Fillable 2019-2020 Verification Worksheet Dependent Student (New Jersey City University)

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2019-2020 Verification Worksheet Dependent Student (New Jersey City University)

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The 2019-2020 Verification Worksheet Dependent Student (New Jersey City University) form is 2 pages long and contains:

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File type: PDF

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FORM TYPE: VWD
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Portal and upload form to
MY ATTACHMENTS
Your 2019-2020 Free Application for Federal Student Aid (FAFSA) was selected for verification. Verification is the process used to confirm that
the data reported on your FAFSA form is accurate. The law states that the verification process must be completed before disbursing Federal
Student Aid. We may ask for additional information, if necessary, for clarification. If you have questions about verification, contact the financial
aid office as soon as possible so that your financial aid will not be delayed.
2019-2020 Verification Worksheet – Dependent Student
A. DEPENDENT STUDENT’S INFORMATION – Please fill in with the student’s information.
Student’s Last Name
First Name
M.I.
Student’s ID Number
Permanent Street Address (include apt. no.)
Student’s Date of Birth
City
State
Zip Code
Student’s Email Address
Student’s Home Phone Number
Student’s Alternate or Cell Phone Number
B. DEPENDENT STUDENT’S FAMILY INFORMATION – List the people in your parent(s)’ household.
Include:
• Yourself
• Your parent(s) you live with (including stepparent), and
• That parents’ other children, if your parent(s) will provide more than half of their support from July 1, 2019 through
June 30, 2020, or the children would be required to provide parental information when applying for Federal Aid, and
• Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will
continue to provide more than half of their support from July 1, 2019 through June 30, 2020
Also, write in the name of the college for any noted above, excluding parent(s), who will be attending college at least half- time
between July 1, 2019 and June 30, 2020, and will be enrolled in a degree, diploma, or certificate program.
Full Name
Age
University/College
Will be Enrolled at
Least Half Time
Missy Jones (example)
18
Central University
Yes
If more space is needed, attach a separate page with the student’s name and ID number at the top.
C. TAX RETURN FILERS
If student and/or parent filed a tax return and did not utilize the IRS Data Retrieval process, a copy of the 2017 FEDERAL TAX
RETURN TRANSCRIPT(S) or SIGNED 2017 TAX RETURN must be submitted. To request a copy of the 2017 FEDERAL
TAX RETURN TRANSCRIPT from the Internal Revenue Service, call (800) 908-9946 or go to www.IRS.gov.
Important Note: If the student or parent(s) filed, or will file, an amended 2017 IRS tax return, please contact your financial aid
administrator before completing this section.
Office of Financial Aid
Hepburn Hall, Room 215
2039 John F. Kennedy Boulevard | Jersey City, NJ 07305
Phone: (201) 200-3173| Fax: (201) 200-3181 | Email: financialaid@njcu.edu
FORM TYPE: VWD
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MY ATTACHMENTS
D. TAX RETURN NON-FILERS
If student and/or parent did not and are not required to file a 2017 income tax return they must submit an IRS VERIFICATION
OF NON-FILING LETTER dated on or after 10/1/2017 for tax year 2017 whether or not you were employed. To request a copy
of the VERIFICATION OF NON-FILING LETTER (VNF) from the Internal Revenue Service, call (800) 908-9946 or go to
www.IRS.gov. If you’re unable to obtain a VNF, you must submit a signed NJCU Non-Filing statement; which can be found on
our website: https://www.njcu.edu/admissions/financial-aid/financial-aid-forms
E. STUDENT INCOME INFORMATION
The student has used the IRS DRT in FAFSA on the Web to transfer 2017 IRS income tax return information into the
student’s FAFSA.
The student is unable or chooses not to use the IRS DRT in FAFSA on the Web and has attached their 2016 IRS Tax
Return Transcript(s) or SIGNED 2017 TAX RETURN
The student was not employed and had no income earned from work in 2017.
The student was employed in 2017 and listed below the names of all employers, the amount earned from each
employer, and whether an IRS W-2 form is provided. [Provide copies of all 2017 IRS W-2 forms issued to the student
by their employers]. List every employer even if the employer did not issue an IRS W-2 form.
Employer’s Name
IRS W-2
Provided?
Annual Amount Earned in
2017
(Example) ABC’s Auto Body Shop
Yes
$4,500.00
Total Amount of Income Earned From Work
$
If more space is needed, attach a separate page with the student’s name and ID number at the top.
F. PARENT INCOME INFORMATION
The parent(s) has used the IRS DRT in FAFSA on the Web to transfer 2017 IRS income tax return information into the
student’s FAFSA.
The parent(s) is unable or chooses not to use the IRS DRT in FAFSA on the Web and will attach their 2017 IRS Tax
Return Transcript(s) or SIGNED 2017 TAX RETURN
The parent(s) was not employed and had no income earned from work in 2017.
The parent(s) was employed in 2017 and listed below the names of all employers, the amount earned from each
employer, and whether an IRS W-2 form is provided. [Provide copies of all 2017 IRS W-2 forms issued to the student
by their employers]. List every employer even if the employer did not issue an IRS W-2 form.
Employer’s Name
IRS W-2
Provided?
Annual Amount Earned in
2017
(Example) ABC’s Auto Body Shop
Yes
$4,500.00
Total Amount of Income Earned From Work
$
If more space is needed, attach a separate page with the student’s name and ID number at the top.
CERTIFICATIONS AND SIGNATURES
Each person signing below certifies that all of the information reported is complete and correct. The student and one parent whose
information was reported on the FAFSA must sign and date.
Student’s Signature Date
Parent’s Signature Date
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2019-2020 Verification Worksheet Dependent Student (New Jersey City University)

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Completed 16 August 2020

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