Fillable 19 20 Verification Ind

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19 20 Verification Ind

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2019-2020
Verification Worksheet – Independent Student
Office of Student Financial Aid
1021 Dulaney Valley Road
Baltimore, Maryland 21204-2794
P: 410-337-6141
F: 410-337-6504
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 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. Independent Student’s Information
________________________________ _____________________ _____________________
Student Last Name Student First Name Goucher ID Number
______________________________________________________________
Best Phone Number to Reach Student (include area code)
B. Independent Student’s Family Information
List below the people in your household. Include:
Yourself.
Your spouse, if you are married.
Your children, if any, if you will provide more than half of their support from July 1, 2019 through
June 30, 2020, even if they do not live with you.
Other people if they now live with you and you will provide more than half of their support from
July 1, 2019 June 30, 2020.
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
2 | 2019-2020 Independent Verification Worksheet Perceptive Content: FA Verification
C. Independent 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 obtain a 2017 Tax
Return Transcript from the IRS and submit that to our office.
□ No
If you did not, and were not required to file a 2017 Tax Return, then you must:
Submit an IRS Verification of Nonfiling Letter dated on or after October 1, 2018.
If you had income, then you must provide copies of 2017 W-2’s 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:
_____________________________________________________________
_____________________________________________________________
Did your spouse, if you are married, have any income in 2017?
□ Yes □ No □ I am not married
Did your spouse, if you are married, file a 2017 Federal IRS Tax Return?
□ Yes
If you filed jointly with your spouse and 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 obtain a 2017 Tax Return Transcript from the IRS for both you and your spouse and submit
to our office.
□ No
If your spouse did not, and was not required to file a 2017 Tax Return, then they must:
Submit your spouse’s IRS Verification of Nonfiling Letter dated on or after October 1, 2018.
If your spouse had income, then they must provide copies of 2017 W-2’s and/or 1099 forms
from ALL employers. Please contact the 2017 employer for replacement copies of W-2 forms as
needed.
If a W-2 or 1099 was not issued to your spouse for some reason, then please explain:
_____________________________________________________________
_____________________________________________________________
D. 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
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19 20 Verification Ind

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Completed 6 November 2019

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