Revised6‐26‐19
2019 - 2020 DEPENDENT
Verification Worksheets
Please Type or Print clearly in BLUE or BLACK ink
Federal Student Aid Programs: Your application was selected for review in a process called “Verification. In this process, the Office of
Financial Aid will be comparing information from your application with your (and your parent(s), if a dependent student or your spouse, if an
independent student) financial documents. We are required to review your FAFSA information under financial aid program rules (34 CFR, Part
668). The law states we have the right to ask you for this information before awarding Federal Aid. If there are differences between your application
information and your financial documents, corrections to your FAFSA may be required.
Dependent Student Information
______________________________________________________ ________________________________
Student’s Last Name Student’s First Name Student’s M.I. Southern Crescent Student ID #
____________________________________________________________
Student’s Street Address (include apt. no.) Student’s Date of Birth
____________________________________________________________
City State Zip Code Student’s Email Address
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Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number
Dependent Student’s Family Information
List below the people in your parent(s)’ household. Include:
Yourself.
The parents (including a stepparent) even if the student doesn’t live with the parent.
 The parents’ other children, if the parents will provide more than half of their support from July 1, 2019, through June 30,
2020, or if the other children would be required to provide parental information if they were completing a FAFSA for 2019-
2020. Include children who meet either of these standards even if the children do not live with the parents.
Other people if they now live with the parents and the parents provide more than half of their support and will
continue to provide more than half of their support through June 30, 2020.
Include the name of the college for any household member, excluding the parents, 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, 2019, and June 30
2020. If more space is needed, attach a separate page with your name and Social Security Number at the top.
Full
Name
Age
Relationship
College
Will be Enrolled
at
Least Half
Time
Marty Jones(example)
28
Wife
Central University
Yes
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Self
Southern Crescent Tech College
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Office of Financial Aid
501 Varsity Road 1533 Hwy 19 South 300 Lakemont Drive
Griffin, GA 30223 Thomaston, GA 30286 McDonough, GA 30253
770-228-7368 p 706-646-6386 p 770-914-4411 p
770-229-3029 f 706-646-6063 f 770-229-3236 f
Student’s
Name:
SCTC #:
Revised6‐26‐19
Dependent Student’s Income Information to Be Verified
1.
TAX RETURN FILERSImportant Note: If the student filed, or will file, an amended 2017 IRS tax return, you must
contact your financial aid administrator before completing this section.
Instructions: Complete this section if you, the student, filed or will file a 2017 income tax return with the IRS. The best way
to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at FAFSA.ed.gov. In
most cases, no further documentation is needed to verify 2017 IRS income tax return information that was transferred into
the student’s FAFSA using the IRS DRT if that information was not changed.
Check the box that applies:
I, the student, have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my 2017 IRS income information
into my FAFSA.
I, the student, have not yet used the IRS Data Retrieval Tool, but I will use the tool to transfer my 2017 IRS income
information into my FAFSA once I have filed my 2017 IRS tax return.
I, the student, am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to
the school 2017 IRS tax return transcript(s)
To obtain a 2017 IRS tax return transcript, go to www.IRS.gov and click on the “Order a Return or Account
Transcript” link, or call 1-800-908-9946. Make sure to request the “IRS tax return transcript” and not the “IRS tax
account transcript.” You will need your Social Security Number, date of birth, and the address on file with the IRS
(normally this will be the address used when your 2017 IRS tax return was filed). It takes up to two weeks for IRS
income information to be available for electronic IRS tax return filers, and up to eight weeks for paper IRS tax return
filers.
Check here if a 2017 IRS tax return transcript(s) is attached to this worksheet.
2.
TAX RETURN NONFILERS—Complete this section if you, the student will not file and are not required to file a
2017 income tax return with the IRS.
Check the box that applies:
The student was not employed and had no income earned from work in 2017.
The student was employed in 2017 and has listed below the names of
all employers,
the amount earned from each
employer in 2017, and whether an IRS W-2 form is attached. Attach copies of all 2017 W-2 forms issued to you (and, if
married, to your spouse) by employers. List every employer even if employer did not issue an IRS W-2 form. If more
space is needed, attach a separate page with your name and SSN at the top.
Employer’s Name 2017 Amount Earned IRS W-2 Attached?
Suzy’s Auto Body Shop (example) $2,000.00
Yes
Student’s
Name:
SCTC #:
Revised6‐26‐19
Parent’s Income Information to Be VerifiedNote: If two parents were reported in Section B of this worksheet, the
instructions and certifications below refer and apply to both parents.
1. TAX RETURN FILERSImportant Note: If the student’s parent(s), filed or will file, an amended 2017 IRS tax return,
the student’s financial aid administrator must be contacted before completing this section.
Instructions: Complete this section if the student’s parent(s) filed or will file a 2017 income tax return with the IRS. The
best way
to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at
FAFSA.ed.gov. In most cases, no further documentation is needed to verify 2017 IRS income tax return information that
was transferred into the student’s FAFSA using the IRS DRT if that information was not changed.
Check the box that applies:
The parents have used the IRS DRT in FAFSA on the Web to transfer 2017 IRS income tax return information into
the student’s FAFSA.
The parents have not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2017
IRS income tax return information into the student’s FAFSA once the 2017 IRS income tax return has been
filed.
The parents are unable or choose not to use the IRS DRT in FAFSA on the Web, and instead will provide the school
a 2017 IRS Tax Return Transcript(s).
To obtain a 2017 Tax Return Transcript, go to www.IRS.gov and click on the “Order a Return or Account
Transcript” link, or call 1-800-908-9946. Make sure to request the “IRS Tax Return Transcript” and not the “IRS
Tax Account Transcript.” The parent will need his/her Social Security Number, date of birth of the first person listed
on the 2017 IRS tax return, and the address on file with the IRS (normally this will be the address used on the 2017
IRS income tax return). It takes up to two weeks for IRS income information to be available for electronic IRS tax
Return filers. If the parents are married, and separate 2017 tax returns were filed, 2017 IRS tax return transcripts
must be submitted for each parent.
Check here if an IRS tax return transcript(s) is attached to this worksheet.
2. TAX RETURN NONFILERS Complete this section if the student’s parent(s) will not file and is not required to file a
2017 income tax return with the IRS.
Check the box that applies:
The parent(s) was not employed and had no income earned from work in 2017.
The parent(s) was employed in 2017 and has listed below the names of all the parent’s employers, the amount earned
from each employer in 2017, and whether an IRS W-2 form is attached. Attach copies of all 2017 IRS W-2 forms
issued to the parent(s) by employer(s). List every employer even if they did not issue an IRS W-2 form. If more space is
needed, attach a separate page with the students name and Social Security Number at the top.
Employer’s 2017 Amount Earned IRS W-2 Attached?
Suzy’s Auto Body Shop (example) $2,000.00 (example) Yes (example)
Student’s
Name:
SCTC #:
Revised6‐26‐19
Certification and Signature
Each person signing below certifies that all of the information
reported on this worksheet is complete and correct. The
student must sign this worksheet. If married, the spouse’s
signature is optional.
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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Student’s Signature Date
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Parent’s Signature Date
Please submit this worksheet to the Office of Financial Aid!
As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race, color,
national origin, sex, age or disability.
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