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19 20 Verification Dep

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2019-2020
Verification Form – Dependent Student
Office of Student Financial Aid
1021 Dulaney Valley Road
Baltimore, Maryland 21204-2794
P: 410-337-6141
F: 410-337-6504
Scan/Upload: goucher.edu/faupload
E: finaid@goucher.edu
Your 2019-2020 FAFSA was selected for a process called verification, and therefore Goucher College needs to confirm information reported on your
FAFSA. If there are differences between your FAFSA and the information provided for verification, your FAFSA may need to be corrected. You and
at least one parent must submit this completed and signed worksheet, along with any required documents to the Office of Student Financial Aid at
Goucher College. If any corrections change your eligibility for any financial aid programs, a revised financial aid notice will be sent.
A. Dependent Student’s Information
________________________________ _____________________ _____________________
Student Last Name Student First Name Goucher ID Number
______________________________________________________________
Best Phone Number to Reach Student (include area code)
B. Dependent Student’s Family Information
List below the people in your parent(s)’ household. Include:
Yourself and your parent(s) (including a stepparent if applicable). Do not include a non-custodial parent.
(If clarification is needed for divorced/separated/remarried/widowed parents, please visit:
http://studentaid.ed.gov/sa/fafsa/filling-out/parent-info)
Your parent(s)’ other children if your parent(s) will provide more than half of their support from July 1, 2019
through June 30, 2020.
Other people if they now live with your parent(s) and your parent(s) will provide more than half of their
support through June 30, 2020. (Additional documentation of support may be required, depending on the
age and relationship of the individual.)
Full Name
Age
Relationship
Attending College
at Least Half Time
in 2019-2020?*
Name of College*
Missy Jones (example)
18
Sister (example)
Yes (example)
Central University (example)
Self
Goucher College
* Parents should be listed in the household, but will not be counted as a household member in college for financial aid purposes.
2 | 2019-2020 Dependent Verification Worksheet Perceptive Content: FA Verification
C. Dependent Student’s Financial Information to be Verified
Did you, the student, have any income in 2017?
□ Yes □ No
Did you, the student, file a 2017 Federal IRS Income Tax Return?
□ Yes
If you have not already done so, please use the IRS Data Retrieval Tool (DRT) in your FAFSA
application. If you are unable or unwilling to use the DRT, then you will need to order a 2017 Tax
Return Transcript from the IRS and submit that to our office.
□ No
If you had no income, then no further action should be required.
If you had income, then you must provide copies of 2017 W-2 and/or 1099 forms from ALL
employers. Please contact your 2017 employer for replacement copies of W-2 forms as needed.
If a W-2 or 1099 was not issued to you for some reason, then please explain:
___________________________________________________________________
___________________________________________________________________
D. Parent(s) Financial Information to be Verified
Did your parent(s) file a 2017 Federal IRS Tax Return?
(Note: If two parents were reported in Section B of this worksheet, these questions and instructions apply to both parents.)
□ Yes
If you have not already done so, please have your parent use the IRS Data Retrieval Tool (DRT) in
your FAFSA application. If they are unable or unwilling to use the DRT, then they will need to obtain a
2017 Tax Return Transcript from the IRS and submit that to our office.
□ No
If your parent(s) did not, and was/were not required to file a 2017 Tax Return, they must:
Submit an IRS Verification of Nonfiling Letter dated on or after October 1, 2018.
Provide copies of all 2017 W-2 and/or 1099 forms. Replacement W-2 forms may be obtained
from your employer or by requesting a Wage and Income Transcript from the IRS.
If a W-2 or 1099 was not issued to your parent(s) for some reason, then please explain:
___________________________________________________________________
___________________________________________________________________
E. Sign and Date - (ELECTRONIC SIGNATURES NOT ACCEPTED. Please print & sign in ink.)
By signing this form, I/we certify all information reported on this form & within the enclosed documentation is complete & correct.
_________________________________________________ _____________________________
Student Signature Date
_________________________________________________ _____________________________
Parent Signature (Must be a parent listed in section B.) Date
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19 20 Verification Dep

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Completed 6 November 2019

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