2020-2021
Verification of Student’s
Marital and/or Tax Filing Status
Louisiana College Financial Aid Office 1140 College Dr Box 582 Pineville, La. 71359
Phone (318) 487-7386 Fax (318) 487-7449 Email: financial_aid@lacollege.edu
https://www.lacollege.edu/students/financial-aid/
Page1
A. Student & Parent Information
Student’s Name: ________________________________________________
LC ID: ______________________
B. Information & Instructions
Your 2020-2021 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 for potentially containing
conflicting information between your marital status and tax filing status.
If necessary, logon to FAFSA at www.fafsa.ed.gov and make the proper corrections to your marital status and tax
filing status. Please complete both sides of this form and return it to the Financial Aid Office only if you feel that the
FAFSA application is accurate and does not need to be corrected. Federal Regulations require that institutions verify
the accuracy of this data and to resolve any conflicting information.
Note:
The Financial Aid Office at Louisiana College (LC) 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 Financial Aid Office will update your 2020-2021
FAFSA.
C. Verification of Student’s Marital Status & Tax Filing Status To be completed by student
In the table below, please specify the following for your parent(s):
Marital status of the date the student first completed their 2020-21 aid application and,
Tax filing status as listed on their 2018 U.S. Individual Income Tax Return
Please indicate what your marital status was as of the date
you first completed the 2020-2021 aid application
Please indicate what your tax filing status is as listed on
your 2018 U.S. Individual Income Tax Return
Single or Unmarried
Single
Head of Household
*Other: ____________________________
Married or Re-Married
Date Married/Re-Married:________________________
Single
Married Filing Jointly
Married Filing Separately
Head of Household
*Other: _____________________________
Divorced or Separated
Date Divorced/Separated:________________________
Single
Head of Household
*Other: _____________________________
Widowed
Date Widowed: ________________________________
Single
Married Filing Jointly
Head of Household
Qualifying Widower
*Other: ______________________________
*If other is checked above for any of the tax filing statuses, there may be conflicting information that requires
resolution.
Clear Form
2020-2021
Verification of Student’s
Marital and/or Tax Filing Status
Louisiana College Financial Aid Office 1140 College Dr Box 582 Pineville, La. 71359
Phone (318) 487-7386 Fax (318) 487-7449 Email: financial_aid@lacollege.edu
https://www.lacollege.edu/students/financial-aid/
Page2
F. Certification and Signatures Each person signing this worksheet certifies that all of the information reported on it is complete
and correct. The student whose information was reported on the FAFSA must sign and date. Warning! If you purposely give false
or misleading information you may be fined, sentenced to jail, or both.
Student Signature: _____________________________________________________ Date: _________________
Spouse Signature: ______________________________________________________ Date: _________________
(optional)
This worksheet must be signed and dated to be valid. Electronic and/or digital signatures are not valid.
Processed By:
Date:
D. Head of Household Eligibility To be completed by student
According to IRS Publication 17, an individual may be able to file as head of household if they meet all the following
requirements:
1. You are unmarried or “considered unmarried” on the last day of the year.
2. You paid more than half the cost of keeping up a home for the year.
3. A qualifying person lived with you in the home for more than half the year (except for temporary absences, such as
school).
If you are legally married and filed your taxes as Head of Household for 2018, you may need to file an amended tax return (form
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 and, if available, provide a statement from your tax professional on
their company letterhead.
Initial next to each of the following requirements, only if the requirement is applicable to your tax filing circumstances.
Considered Unmarried Eligibility Requirements
_______ You filed a separate return.
_______ You paid more than half the cost of keeping up your home for the tax year.
_______ Your spouse did not live in your home during the last 6 months of the tax year. Your spouse is
considered to live in your home even if he or she is temporarily absent due to special circumstances.
_______ Your home was the main home of your child, stepchild, or foster child for more than half the year.
_______ You must be able to claim an exemption for the child. However, you meet this test if you cannot claim
the exemption only because the non-custodial parent can claim the child.
Head of Household Eligibility Requirements
_______ You were married but considered unmarried on December 31, 2018 (If you initialed all of the previous criteria initial here)
_______ 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 (except for temporary absences, such as
school). However, if the qualifying person is your dependent parent, he or she does not have to live with you.
E. Personal Statement Explain in detail why you were allowed to use that filing status given your marital status and,
if available, please provide a letter of explanation from your tax preparer or the IRS.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome