Fillable A. STUDENT INFORMATION 2021-2022 Federal Verification Worksheet Dependent (Longwood University)

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A. STUDENT INFORMATION 2021-2022 Federal Verification Worksheet Dependent (Longwood University)

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Submit the form and all required documents to: Longwood University Financial Aid
• 201 High Street, Brock Hall 107, Farmville, VA 23909 • P: 434-395-2077 • F: 434-395-2829 •
2021-2022 Federal Verification Worksheet
Dependent Student
Your 2021-2022
Free Application for Federal Student Aid (FAFSA) was selected for a federal review
process called verification. Before awarding or disbursing financial aid, we must ask you to confirm the
information you reported on your FAFSA. You and at least one parent must complete and hand-sign
this worksheet and submit it along with any other required documents to our office.
For more information about verification visit our web page, www.longwood.edu/financialaid/,
and
click on FAFSA Verification.
A. STUDENT INFORMATION
Full Name: ___________________________________ Phone Number: __________________________
Longwood ID Number: _________________________ Email: __________________________________
B. HOUSEHOLD INFORMATION
Please complete all columns of the table below for the people living in your household, including:
• Yourself (the student).
• Your parent(s), including stepparents, even if you do not live with them. If your parents are
separated and you spend equal time with both of them, list the parent who provides more than
half of your support.
• The parents’ other children if the parents will provide more than half of the children’s support
from July 1, 2021, through June 30, 2022 OR if the other children would be required to provide
parental information if they were completing a FAFSA for 2021-2022. Include children who
meet either of these standards, even if a child does not live with the parent(s).
• Other people if they now live with your parent(s), your parent(s) provide more than half of the
other person’s support, and will continue to provide more than half of their support between
July 1, 2021 and June 30, 2022.
• If the family member (excluding parents/stepparents) will be enrolled at least half-time in a
degree-seeking program, please list the college or university they will attend.
Full Name (including student)
Age
Relationship to Student
Enrolled at least ½ time toward a
degree? If yes, list college name
Student
Yes No
Longwood University
Parent
Not Eligible
Parent Stepparent
Not Eligible
Yes No
Yes No
Yes No
Yes No
Yes No
Contin
ue to next page
Submit the form and all required documents to: Longwood University Financial Aid
• 201 High Street, Brock Hall 107, Farmville, VA 23909 • P: 434-395-2077 • F: 434-395-2829 •
Name: Longwood ID Number:
C. STUDENT INCOME INFORMATION
Check one of the following options:
NO income was earned in the 2019 tax year, and therefore no taxes were filed.
Income was earned in 2019, but tax filing was not required. A copy of all 2019 W-2s will be
submitted with this form, and the table below has been completed:
Place of Employment
Wages Earned (listed in Box 1 of W-2)
The IRS Data Retrieval Tool was used to transfer 2019 IRS income information to the FAFSA.
A copy of the 2019 Tax Transcript or signed 2019 Tax Return (1040 and Schedules 1, 2, & 3 if
filed) will be submitted with this form.
D. PARENT INCOME INFORMATION
Check one of the following options:
The IRS Data Retrieval Tool was used to transfer 2019 IRS income information to the FAFSA.
A copy of the 2019 Tax Transcript or signed 2019 Tax Return (1040 and Schedules 1, 2, & 3 if
NO income was earned in the 2019 tax year, and therefore no taxes were filed. A 2019 Verification
of Non-Filing will be submitted with this form (see final page for more information).
Income was earned in 2019, but tax filing was not required. The table below has been completed,
and all of the following will be submitted with this form:
1. A copy of all parent 2019 W-2s
2. A copy of the parent(s) 2019 Verification of Non-Filing (see final page for more information)
Place of Employment
Wages Earned (list in Box 1 of W-2)
E. CERTIFICATION AND SIGNATURES
Warning: If you intentionally give false or misleading information on this worksheet, you may be fined,
sentenced to jail or both. Each person signing this worksheet certifies that all of the information reported
on it is complete and correct. The student and parent must sign and date.
St
udent Signature (No Electronic Signatures) Date
Parent Signature (No Electronic Signatures) Date
• 201 High Street, Brock Hall 107, Farmville, VA 23909 • P: 434-395-2077 • F: 434-395-2829 •
Options to Submit Tax information
IRS Data Retrieval Tool
The most efficient and time-saving way to verify income is by using the IRS DATA Retrieval Tool (IRS
DRT) that is part of the FAFSA on the Web at FAFSA.gov.
1
. Log in to your FAFSA and select Make FAFSA Corrections, then select the 2021-2022 FAFSA.
2. Under the Financial Information tab you will see a question asking if you completed your tax return for
2019. Select Already Completed and the Link to IRS option will appear, if eligible.
3. Select Link to IRS and follow prompts to enter the IRS website.
4. Once on the IRS site enter all information requested and select Submit.
5. Please be sure to check Transfer My Tax Information into the FAFSA Form followed by Transfer Now.
6. Once transferred successfully you should see a message that reads Transferred from the IRS.
Requesting the Tax Return Transcript or Verification of Non-Filing
Online Request – www.irs.gov. Click Get Your Tax Record followed by Get Transcript Online. This
process will either produce a Tax Return Transcript if you filed, or a Verification of Non-Filing if you did
not file. For Tax Return Transcripts, make sure to request the Tax Return Transcript and NOT the Tax
Account Transcript. Upon successful completion of the IRS’s two-step authentication online the transcript
will appear. If at any point you cannot validate your identity you will need to use the Get Transcript by Mail
option (select “Tax Return Transcript” option even if requesting Verification of Non-Filing), which will
arrive within 10 business days.
Telephone Request (If using for Verification of Non-Filing, still select “Tax Return Transcript” option)–
Available from the IRS by calling 1-800-908-9946. Select option 2 to request an IRS Tax Return Transcript
and then enter the year you are requesting (2019). You should receive the transcript within 10 business days
from the IRS’s receipt of the telephone request.
Paper Request – Complete IRS form 4506-T at https://www.irs.gov/pub/irs-pdf/f4506t.pdf. Please make
sure to complete all sections requested, including box 7 if requesting Verification of Non-filing. Then enter
the date 12/31/2019 in section 9, check the signature check box, and sign the form. Mail or fax the form to
the address or fax number provided on page 2 of the 4506-T Form. You will generally receive the transcript
or Verification of Non-filing within 10 business days from the IRS’s receipt of the paper request.
Tax Return
Submit a signed copy of your 2019 Form 1040, along with Schedules 1, 2, and 3 if you were required to file
them. You must also include Schedule C/C-EZ (for self-employment) and/or Schedule F (farm income) if
filed with your 1040. Our office reserves the right to request any additional documentation we find necessary
to complete your federal verification.
Submit the form and all required documents to: Longwood University Financial Aid
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A. STUDENT INFORMATION 2021-2022 Federal Verification Worksheet Dependent (Longwood University)

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Completed 1 February 2021

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