Fillable 20172018 V5 Complete Verification Dependent Student (South Puget Sound Community College)

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20172018 V5 Complete Verification Dependent Student (South Puget Sound Community College)

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The 20172018 V5 Complete Verification Dependent Student (South Puget Sound Community College) form is 3 pages long and contains:

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Office Use Only
Financial Aid
File Reviewer
2017–2018 V5 Complete Verification
Dependent Student
Your 2017–2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called Verification. The law
states that before awarding Federal Student Aid, we must ask you to confirm the information you reported on your FAFSA. To verify that
you provided correct information, the Student Financial Services Office will compare your FAFSA with the information on this
worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected.
You must complete and sign this worksheet, attach any required documents and submit the form and other required documents to the One
Stop in Building 22 at South Puget Sound Community College. Student Financial Services may ask for additional information. If you
have questions about Verification, contact Student Financial Services at (360) 596-5252 as soon as possible so that your financial aid will
not be delayed.
DO NOT LEAVE BLANK- READ AND COMPLETE ALL SECTIONS!
1. Student Information
Last Name First Name M.I. SSN
Email Phone SID
2. Household Information
Please complete the table below, include:
Yourself
Your parent(s) (including a stepparent) even if you don’t
live with your parent(s).
Other people if they now live with your parent(s) and
your parent(s) provides more than half of their support
and will continue to provide more than half of their
support through June 30, 2018.
Your parent(s)’ other children if your parent(s) will
provide more than half of their support from July 1,
2017 through June 30, 2018. Include children unless
parent(s) reported paid child support for the child on the
FAFSA.
Include the name of the college for any household
member, who will be enrolled, at least half time in a
degree, diploma, or certificate program at a
postsecondary educational institution any time between
July 1, 2017 and June 30, 2018. If more space is
needed, attach a separate page with the student’s name
and Social Security Number at the top.
Full Name
Age
Relationship
College (if applicable)
self
South Puget Sound Community College
3. 2015 Income Information
Instructions for 2015 Tax Filers: Complete the applicable section if the student or parent(s) filed a 2015 IRS income tax
return(s). The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA.
Student
The Student used the IRS Data Retrieval Tool (DRT) on the
FAFSA to transfer the 2015 IRS income tax information
into the FAFSA.
The Student is unable or chose not to use the IRS DRT on
the FAFSA, and instead will provide the school with a 2015
IRS Tax Return Transcript. See Step 4 for Instructions on
obtaining Tax Transcript.
The student was previously selected for verification for
2016-2017 and the Student submitted a 2015 TRS Tax
Transcript to SPSCC Financial Aid Office. SPSCC
Financial Aid is able to use the previously submitted 2015
Tax Transcript for 2017-2018 applications.
Parent
The Parent(s) used the IRS Data Retrieval Tool (DRT) on
the FAFSA to transfer the 2015 IRS income tax
information into the FAFSA.
The Parent(s) is unable or chose not to use the IRS DRT
on the FAFSA and instead will provide the school with a
2015 IRS Tax Return Transcript. See Step 4 for
Instructions on obtaining Tax Transcript.
The student was previously selected for verification for
2016-2017 and the Parent(s) submitted a 2015 IRS Tax
Transcript to SPSCC Financial Aid Office. SPSCC
Financial Aid is able to use the previously submitted 2015
Tax Transcript for 2017-2018 applications.
Instructions for 2015 Non-tax Filers: Complete this section if the student or spouse (if married) will not file and are not
required to file a 2015 income tax return with the IRS. Non-tax Filers are required to provide a signed statement of Non-
filing. See Step 4 for the requirements of a Statement of Non-filing for 2015.
Student
The student did not file a 2015 Tax Return and had no
income from work in 2015 and I am providing a statement
of Non-filing for 2015.
See Step 4.
The student did not file a 2015 Tax Return and was
employed in 2015. List all employers and income earned
below AND attach W-2 forms. I am providing a statement
of Non-filing for 2015.
Employer’s Name
Earnings in 2015
Parent(s)
The Parent(s) did not file a 2015 Tax Return and had no
income from work in 2015 and I am providing a statement
of Non-filing for 2015.
See Step 4.
The Parent(s) did not file a 2015 Tax Return and was
employed in 2015. List all employers and income earned
below AND attach W-2 forms. I am providing a statement
of Non-filing for 2015.
Employer’s Name
Earnings in 2015
4. IRS Tax Transcript or Verification of Non-filing Letter Request Options
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.”
Get Transcript ONLINE – Go to www.irs.gov
, under the Tools heading, click "Get a tax transcript." Click “Get
Transcript ONLINE.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account
Transcript.”
Attach a Signed Statement indicating that you were not required to file taxes and explain why. Please include how
you supported yourself and your dependents on $0.00 income for the period of January 1, 2015 – December 31, 2016
and currently. Follow up clarification may be required.
OFFICIAL OFFICE USE ONLY
5. High School Completion Status
Yes, I have a high school diploma, GED or have completed my homeschooling requirements and I’m submitting the following
documentation:
I have previously submitted documentation to the One Stop at SPSCC
Official High School Transcript
Copy of High School Diploma
Academic Transcripts (if student completed at least 2-years towards a Bachelor’s Degree)
Secondary School Leaving Certificate – If completed Secondary Education in a Foreign Country
State Certificate or Transcript (GED, HiSET, TASC or other Statue Exam)
Letter from school district confirming homeschooling requirements met
I will provide documentation on: (your file will not be complete until document is received)
No, I do not have a high school diploma or GED, nor have I completed homeschooling requirements.
6. Educational Purpose
The student must appear in person at South Puget Sound Community College to verify their identity by presenting an
unexpired valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued
ID, or passport. The institution will maintain a copy of the student’s photo ID that is annotated by the institution with the
date it was received and reviewed, and the name of the official at the institution authorized to receive and review the
student’s ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided
below.
Statement of Educational Purpose
I certify that I, am the individual signing this statement of
Educational Purpose and that the federal student financial assistance I may receive will only be used for
educational purposes and to pay the cost of attending South Puget Sound Community College for 2017-2018.
Student Signature Date
ID TYPE Driver License Passport State ID Military Other
STAFF ID
7. Certification and Signature
The student (and parent if student is dependent) must sign and
date this worksheet. By signing, you certify that all of the
information reported on this worksheet is complete and correct.
Student’s Signature Date
Parent’s Signature (if dependent student only) Date
THIS FORM MUST BE SUBMITED IN PERSON to the One Stop in Building 22 at South Puget Sound Community College.
South Puget Sound Community College - Student Financial Services
2011 Mottman Road SW
Olympia, WA 98512
Phone: (360) 596-5241
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, be
sentenced to jail, or both.
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20172018 V5 Complete Verification Dependent Student (South Puget Sound Community College)

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Completed 30 July 2020

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