 2017.
Instructions: Complete this section if the student and spouse filed
a 2016 IRS income tax return(s). The best
way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web at
FAFSA.gov. In most cases, no further documentation is needed to verify 2016 income information that was
transferred into the student’s FAFSA using the IRS DRT if that information was not changed. DRT is not
available if married filing separately, if filing a foreign income tax return, or if filing an amended tax return.
Contact the financial aid office if more information is needed about using the IRS DRT.
Check the box that applies:
The student (and spouse) have used
the IRS DRT in FAFSA on the Web to transfer 2016 IRS income
tax return information into the student’s FAFSA.
The student (and spouse) have provided the school a 2016 IRS Tax Return Transcript(s).
http://www.irs.gov/Individuals/Get-Transcript
If the student and spouse filed separate 2015 IRS income tax returns,
the IRS DRT cannot be used
and a 2016 IRS Tax Return Transcripts must be provided for both.
A 2016 IRS Tax Return Transcript may be obtained through:
Get Transcript by MAIL – Go to www.irs.gov
, under the Tools heading, click "Get a tax
transcript.” Click “Get Transcript by MAIL.” Make sure to request the “IRS Tax Return
Transcript” and NOT the “IRS Tax Account Transcript.
Automated Telephone Request – 1-800-908-9946
Paper Request Form – IRS Form 4506T-EZ or IRS Form 4506-T
In most cases, for electronic tax return filers, 2016 IRS income tax return information is available for
the IRS DRT or the IRS Tax Return Transcript within 2–3 weeks after the 2016 electronic IRS income
tax return has been accepted by the IRS. Generally, for filers of 2016 paper IRS income tax returns,
the 2016 IRS income tax return information is available for the IRS DRT or the IRS Tax Return
Transcript within 6–8 weeks after the 2016 paper IRS income tax return has been received by the IRS.
Contact the financial aid office if more information is needed about using the IRS DRT or obtaining an
IRS Tax Return Transcript.
B. Non-filers
The instructions and certifications below apply to the student and spouse. Complete this section if the student
will not file and is not required to file a 2016 income tax return with the IRS.
Note: If amount earned from work is greater than $10,350 if single, $20,700 if married under 65, or $16,650
if widow(er) with a dependent child then you are required to file and must submit an IRS Tax Return
Transcript or use the IRS Data Retrieval link in your FAFSA. For more information on tax filing
requirements, visit www.irs.gov/publications/p17/.
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Check the box that applies:
The student (and/or spouse) was not employed and had no income earned from work in 2016.
The student (and/or spouse) was employed in 2016 and has listed below the names of all employers,
the amount earned from each employer in 2016, and whether an IRS W-2 form is provided. [Provide
copies of all 2016 IRS W-2 forms issued to the student by their employers]. List every employer
even if the employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Employer’s Name
2016 Amount
Earned
IRS W-2 Provided?
Suzy’s Auto Body Shop (example)
$2,000
Yes
Individuals selected for verification that did not file a 2016 IRS income tax return are required to obtain a
“Verification of Nonfiling” letter from the IRS. The request for “Verification of Nonfiling” can be obtained
online at www.IRS.gov:
1. Click on the “Get Transcript of Your Tax Records” link.
2. Select “Verification of Nonfiling Letter” and follow instructions.
Or you may use IRS Form 4506-T and check box 7 (Form 4506-T must be mailed directly to the IRS).
Please note, a taxpayer may fail to file a tax return even though there is a filing requirement; the verification
letter does not address whether or not the taxpayer should have filed a tax return.
Check here if confirmation of nonfiling is provided.
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
______________________________________ _________________________
Print Student’s Name Student’s ID Number
__________________________________________ _________________________
Student’s Signature (required) Date
__________________________________________ _________________________
Spouse’s Signature (if applicable) Date
or misleading information you may be
fined, be sentenced to jail, or both.
click to sign
signature
click to edit
click to sign
signature
click to edit
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Save the completed form and return as an email attachment to the appropriate financial aid counselor listed
below:
Online students and Speech Pathology students:
Brooke Sellars bsellar@ju.edu
Students utilizing Veterans’ benefits:
Kerry Boggus kboggus@ju.edu
All other students are sorted by last name.
Students Last Names A Ge
Sherry Bruggemann sbrugge@ju.edu
Students Last Names Gh – N
Rob Lowman rlowman@ju.edu
Students Last Names O – Z
Misty Pippin mpippin1@ju.edu