Fillable 2020-2021 Independent Verification Worksheet (Vance-Granville Community College)

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2020-2021 Independent Verification Worksheet (Vance-Granville Community College)

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The 2020-2021 Independent Verification Worksheet (Vance-Granville Community College) form is 2 pages long and contains:

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1
2020-2021 Independent Verification Worksheet Revised Date: 06/08/2020/FAO
2020-2021 Independent 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
Independent – If your parent was not required to submit information on the FAFSA, you are considered
an independent student and do not need to 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.
Independent students should include:
• Yourself and your spouse (if you are married);
• Your children, if you will provide more than half of their support from July 1, 2020 through June 30, 2021,
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 from July 1, 2020 to June 30, 2021.
NAME AGE RELATIONSHIP COLLEGE
ENROLLED AT
LEAST HALFTIME
(YES OR NO)
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.
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 2017 IRS Tax
Return Transcript.
I filed a 2018 tax return. I used the IRS Data
Retrieval Tool when my spouse (VGCC student)
completed the FAFSA.
I filed a 2018 tax return. I used the IRS
Data Retrieval Tool when completing my
FAFSA.
I was not employed and had no income earned
in 2018. I am including with this Worksheet
the student’s 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
Student Nontax 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 the student’s completed and signed
2020-2021 Verification of 2018 Income
Information for Student Nontax Filers form, which
includes my sources of work income.
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.
Student Information
D. Income Tax Information (Check appropriate box.)
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.
Taxable earnings from need-based employment programs, such as
Federal work-study and/or need-based employment portions of
fellowships and assistantships.
Parent/Step-parent
Student
2018 Additional Financial Information (Enter amount.)
E. Financial Information
2
2020-2021 Independent Verification Worksheet Revised Date: 06/08/2020/FAO
F. Certification (Please print and sign.)
Before signing, please check for accuracy and completeness. There should be no blank or unanswered
questions. Incomplete forms will be returned and will delay processing of your financial aid.
I certif
y 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
You can request an IRS federal tax return transcript online
at www.IRS.gov/individuals/get-yranscript or by calling 1-800-908-9946.
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2020-2021 Independent Verification Worksheet (Vance-Granville Community College)

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Completed 24 July 2020

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