Fillable A. Student Information (Northwest State Community College)

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A. Student Information (Northwest State Community College)

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U.S.A. forms for Northwest State Community College

BROWSE NORTHWEST STATE COMMUNITY COLLEGE FORMS

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Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 • Fax 419-267-5587 • finaid@northweststate.edu
Your FAFSA was randomly selected by the U.S. Department of Education for a review process called “Verification.” Verification must be
completed before your financial aid awards will be determined. If there are differences between your FAFSA and this information, we will
update your FAFSA and recalculate your Expected Family Contribution (EFC). Complete verification as soon as possible so that your financial
aid won’t be delayed.
A. Student Information
Last Name First Name M.I
NSCC ID Number
Street Address (include apt. no.)
Date of Birth
City, State, Zip Code
Phone Number
B. Household Information
List the people your parent(s) will support between July 1, 2020 and June 30, 2021. Include:
Yourself and your parents (including a stepparent) even if you don’t live with your parents.
Your parent’s other children if (a) your parent(s) provide more than half of their support, or (b) if the other children would be
required to provide parental information were they to complete a FAFSA for 2020-2021. Include children who meet either of
these standards, even if they do not live with your parent(s).
Other people if they now live with your parent(s), and your parent(s) now provide more than half of their support and will
continue to provide more than half of their support through June 30, 2021.
Write the name of the college below for any household member, excluding your parent(s), who 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.
If more space is needed, attach a separate page with the student’s name and student ID at the top.
Household member name
Age
Relationship to student
College (if attending)
Will be enrolled
at least half-time
(circle Yes or No)
1.
SELF
NSCC
Yes No
2.
Yes No
3.
Yes No
4.
Yes No
5.
Yes No
C. Student Income Information
Check one of the following:
_____ Student filed a 2018 Federal Income Tax return. Please provide one of the following:
____ FAFSA IRS Data Retrieval Tool ___ Signed copy of 2018 Form 1040 & Schedules 1-6 ____ IRS Tax Return Transcript
_____ Student was not employed and had no income from work in 2018.
_____ Student was employed in 2018 and did not file taxes, and is not required to file a tax return. Please complete the table below
and attach copies of all 2018 IRS W-2 statement(s). List every employer even if they did not issue an W-2.
Employer’s Name
2018 Amount
Earned
2018 W-2
Attached?
Example: ABC Company
$1,005.75
Yes
By signing this worksheet, I certify that all the information reported on it is completed and correct.
Student Signature
Date
2020-2021 Dependent Student
Verification Group V1
Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 • Fax 419-267-5587 • finaid@northweststate.edu
Student Name:
NSCC ID number:
D. Parent(s) Income Information
Parent(s) Marital Status:
___ Single ___ Married/Remarried ___ Separated/Divorced/Widowed ___Unmarried, both parents living together
Check one of the following:
_____ Parent(s) filed a 2018 Federal Income Tax return. Please provide one of the following:
____ FAFSA IRS Data Retrieval Tool ___ Signed copy of 2018 Form 1040 and Schedules 1-6 ___ IRS Tax Return Transcript
_____ Parent(s) was not employed and had no income from work in 2018. Must provide Verification of Non-Filing Letter from IRS.
_____ Parent(s) was employed in 2018 and did not file taxes, and is not required to file a tax return. Please complete the table
below and attach copies of all 2018 IRS W-2 statement(s). List every employer even if they did not issue a W-2. Must also
provide a Verification of Non-Filing Letter from IRS.
Employer’s Name
2018 Amount
Earned
2018 W-2
Attached?
Example: ABC Company
$1,005.75
Yes
By signing this worksheet, I certify that all the information reported on it is completed and correct.
Parent Signature
Date
E. Tax Information
Both the student and the parent(s) are required to submit processed 2018 Federal Tax information. The only acceptable
methods to submit tax information are listed below:
IRS Data Retrieval Tool – Directly import your 2018 IRS data into your 2020-2021 FAFSA by logging into fafsa.gov and select
“Make Correction”. Make sure to use the Data Retrieval Tool for both the student and the parent.
Keep in mind that if your parent’s are married, but filed taxes separately, the data retrieval tool will not work and you will need to order
tax return transcripts for each parent (see information below) or submit a signed copy of their 2018 1040 Federal Income Tax Return
and Schedules 1-6.
Signed Copy of federal income tax return – Provide a SIGNED copy of your and your parent’s 2018 1040 Federal Income
Tax Return and Schedules 1-6.
IRS Tax Return Transcript – Submit your 2018 Tax Return Transcript. You can order the transcript by online at irs.gov or via
automated telephone request by calling 1-800-908-9946. You may also complete IRS Form 4506-T and check mark box 6a.
Please make sure you request an IRS Tax Return Transcript NOT the IRS Account Transcript.
Verification of Non-Filing Letter – If your parent(s) did not file 2018 taxes, and are not required to file taxes, then they must
request a Verification of Non-Filing Letter from the IRS by submitting IRS Form 4506-T, check marking box 7.
Amended Taxes -- If the student or parent filed an amended 2018 IRS tax return, please submit your original 2018 IRS Tax
Return Transcript and a signed copy of the 2018 IRS Form 1040X that was filed with the IRS.
Northwest State Community College does not discriminate on the basis of race, color, national origin, sex, gender identity, disability, religion or age in its
programs or activities.
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A. Student Information (Northwest State Community College)

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Completed 3 October 2020

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