Fillable 2019-2020 Dependent Student Verification Worksheet One Winooski Park, (Saint Michael's College)

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2019-2020 Dependent Student Verification Worksheet One Winooski Park, (Saint Michael's College)

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F19VERIF
2019-2020 Dependent Student Verification Worksheet
Student Name: SMC ID#
Household Information:
Please list the name, age and relationship to the student of each member of the parents’ household. If any member of
the household will be enrolled at least half-time in a degree or certificate program at an eligible school between July 1,
2019 and June 30, 2020, enter the name of the college at which s/he will be enrolled. Include the following people in
the parents’ household:
• You (the student) even if you do not live with your parents;
• Your parent(s) including a step-parent;
• Your parents’ other children if your parents will provide more than half of their support between July 1, 2019
and June 30, 2020 or if they would be required to provide parental information if completing a 2019-2020
FAFSA;
• Other people if they now live with your parents and your parents provide more than half of their support and
will continue to provide more than half of their support between July 1, 2019 and June 30, 2020.
• If your parents are divorced or separated and do not live together, include only the parent whom you lived with
the most in the year leading up to the date you filed your 2019-2020 FAFSA or, if you lived with both parents
equally, the parent who provided more financial support in the year leading up to the date you filed your 2019-
2020 FAFSA. If that parent is remarried, include his or her spouse.
• If your legal (biological, adoptive or as determined by your state) parents are not married but live together,
include both parents and answer all questions about both parents.
Full Name Age Relationship
Name of College/University
(If at least half-time 2019-2020)
Self
Saint Michael's College
**CONTINUE TO PAGE 2**
Office of Student Financial Services
One Winooski Park, Box 4
Colchester, VT 05439
Tel. 802-654-3243
Fax: 802-654-2591
E-mail: finaid@smcvt.edu
F19VERIF
Student Tax Filing Status & Income from Work: Check one box below that applies to you and provide any requested information.
I have filed or will file a 2017 U.S. or foreign income tax return (IRS Form 1040, 1040A, 1040EZ, 1040PR or similar foreign tax
return). Please do one of the following:
• Update your 2019-2020 FAFSA with your unaltered 2017 IRS tax return information using the FAFSA-IRS Data
Retrieval Tool OR;
• Provide a copy of your SIGNED 2017 IRS Tax Return or Tax Return Transcript and all 2017 W-2 Statements
I have not, will not and am not required to file a 2017 US or foreign income tax return, but I did earn income from work in
2017. In the table below, list the sources and amounts of all income earned from work in calendar year 2017 (include SMC
income) and provide 2017 W-2 Statements.
Source of earnings
(Only list earnings if you worked but did NOT file a 2017 tax return)
Amount Earned
in 2017
$
$
$
Total 2017 Earnings $
I did not earn any income from work in 2017. I have not, will not and am not required to file a 2017 income tax return. Do not
enter any information above, please leave the table blank. No documents are required in this scenario.
Parent Tax Filing Status & Income from Work: Check one box below indicating parents’ 2017 status and provide all requested
information.
I/we have filed or will file a 2017 U.S. or foreign income tax return (IRS Form 1040, 1040A, 1040EZ, 1040PR or foreign tax
return). Please do one of the following:
• Update your 2019-2020 FAFSA with your unaltered 2017 IRS tax return information using the FAFSA-IRS Data
Retrieval Tool OR;
• Provide a copy of your SIGNED 2017 IRS Tax Return or Tax Return Transcript and all 2017 W-2 Statements
I/we have not, will not and am not required to file a 2017 US or foreign income tax return, but did earn income from work in
2017. Please do both of the following:
• Provide an IRS Verification of Non-Filing Status dated on or after October 1, 2018 AND;
• In the table below, list the sources and amounts of all income earned from work in calendar year 2017 and provide
2017 W-2 Statements.
Source of earnings
Amount Earned
in 2017
Total 2017 Earnings $
I/we did not earn work in 2017. I/we have not, will not and am not required to file a 2017 US of foreign tax return. Provide an
IRS Verification of Non-Filing Status dated on or after October 1, 2018. Do not enter any information in the table above.
CERTIFICATION: I certify that all the information reported on this form is true, complete and correct. I understand that any false statements
could be cause for denial, reduction, withdrawal or repayment of financial aid.
Please print and sign before submitting. We CANNOT accept digital signatures.
Student Signature Date
Parent Signature Parent Printed Name Date
WARNING: If you purposely give false or
misleading information, you may be fined, sent
to prison, or both.
F19VERIF
Instructions for Obtaining IRS Tax Return Transcripts
FAFSA IRS Data Retrieval Tool Recommended
The most efficient way to provide your IRS
tax information is by using the
IRS Data Retrieval Tool (DRT) within your
2019 - 2 0 FAFSA.
In many cases, no further income verification
documentation is required when using this tool as
long as the information is unchanged.
•
Go to www.fafsa.gov and Login.
•
Select “Make FAFSA Corrections”
•
Select the Financial Information tab & look
for the “Link to IRS” option. Be sure to
enter your address exactly as it appears on
your 2017 Federal Income Tax Return.
•
Once the IRS data transfer is complete,
electronically SIGN and SUBMIT your FAFSA.
IMPORTANT: If you use the Data Retrieval Tool to link your tax information, please do not
submit paper copies of Tax Return Transcripts unless requested by Student Financial Services.
2017 IRS Tax Return Transcripts
Online Request
•
Go to irs.gov and select “Get My Tax Record”
•
Select “Get Transcript ONLINE” or “Get Transcript by MAIL.”
•
“Get Transcript ONLINE” requires authentication and creation of an irs.gov account.
•
Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.”
•
Make sure your request is for your calendar year 2017 Tax Return Transcript
Telephone Request - 1-800-908-9946
Paper Request Form - IRS Form 4506T-EZ or IRS Form 4506-T
**There are several types of IRS Tax Transcripts. Be sure to request a Tax Return Transcript**
2017 IRS Verification of Non-Filing
If requested, provide an IRS Verification of Non-Filing Status Letter dated on or after October 1, 2017.
•
Download IRS Form 4506-T at https://www.irs.gov/pub/irs-pdf/f4506t.pdf
•
Complete lines 1-4 following the instructions on the last page of the form.
•
Do NOT list Saint Michael’s College on line 5. Have the Verification of Non-filing Status Letter sent to you.
•
Line 7: Check the box on the right hand side for Verification of Non-filing
•
Line 9: Enter 12/31/2017 in the year or period requested field.
•
Sign and date the form.
•
Mail or fax the completed IRS Form 4506-T to the address/fax number provided on the last page of the form
for your filing address.
•
Verification of Non-Filing Status should be mailed within 5 to 10 business days after successful receipt and
validation by the IRS.
•
Make a copy for your records and send the original, to Student Financial Services.
•
Please be sure to note the student’s name and SMC ID on the Verification of Non-filing Status.
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2019-2020 Dependent Student Verification Worksheet One Winooski Park, (Saint Michael's College)

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Completed 24 July 2020

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