Fillable 2020-2021 Dependent Verification Worksheet (Lehigh Carbon Community College)

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2020-2021 Dependent Verification Worksheet (Lehigh Carbon Community College)

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OFFICE OF FINANCIAL AID
4525 Education Park Drive, Schnecksville, PA 18078
P 610
.799.1133| F 610.799.1798
E finaid@mymail.lccc.edu
2020-2021 Dependent Verification Worksheet
Your 2020-21 Free Application for Federal student Aid (FAFSA) was selected for the verification review process. This
requires us to compare the FAFSA information with information reported on this institutional verification document
and any other required documents. If there are differences, your FAFSA information must be corrected.
You and your parent(s) whose information was reported on the FAFSA must complete and sign this institutional
verification document, attach any other required documents and submit this form and the other required documents
to the Office of Financial Aid at Lehigh Carbon Community College within 15 days. Failure to complete and return
this information will result in a delay of the processing of your financial aid.
Student Name ID#
Household Information:
L
ist all people within your household from July 1, 2020, through June 30, 2021. This should include:
√ Yourself (the student)
√ Y
our parent(s) including stepparent(s) even if the student doesn’t live with the parents
.
√ Y
our parents’ other children if your parents will provide more than half of their support from July 1, 2020
,
t
hrough June 30, 2021 or if the other children would be required to provide parental information if they we
re
c
ompleting a FAFSA for 2020-21. Include children who meet either of these standards even if the children do
not live with the parents.
√ Other people who live with your parents and your parents provide more than half of their support and wil
l
c
ontinue to provide more than half of their support through June 30, 2021
.
√ A
ny household member, excluding the parents, who will be enrolled at least half time in a degree or certificat
e
p
rogram at an eligible postsecondary educational institution any time between July 1, 2020 and June 30, 2021
,
i
nclude the name of the college
.
Full Name
AGE
Relationship
Name of College/Degree program
(if at least half-time during 2020-2021)
Self
Lehigh Carbon Community College
Student: Did you file a 2018 U.S. Federal Tax Return?
If Yes:
Choose One:
I used the IRS Data Retrieval Tool when I filed my FAFSA.
I have a signed copy of my 2018 Tax Return or my 2018 IRS Tax Return Transcript and will submit now.
□ I do not have a copy of my 2018 Tax Return and have ordered my 2018 IRS Tax Return Transcript from the
I
RS and will submit it when it is received
.
OFFICE USE: 20VERFD
OVER
___ ______________________________________________
If No:
Choose One:
I did not earn income in 2018 and I am not required to file a 2018 Tax Return.
I did earn income in 2018 but am not required to file a 2018 Tax Return. Attached are my 2018 W-2s
Source of Income (Employer’s Name)
Amount earned in 2018
(fill out only if you did NOT file federal taxes in 2018)
Parent: Did you file a 2018 U.S. Federal Tax Return?
If Yes:
Choose One:
I used the IRS Data Retrieval Tool when I filed my FAFSA.
I have a signed copy of my 2018 Tax Return or my 2018 IRS Tax Return Transcript and will submit now
□ I do not have a copy of my 2018 Tax Return and have ordered my 2018 Tax Return Transcript from the
IRS and will submit it when it is received.
If No:
Choose One:
I did not earn income in 2018 and I am not required to file a 2018 Tax Return. Attached is my 2018 IRS
Verification of Non-filing letter.
I did earn income in 2018 but am not required to file a 2018 Tax Return. Attached are my W2s AND my 2018
IRS Verification of Non-filing letter.
Source of Income (Employer’s Name)
Amount earned in 2018
(fill out only if you did NOT file federal taxes in 2018)
information you may be fined, be sentenced to jail or
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
Pr
int Student’s Name Student’s ID Number
________________________________________________________________________________________________
Student’s Signature (WET SIGNATURE REQUIRED) Date
________________________________________________________________________________________________
Parent’s Signature (WET SIGNATURE REQUIRED) Date
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2020-2021 Dependent Verification Worksheet (Lehigh Carbon Community College)

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Completed 4 October 2020

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