Fillable 2020-21 Independent Verification Worksheet (Lehigh Carbon Community College)

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2020-21 Independent Verification Worksheet (Lehigh Carbon Community College)

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The 2020-21 Independent Verification Worksheet (Lehigh Carbon Community College) form is 2 pages long and contains:

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File type: PDF

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OFFICE OF FINANCIAL AID
4525 Education Park Drive, Schnecksville, PA 18078
P 610
.799.1133| F 610.799.1798
E finaid@mymail.lccc.edu
2020-21 Independent Verification Worksheet
Your 2020-21 Free Application for Federal student Aid (FAFSA) was selected for the verification review process. This
requires us to compare the FAFSA information with information reported on this institutional verification document
and any other required documents. If there are differences, your FAFSA information must be corrected.
You and your spouse (if applicable) whose information was reported on the FAFSA must complete and sign this
institutional verification document, attach any other required documents and submit this form and the other
required documents to the Office of Financial Aid at Lehigh Carbon Community College within 15 days. Failure to
complete and return this information will result in a delay of the processing of your financial aid.
Student Name ID#
Household Information:
L
ist all people within your household from July 1, 2020, through June 30, 2021. This should include:
√ Yourself (the student)
√ T
he student’s spouse if the student is married
.
√ T
he student’s or spouse’s children if the student or spouse will provide more than half of the children’s support fro
m
J
uly 1, 2020 through June 30, 2021 even if the children do not live with the studen
t.
√ O
ther people that live with the student and the student or spouse provide more than half of the other people’
s
support and will continue to provide more than half of their support through June 30, 2021.
√ F
or any household member, excluding the student who will be enrolled at least half time in a degree or certificat
e
program at an eligible postsecondary educational institution any time between July 1, 2020 and June 30, 2021, include
t
he name of the college
.
Full Name
AGE
Relationship
Name of College/Degree program
(if at least half-time during 2020-21)
Self
Lehigh Carbon Community College
Student: Did you file a 2018 U.S. Federal Tax Return?
If Yes:
Choose One:
I used the IRS Data Retrieval Tool when I filed my FAFSA.
I have a signed copy of my 2018 Tax Return and will submit now.
□ I do not have a copy of my 2018 Tax Return and have ordered my 2018 Tax Return Transcript from the
IRS and will submit it when it is received.
OFFICE
USE: RRAAREQ Code - 20VERFI
___ ______________________________________________
If No:
Choose One:
I did not earn income in 2018 and I am not required to file a 2018 Tax Return. Attached is my 2018 IRS
Verification of Non-filing letter.
I did earn income in 2018 but am not required to file a 2018 Tax Return. Attached are my 2018 W2s AND my
2018 IRS Verification of Non-filing letter.
Source of Income (Employer’s Name)
Amount earned in 2018
(fill out only if you did NOT file federal taxes in 2018)
Must complete if student is married and did not file 2018 taxes as married, filed jointly:
Spouse: Did you file a 2018 U.S. Federal Tax Return?
If Yes:
Choose One:
I have a signed copy of my 2018 Tax Return and will submit now.
□ I do not have a copy of my 2018 Tax Return and have ordered my 2018 Tax Return Transcript from the
I
RS and will submit it when it is received
.
If No:
Choose One:
I did not earn income in 2018 and I am not required to file a 2018 Tax Return. Attached is my 2018 IRS
Verification of Non-filing letter.
I did earn income in 2018 but am not required to file a 2018 Tax Return. Attached are my 2018 W2s AND my
2018 IRS Verification of Non-filing letter.
Source of Income (Employer’s Name)
Amount earned in 2018
(fill out only if you did NOT file federal taxes in 2018)
WARNING: If you purposely give false or misleading
information you may be fined, be sentenced to jail or
both.
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
P
rint Student’s Name Student’s ID Number
________________________________________________________________________________________________
Student’s Signature (WET SIGNATURE REQUIRED) Date
_________________________________________________________________________________________________
Spouse’s Signature (optional) Date
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2020-21 Independent Verification Worksheet (Lehigh Carbon Community College)

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Completed 4 October 2020

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