Fillable 2021-2022 Quincy College Verification Statement - Independent Student (Quincy College)

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2021-2022 Quincy College Verification Statement - Independent Student (Quincy College)

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The 2021-2022 Quincy College Verification Statement - Independent Student (Quincy College) form is 2 pages long and contains:

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  • 4 check-boxes
  • 85 other fields

Country of origin: US
File type: PDF

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2021-2022 Quincy College Verification Statement - Independent Student
Step 1 - Student Information
____________________________________________________ _______________________
Last Name First Name Middle Quincy College Student ID #
_________________________________________________________________________________________________
Street Address (include apt. #) City State Zip Code
_____________________________ ______________________________________________________
Preferred Phone Number Email Address
Step 2 - Household Information
List the members of your household below. Be sure to include:
•Yourself
•Your spouse (if you are married)
•Your children if you will provide more than half of their support from July 1,
2021 through June 30, 2022
•Other people only if they live with you and you provide more than half of their
support and will continue to do so from July 1, 2021 through June 30, 2022
•Provide college information for those students attending at least half-time
during 2021-22 in a program leading to a degree, diploma, or certificate
Your 2021–2022 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, the Financial
Aid Office may ask you to confirm the information you and your parent(s) reported on your
FAFSA. To verify that you provided correct information, the Financial Aid Office 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 and at least one
parent whose information was submitted on the FAFSA must complete and sign this worksheet,
attach any required documents, and submit this form and the required documents to the
Financial Aid Office.
Step 3 - Student's Tax Filing Status - Calendar Year 2019
Have you or will you be required to file a 2019 U.S. federal income tax return?
YES
Check the box that applies:
☐ I have used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2019 IRS income information into either
the initial FAFSA or when making a correction to the FAFSA.
☐ I am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to the Financial Aid Office a
2019 IRS Tax Return Transcript or signed Federal Tax Return and W-2 forms. You can go to www.irs.gov to get a tax return
transcript.
NO, and I had no earnings from work. I was not required to file a tax return. In addition, you must provide IRS
documentation of parent(s)’ non-filer status. Go to www.irs.gov to obtain a “Verification of Non-filing letter” from the IRS.
NO, but I had some earnings from work. I was not required to file a tax return. You must list all employers in
the box below and submit 2019 W2 or 1099 forms you received. If you were not required to file a 2019 tax return, please
complete the box below. In addition, you must provide IRS documentation of your non-filer status. Go to www.irs.gov to obtain
a “Verification of Non-filing letter”.
Employer’s Name
2019 Amount Earned
Step 4 - Spouse's Tax Filing Status - Calendar Year 2019
If you are married, has your spouse filed or will he or she be required to file a 2019 U.S. federal
income tax return?
YES
Check the box that applies:
☐ I have used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2019 IRS income information into either
the initial FAFSA or when making a correction to the FAFSA.
☐ I am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to the Financial Aid Office a
2019 IRS Tax Return Transcript or signed Federal Tax Return and W-2 forms. You can go to www.irs.gov to get a tax return
transcript.
NO, and I had no earnings from work. I was not required to file a tax return. In addition, you must provide IRS
documentation of parent(s)’ non-filer status. Go to www.irs.gov to obtain a “Verification of Non-filing letter” from the IRS.
NO, but I had some earnings from work. I was not required to file a tax return. You must list all employers in
the box below and submit 2019 W2 or 1099 forms you received. If you were not required to file a 2019 tax return, please
complete the box below. In addition, you must provide IRS documentation of your non-filer status. Go to www.irs.gov to obtain
a “Verification of Non-filing letter”.
Employer’s Name
2019 Amount Earned
Step 5 - Certification
I certify all the information reported is complete and correct (the student and student's spouse, if
married, must sign):
Student Signature Date
SpouseSignature (if married) Date
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2021-2022 Quincy College Verification Statement - Independent Student (Quincy College)

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Completed 3 February 2021

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