Fillable 2020-21 Independent - [V5] Aggregate Verification Worksheet (page (Central Wyoming College)

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2020-21 Independent - [V5] Aggregate Verification Worksheet (page (Central Wyoming College)

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2020-21 Independent - [V5]
Aggregate Verification Worksheet (page 1 of 5)
Your Free Application for Federal Student Aid (FAFSA) was selected for ‘verification’. Federal regulations state that before awarding Federal
Student Aid, your school must verify the information you and your spouse (if married) reported on your FAFSA. To complete this verification
process, we will compare your FAFSA information with the information on this worksheet and other required documents. If there are
differences, we will make the appropriate corrections to your FAFSA. After we have reviewed your documents, we may request additional
information. If you have questions, please contact our office for assistance. Submit all requested documents to ‘CWC - ATTN: Rustler
Central’ by mail, deliver in person, email to records@cwc.edu or fax to 307-855-2092.
SECTION 1: STUDENT INFORMATION
STUDENT’S FULL NAME: SOCIAL SECURITY #: XXX – XX -________ CWC ID #:
MAILING ADDRESS: CITY: STATE:_______ ZIP:
STUDENT’S DATE OF BIRTH: EMAIL ADDRESS: PHONE NUMBER:
MARITAL STATUS: ________________ (Single, Married / Remarried, Separated, Divorced, Widowed) – DATE OF STATUS: _____________
IF STUDENT IS MARRIED - SPOUSE’S FULL NAME: SPOUSE’S SOCIAL SECURITY #: XXX – XX -__________
HOUSING: I will live ON-CAMPUS I will live OFF-CAMPUS (on my own) I live with my PARENTS Live with____________
WHAT IS YOUR COLLEGE HISTORY: I have never attended college I have attended CWC. I have attended the following colleges
(include names / dates):_____________________________________________________________________________________________
Include any community college, university, vocational or technical and dual / concurrent credits taken while in high school. You will also need to order ‘official’ transcripts
from each of those schools / colleges to be sent directly to CWC.
SECTION 2: STUDENT FAMILY INFORMATION
Number of Household Members – In the table below, list the people in the student’s household – include the following:
The student & the student’s spouse (if married),
The student’s or spouse’s children if the student or spouse will provide more than half of the children’s support from July 1, 2020
through June 30, 2021, even if a child does not live with the student,
Other people if they now live with the student and the student / spouse provides more than half of the other person’s support and
will continue to provide more than half of that person’s support through June 30, 2021.
Number in College: Include in the space below information about any household member who is, or will be, enrolled at least half time in a
degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2020 and June 30,
2021, and include the name of the college.
Full Name
Age
Relationship to the student
College Name Attending
Will be enrolled at least
half-time (Yes or No)
If more space is needed, provide a separate page with the student’s name and ID number at the top
Continued on page 2 Created October 2019
Student
Central Wyoming College
Yes
2020-21 Independent Aggregate Verification Worksheet – V5 (page 2 of 5)
Student’s Full Name: Student’s CWC ID #:
SECTION 3: DID THE STUDENT FILE A 2018 INCOME TAX RETURN WITH THE IRS?
YES, STUDENT DID FILE – COMPLETE THIS COLUMN
Important Note: The instructions below apply to the student and
spouse (if married). Notify the financial aid office if the student or
spouse filed separate 2018 IRS Form 1040 tax returns or had a
change in marital status after December 31, 2018. 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) or a
signed copy of the 2018 IRS Form 1040 (with all schedules) for
BOTH the student and spouse must be submitted.
Instructions: Complete this section if the student and spouse (if
married) filed or will file a 2018 IRS Form 1040 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 into the student’s FAFSA using
the IRS DRT if that information was not changed. Check the box
that applies:
The student has used the IRS DRT in FAFSA on the Web to
transfer 2018 IRS income tax return information into the student’s
FAFSA. Go to the Certification / Signatures on page 4.
The student has not yet used the IRS DRT in FAFSA on the Web,
but will log back into the student’s FAFSA and use the tool to
transfer 2018 IRS income tax return information into the student’s
FAFSA. Go to the Certification / Signatures on page 4.
The student is unable or chooses not to use the IRS DRT in
FAFSA on the Web, and instead will provide the institution with a
2018 IRS Tax Return Transcript(s) or a signed copy of the 2018 IRS
Form 1040 (with all schedules).
The student has filed a 2018 Amended IRS Income Tax Return
(1040X). The student must provide TWO documents: 1) a signed
copy of the 2018 IRS Form 1040X (Amended U.S. Individual
Income Tax Return) or documentation that the IRS made
change(s), and 2) a 2018 IRS Tax Return Transcript (that will
include information from the original tax return), or any other IRS
tax transcript(s) that includes all of the income and tax information
required to be verified; or a signed copy of the original 2018 IRS
Form 1040 (with all schedules) that was filed.
Check here if a 2018 IRS Tax Return Transcript(s) or a signed
IRS Form 1040 (with all schedules) has been submitted to CWC.
Go to the Certification / Signatures on page 4.
Check here if a 2018 IRS Tax Return Transcript(s) or a signed
IRS Form 1040 (with all schedules) will be provided later.
Estimated date of submission: __________________.
Go to the Certification / Signatures on page 4. Disbursement of
funds will be delayed until all forms are submitted.
Student’s 2018
Employer’s Name
IRS W-2 Form or an
Equivalent Document
Has Been Submitted
to CWC (Yes or No)
Annual
Amount
Earned in
2018
Total of 2018 Income Earned From Work
$
2020-21 Independent Aggregate Verification Worksheet – V5 (page 3 of 5)
Student’s Full Name: Student’s CWC ID #:
2018 IRS TAX RETURN TRANSCRIPT / VERIFICATION OF NON-
FILING / W-2 FORMS MAY BE OBTAINED BY CONTACTING
THE IRS – SEE INFORMATION BELOW:
Get Transcript by Mail – Go to www.irs.gov, click "Get Your
Tax Record.” Click “Get Transcript by Mail.” Make sure to
request the “Return Transcript” and NOT the “Account
Transcript.” The transcript is generally received within 10
business days from the IRS’s receipt of the online request.
Get Transcript Online – Go to www.irs.gov, click "Get Your
Tax Record." Click “Get Transcript Online.” Make sure to
request the “Return Transcript” and NOT the “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 – Call the IRS’s automated
telephone order line at 1-800-908-9946. The transcript is
generally received within 10 business days from the IRS’s
receipt of the telephone request. Listen carefully to the
prompts.
Paper Request Form – IRS Form 4506T-EZ or IRS Form 4506-
T. Submit the request(s) in to CWC and we will fax it to the
IRS for you. The transcript should arrive within 10 business
days from the IRS’s receipt of the paper request form.
SPOUSE – EMPLOYER INFORMATION - CONTINUED FROM PAGE 2
Spouse’s 2018
Employer’s Name
IRS W-2 Form or an
Equivalent Document
Has Been Submitted
to CWC (Yes or No)
Annual
Amount
Earned in
2018
Total of 2018 Income Earned From Work
$
Student Spouse’s IRS W-2 forms have been submitted.
Student Spouse’s 2018 IRS W-2 forms will be ordered and
submitted at a later date. Estimated date of submission:
____________. Disbursement of funds will be delayed until all
forms are submitted.
REMINDER: STUDENT & SPOUSE WHO DID NOT FILE
Per Federal Student Aid, as of January 9, 2019, individuals are still
required to attempt to obtain a Verification of Non-Filing (VNF)
from the IRS. If student and spouse (if married) are both non-filers,
both the student and spouse must complete the IRS Form 4506-T
requesting a Verification of Non-Filing from the IRS. Submit your
request(s) to CWC and we will fax it to the IRS for you AND keep a
copy on file documenting your attempt to obtain the VNF. The IRS
should send you a VNF within 10 working days. If you do not
receive it within the 10 days, please contact our office.
Check here if BOTH student and spouse (if married) have
already ordered, received and submitted the 2018 Verification of
Non-Filing(s) to CWC.
Check here if 2018 Verification of Non-Filing(s) have been
ordered from the IRS. Date(s) ordered: ______________________
Disbursement of funds will be delayed until all forms are
submitted.
Continued on page 4
2020-21 Independent Aggregate Verification Worksheet – V5 (page 4 of 5)
Student’s Full Name: Student’s CWC ID #:
SECTION 4: HIGH SCHOOL COMPLETION STATUS
Provide one of the following documents to indicate your high school completion status when you will begin college in 2020-21. If you are
not able to obtain the documentation listed below, please contact a Central Wyoming College financial aid staff member.
The student’s final official high school transcript with final GPA and graduation date is to be sent directly to Central Wyoming College,
ATTN: Rustler Central. This document can be delivered in a sealed envelope, mailed to CWC, emailed to records@cwc.edu or faxed to
307-855-2092 from the issuing institution.
Students who have received the equivalent of a high school diploma (GED Test scores, HiSET, TASC, or other State-authorized
examination) must submit their official test scores (not the certificate).
For a homeschooled student in a state where state law does not require the student to obtain a secondary school completion credential
for homeschool (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student’s
parent or guardian, that lists the secondary school courses the student completed and includes a statement that the student
successfully completed a secondary school education in a homeschool setting.
An academic official transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
Verification of my High School Completion (HS Transcript or GED Test Scores) has been submitted to Central Wyoming College.
Warning: If you purposely give false or misleading information on this worksheet, you will be reported to the Department of Education, you may be fined, sent to prison
or both.
SECTION 5: CERTIFICATIONS AND SIGNATURES
By signing this worksheet, I/we certify that all of the information reported on all pages of this worksheet are complete and correct. I also
understand that ALL required documents must be submitted before CWC can make any federal financial aid disbursements for the
2020-21 school year.
Student Signature Date Spouse Signature (if married) Date
2020-21 Independent Aggregate Verification Worksheet – V5 (page 5 of 5)
Student’s Full Name: Student’s CWC ID #:
2 0 2 0 – 2 0 2 1 I D E N T I T Y A N D S T A T E M E N T O F E D U C A T I O N A L P U R P O S E
The student must appear in person at Central Wyoming College to verify his or her identity by presenting an unexpired valid government-
issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The institution will
maintain a copy of the student’s photo ID that is annotated by the institution with the date it was received and reviewed, and the name
of the official at the institution authorized to receive and review the student’s ID.
In addition, the student must sign in the presence of the institutional official, the Statement of Educational Purpose provided below. If
the student is unable to complete in person, then this statement must be completed in the presence of a Notary Public.
DO NOT COMPLETE THIS FORM IN ADVANCE
-------------------------------------------------------------------------------------------------------------------------------
Statement of Educational Purpose
I certify that I am the individual signing this Statement of Educational Purpose
(Print Student’s Name)
and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of
attending Central Wyoming College for 2020-2021.
Student Signature: _________________________________ Date: _______________ Student’s ID Number: _______________
IF SUBMITTING TO CWC IN PERSON
Present this form with original valid
government-issued photo ID, such as, but not
limited to, a driver’s license, other state issued
ID, or passport.
IF STUDENT IS UNABLE TO APPEAR IN PERSON - SUBMIT BY MAIL
Identity and Statement of Educational Purpose (To Be Signed in the
Presence of a Notary) to verify student’s identity, the student must
submit: 1) A copy of the unexpired valid government-issued photo
identification (ID) that is acknowledged in the notary statement below, or
that is presented to a notary, such as, but not limited to a driver’s license,
other state issued ID, or passport; and 2) The original Statement of
Educational Purpose provided above, which must be notarized. If the
notary statement appears on a separate page than the Statement of
Educational Purpose, there must be a clear indication that the Statement
of Educational Purpose was the document notarized.
Completed by CWC Official:
Completed by Notary Public:
ID Type:
State of: City/County of:
ID Number:
On (Date):
Expiration Date:
Before me (Notary’s Name):
Name of CWC Official:
Personal Appeared (Printed Name of Signer):
Signature of CWC Official:
And proved to me on basis of satisfactory evidence of identification (Type
of government-issued photo ID provided):
Date:
To be the above named person who signed the foregoing instrument.
Notary Signature:
WITNESS my hand and official seal:
(seal)
My commission expires on:_____________
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2020-21 Independent - V5 Aggregate Verification Worksheet (page (Central Wyoming College)

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Completed 27 July 2020

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