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A. Independent Student’s Information
Student’s Last Name Student’s First Name
Student’s M.I.
Student’s ID Number
Student’s Street Address (include apt. no.)
Student’s Date of Birth
City State Zip Code
Student’s Email Address
Student’s Home Phone Number (include area code)
B. Independent Student’s Family Information
Student’s Alternate or Cell Phone Number
List below the people in your household. Include:
Yourself.
Your spouse, if you are married.
Your children, if any, if you will provide more than half of their support from July 1, 2020, through June 30, 2021, or if
the child would be required to provide your information if they were completing a FAFSA for 20202021. Include
children who meet either of these standards, even if they do not live with you.
Other people if they now live with you and you provide more than half of their support and will continue to provide more
than half of their support through June 30, 2021.
Include the name of the college for any household member who will be enrolled at least half time, in a degree, diploma, or
certificate program at a postsecondary educational institution any time between July 1, 2020, and June 30, 2021. If more
space is needed, attach a separate page with your name and Social Security Number at the top.
Full Name
Age
College
Will be Enrolled at
Least Half Time
Marty Jones(example)
28
Central University
Yes/No
2020-2021
INDEPENDENT
VERIFICATION WORKSHEET
Your 20202021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says
that before awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you
provided correct information the financial aid administrator at your school will compare your FAFSA with the information on this worksheet
and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You must complete and
sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at
your school. Your school may ask for additional information. If you have questions about verification,
contact your financial aid
administrator as soon as possible so that your financial aid will not be delayed.
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Note: We may require additional documentation if we have reason to believe that the information regarding the
household members enrolled in eligible postsecondary educational institutions is inaccurate.
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Student’s Name: SSN:
C.
Independent Student’s Income Information to Be Verified
1.
TAX RETURN FILERSImportant Note: The instructions below apply to the student and spouse, if the student is
married. Notify the financial aid office if the student or spouse filed separate IRS income tax returns for 2018 or had a change
in marital status after December 31, 2018.
Instructions: Complete this section if the student (or spouse, if married) filed or will file a 2018 IRS income tax return. The
best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at
FAFSA.gov. In most cases, no further documentation is needed to verify 2018 income information that was transferred int
o
t
he student’s FAFSA using the IRS DRT if that information was not changed by the FAFSA filer. If you need more
information about when, or how to use the IRS Data Retrieval Tool see your financial aid administrator.
Check the box that applies:
The student (and/or spouse, if married) has used the IRS Data Retrieval Tool in FAFSA on the Web to transfer 2018
IRS income information into the FAFSA. Your school will use the IRS information that was transferred in the
verification process.
The student (and/or spouse, if married) has not yet used the IRS Data Retrieval Tool, but will use the tool to transfer
2018 IRS income information into the FAFSA once 2018 IRS tax return have been filed.
The student (and/or spouse, if married) is unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead
will provide the school with a 2018 IRS Tax Return Transcript(s).
A 2018 IRS Tax Return Transcript may be obtained through:
Get Transcript by MAILGo to www.irs.gov, under the Tools heading, click "Get a tax transcript.” Click “Get
Transcript by MAIL.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account
Transcript.” The transcript is generally received within 10 business days from the IRS’s receipt of the online
request.
Get Transcript ONLINEGo to www.irs.gov, under the Tools heading, click "Get a tax transcript." Click “Get
Transcript ONLINE.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account
Transcript.” To use the Get Transcript Online tool, the user must have (1) access to a valid email address, (2) a text-
enabled mobile phone (pay-as-you-go plans cannot be used) in the user’s name, and (3) specific financial account
numbers (such as a credit card number or an account number for a home mortgage or auto loan). The transcript
displays online upon successful completion of the IRS’s two-step authentication.
Automated Telephone Request – 1-800-908-9946. Transcript is generally received within 10 business days from the
IRS’s receipt of the telephone request.
Paper Request FormIRS Form 4506T-EZ or IRS Form 4506-T. The transcript is generally received within 10
business days from the IRS’s receipt of the paper request form.
If the student and spouse filed separate 2018 IRS income tax returns, the IRS DRT cannot be used and the 2018 IRS Tax
Return Transcript(s) must be provided for each.
Check here if a 2018 IRS Tax Return Transcript(s) is provided.
Check here if a 2018 IRS Tax Return Transcript(s) will be provided later.
2.
INDEPENDENT STUDENTS WITH UNUSUAL IRS CIRCUMSTANCEScomplete this section if the student
(and/or spouse, if married) has filed, or will file a 2018 income tax return with any of the following circumstances.
C
heck the box that applies:
Th
e student (and/or spouse, if married) is required to file a 2018 IRS income tax return and has been granted a filing
extension by the IRS, must provide.
A copy of IRS Form 4868, ‘‘Application for Automatic Extension of Time to File U.S. Individual Income Tax
Return,’’ that was filed with the IRS for tax year 2018;
A copy of the IRS's approval of an extension beyond the automatic six-month extension if the individual
requested an additional extension of the filing time for tax year 2018;
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Student’s Name: SSN:
Verification of Non-Filing Letter (confirmation that the tax return has not yet been filed) from the IRS or other
relevant tax authority dated on or after October 1, 2019;
A copy of IRS Form W2 for each source of employment income received for tax year 2018 and,
If self-employed, a signed statement certifying the amount of the individual’s Adjusted Gross Income (AGI)
and the U.S. income tax paid for tax year 2018.
The student (and/or spouse, if married) has filed an amended IRS income tax return for tax year 2018, must provide:
A 2018 IRS Tax Return Transcript (that will only include information from the original tax return and does not
have to be signed), or any other IRS tax transcript(s) that includes all of the income and tax information
required to be verified; and
A signed copy of the 2018 IRS Form 1040X, “Amended U.S. Individual Income Tax Return,” that was filed
with the IRS.
The student (and/or spouse, if married) was the victim of IRS tax-related identity theft, must provide:
A Tax Return Database View (TRDBV) transcript obtained from the IRS, or any other IRS tax transcript(s) that
includes all of the income and tax information required to be verified; and
A statement signed and dated by the tax filer indicating that he or she was a victim of IRS tax-related identity
theft and that the IRS is aware of the tax-related identity theft.
3.
TAX RETURN NONFILERSComplete this section if the student (and spouse if married), will not file and are not
required to file a 2018 income tax return with the IRS.
Check the box that applies:
The student (and/or spouse if married) was not employed and had no income earned from work in 2018.
The student (and/or spouse if married) was employed in 2018 and has listed below the names of all employers, the
amount earned from each employer in 2018, and whether an IRS W-2 form is provided. Copies of all 2018 W-2 forms
issued to you (and spouse if married) by employers must be provided. List every employer even if the employer did not
issue an IRS W-2 form. If more space is needed, attach a separate page with your name and SSN at the top.
Employer’s Name
2018 Amount Earned
IRS W-2 Provided?
Suzy’s Auto Body Shop (example)
$2,000.00
Yes
Provide documentation from the IRS or other relevant tax authority dated on or after October 1, 2019 that indicates a
2018 IRS income tax return was not filed with the IRS or other relevant tax authority.
Check here if confirmation of non-filing is provided.
Check here if confirmation of non-filing will be provided later
D.
Certification and Signature
I certify that all of the information reported on this
worksheet is complete and correct. The student must
sign this worksheet. If married, the spouse’s signature
is optional.
Student’s Signature Date
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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Spouse’s Signature (if applicable) Date
Do not mail this worksheet to the U.S. Department of Education.
Submit this worksheet to the financial aid administrator at your school.
You should make a copy of this worksheet for your records.