2019-2020 Verification of
Student Marital and/or Tax
Filing Status
Please Type or Print clearly in BLUE or BLACK ink
Student Name Student ID:
Your 2019-2020 FAFSA application has been identified by the U.S. Department of Education for potentially containing conflicting
information between your Marital Status and Tax Filing Status. Federal Regulations require that institutions verify the accuracy of this
data and to resolve any conflicting information.
According to the IRS, a tax payer must use a tax filing status of married filing jointly or married filing separately if they are married or
considered married on December 31, 2017. If you were “unmarried” or “considered unmarried” on December 31, 2017, your tax
filing status is single, or if you have a qualifying dependent you may file as head of household.
SECTION I – Verification of Student’s Marital Status & Tax Filing Status (To Be Completed by Student)
Please Note:
The Southern Crescent Office of Financial Aid cannot proceed with processing and packaging your award until all
required financial aid documents are submitted and conflicting information is resolved.
Based on the information provided on this form, the Office of Financial Aid will update your 2019-2020 FAFSA
accordingly.
What is your Marital Status as of the date you
completed the 2019-2020 FAFSA
Please indicate your tax filing status as reported on
your 2017 Federal Tax Return
Single or Unmarried
Single
Head of House Hold
Married or Re-Married
Date of Marriage/Re-Marriage:______________
Married Filing Jointly
Married Filing Separate Return
Head of Household
(Complete section #II)
Divorced or Separated
Date of Divorce/Separation: ________________
Single
Head of Household
Widowed
Date Widowed: __________________
Single
Married Filing Jointly
Head of Household
Qualifying Widower
Office of Financial Aid
501 Varsity Road 1533 Hwy 19 South
Griffin, GA 30223 Thomaston, GA 30286
770-228-7368 p 706-646-6386 p
770-229-3029 f 706-646-6063 f
Student’s
Name:
SCTC ID#:
SECTION II – Head of Household Eligibility
If you are legally married and filed your taxes as Head of Household for 2017, you may need to file an amended tax return (1040X)
reflecting the correct filing status. If your tax professional indicated that you were eligible to file as head of household (despite being
married); please continue to complete this form. Initial each of the following requirements below, only if the requirement is applicable
to your tax filing circumstances.
SECTION III – Personal Statement
Explain in detail why you were allowed to use that filing status given your marital status. In addition, if available, please provide a
letter of explanation from your tax preparer or the IRS.
_____________________________________________________________________________
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_____________________________________________________________________________
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Certification and Signature
By signing below I hereby certify that all information reported
on this worksheet is complete and correct.
___________________________________________________
Student’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.
Head of Household Eligibility Requirements
You may be eligible to file Head of Household if you meet the requirements below. By initialing next to each requirement you
are certifying that you meet this requirement. (For more information, see IRS Publication 17)
____ You were Married but considered “Unmarried” on December 31, 2017 (Please explain in Section III)
____ You paid more than half the cost to keeping up your home for the tax year.
____ A qualifying person lived with you in the home for more than half the year. If dependent parent, he/she does not have to live with you.
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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signature
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