1
2020-2021 Verification Worksheet Revised Date: 06/08/2020/FAO
2020-2021 Dependent Verification Worksheet
Financial Aid Office, P.O. Box 917, Henderson, NC 27536 Telephone:
(252) 738-3280, Fax: (252) 738-3388, Email: fao@vgcc.edu
A. Student Information (Please print.)
Student Name
Student ID#
Date of Birth
Phone Number
Other Phone Number
VGCC Email Address
B. Dependency Status
DependentIf your parent was required to submit information on the FAFSA, you must complete the
verification process as a dependent student and provide parental information.
C. Household and Family Information
Write the names of all household MEMBERS (including yourself) in the spaces below. Also, write in the
name of the college for any household members excluding parent(s) who will be attending at least
half-time from July 1, 2020 through June 30, 2021 and will be enrolled in a degree, diploma or
certificate program. If you need space, attach a separate page.
Dependent students should include:
Yourself and your parent(s) including step-parent
Your parents’ other children, even if they don’t live with your parent(s) if:
o Your parent(s) will provide more than half their support from July 1, 2020 to June 30, 2021.
o The children would be required to provide parental information when applying for Federal
Student Aid:
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, 2020 to June 30, 2021.
NAME AGE RELATIONSHIP COLLEGE
ENROLLED AT
LEAST HALFTIME
( YES OR NO)
2
2020-2021 Verification Worksheet Revised Date: 06/08/2020/FAO
Student Information
Parent/Step-parent Information
I will not file and I am not required to file a tax
return. I did work and I am including with this
Worksheet my completed and signed
2020-2021 Verification of 2018 Income
Information for Student Non-Tax Filers form.
I will not file and am not required to file a tax
return. I did work and I am including with this
Worksheet my completed and signed
2020-2021 Verification of 2018 Income
Information for Parent Nontax Filers Form.
I was not employed and had no income earned
in 2018. I am including with this Worksheet
my completed and signed 2020-2021
Verification of 2018 Income Information for
Student Nontax Filers form.
I was not employed and had no income earned
in 2018. I am including with this Worksheet my
completed and signed 2020-2021 Verification of
2018 Income Information for Parent Nontax
Filers form.
I filed a 2018 tax return. I used the IRS Data
R
etrieval Tool when completing my FAFSA.
I filed a 2018 tax return. I used the IRS Data
Retrieval Tool when completing my child’s FAFSA.
I filed a 2018 tax return. I am not eligible or
choose not to participate in the IRS Data
Retrieval Tool. I have attached a 2018 IRS
Tax Return Transcript.
I filed/will file a 2018 tax return. I am not
eligible or choose not to participate in the IRS
Data Retrieval Tool. I have attached a 2018
IRS Tax Return Transcript.
E. Financial Information
2018 Additional Financial Information (Enter amount.)
Student
Parent/Step-parent
Taxable earnings from need-based employment programs, such as
Federal work-study and/or need-based employment portions of
fellowships and assistantships.
Taxable grants and/or scholarships amounts you reported to the IRS
on your
tax return as a part of your adjusted gross income for 2018.
Before signing, please check for accuracy and completeness. There should be no blank or unanswered
questions. Inc
omplete forms will be returned and will delay processing of your financial aid.
I certify that all information reported on this form is complete and correct. I understand that if I purposely
give false or misleading information on this worksheet, I may be fined, be sentenced to jail, or both.
Student Name
Student ID Number
Student Signature
Date
Parent Signature
Date
You can request an IRS federal tax return transcript online
at www.IRS.gov/individuals/get-transcript or by calling 1-800-908-9946.