Revised 4/2020
Copper
Mountain
College 2020-2021 Independent Student Verification
Student's Last Name First Name M.l.
Student's CMC ID
Number
_X X X – X X
-
SPOUSE SSN
-last
four (if
applicable)
Number
of
Household Members:
List the people in the student's household.
Include:
The
student
The student's spouse, if you are legally married, regardless of
gender
The student's or spouse's children if the student or spouse will provide more than half of their support
fro
m
July 1, 2020, through June 30, 2021, or if the child would be required to provide your information
if
the
y
were completing a FAFSA for
2020-2021.
Include children who meet either of these
standards, even
i
f
they do not live with you
Other people if they now live with you and you provide more than half of their support and will
continue
to
provide more than half of their support through June 30,
2021
Full Name Age Relationship College *Enrolled at least half time?
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Self Copper Mountain College
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*
Note: We may require proof of enrollment for household members.
Student Tax Filers VERIFICATION If you filed taxes, read below:
Important
Note: The instructions below apply to the student and spouse, if the student is married. Notify the
financial
aid
office if the student or spouse filed separate IRS income tax returns for 2018 or had a change in marital
status
after
December31, 2018.
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.
The student and spouse filed separate IRS income tax returns for 2018. The student will provide 2018 IRS Tax Return
Transcripts
for
both student and spouse.
The student is unable or chooses not to use the IRS DRT in FAFSA
on
the Web, and instead will provide the school a 2018 IRS Tax
Return
Transcript(s).
(signature not required)
The student/spouse
filed an amended tax return for the tax year 2018 must provide:
1. A 2018 IRS Tax Return Transcript (does not need to be
signed);
and
2. A signed copy of the 2018 IRS Form 1040X, Amended U.S. Individual Income Tax Return," that was filed
with
the IRS
The student/spouse who was required to file a 2018 IRS tax return and has been granted a Filing Extension
by the IRS, must provide:
1. A copy of IRS Form 4868, "Application for Automatic Extension of Time to File U.S. Individual Income Tax
Return,”
that was filed with the IRS for tax year 2018;
2. A copy of the IRS's approval of an extension beyond the automatic six-month extension for tax year 2018;
3.
Verification
of Non-filing Letter from the IRS dated after October 1, 2018;
4. A copy of IRS Form W-2 for each source of employment income received for tax year 2018 and,
5. If
self-employed,
a signed statement
certifying the amount of the individual's Adjusted Gross Income (AGI)
and
the U.S. income tax paid for tax year 2018.
Revised
4
/
2020
Victim of Tax Administration Identity Theft – must provide:
1.
A Tax Return DataBase View (TRDBV) transcript obtained from the
IRS,
or any other IRS tax transcript
that
includes all of the
income and tax information required to be
ver
i
fie
d
;
and
2. A statement signed and dated by the tax filer indicating that he or she was a victim of IRS tax-related
i
dentity
theft and that the IRS is aware of the tax-related identity theft
.
A 2018 IRS Tax Return
Transcript
may be
obtained through
th
e
:
- Get Transcript by
MAIL
-
Go tohttps://www.irs.gov/pub/irs-pdf/f4506t.pdf
,
under the Tools
heading
,
click "Get Tax Transcript.", Click
"
Get
Transcript by MAIL" Make sure to request the "IRS Tax Return Transcript" and NOT the "IRS Tax Account
Transcript."
- Get Transcript ONLINE- Go to www.IRS,gov, under the Tools
heading
, click "Get Tax Transcript", Click "Get Transcript
ONLINE"
Make sure
to
request the "IRS Tax Return Transcript" and NOT the "IRS Tax Account T
r
anscrip
t
."
- Automated Telephone
Request.
1-800-908-9946
- Paper Request Form
-
IRS Form 4506T-EZ or IRS Form 4506-T
(https://www.irs.gov/pub/irs-pdf/f4506t.pdf)
- Mobile App – Get the IRS2GO app from your mobile device,
What you need to get an On-Line
Transcript:
1) SSN # 2) date of birth 3) filing status and
mai
l
i
ng
address from latest tax return 4) access to
your email account 5) your personal account # from a credit
car
d
,
mortgage, home equity
loan,
home equity line of c
red
i
t
or car
loan
,
and 6) a mobile
phone
with your name on the account.
Student Non-tax Filers VERIFICATION (Did NOT file
taxes,
complete
below)
:
The instructions and certifications below apply to the student and
spouse,
if the student is
ma
r
ried
.
Complete
th
i
s
section if the student and spouse
will
not file and are not
required
to file a 2018
i
ncome
tax return with the
IRS
.
Check the box that
applies:
The student and/or spouse were not
emp
l
o
yed and had no income earned from work in 2018
The student and/or spouse were employed in 2018 and have listed below the names of all
emp
l
oyers
,
the amount earned from each employer
in
2018, and
whether
an IRS W-2 form is provdi
ed
.
(Provide copies of all 2018 IRS W-2 forms issued to the student and spouse by
t
heir
employers). List every employer even if the employer did not issue an IRS W-2
form.
Employer’s Name
2017 Amount
Earned
IRS W-2 Provided?
EXAMPLE ONLY - Spike’s Auto Body Shop $2,000.00 Yes
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Note
:
Provide a Verification of Non-filing from the IRS dated on or after October
1,
2018 that indicates a 2018
IRS
Income tax return was not filed with the IRS. Go to https://www.irs.gov/pub/irs-pdf/f4506t.pdf Check boxes 7 and
8
.
Certification
and Signature
WARNING
:
If you
purposely
give false or
misleading information
on this
worksheet,
you may be fined, be
sent
to
prison, or
both.
I certify that all of the information reported on this worksheet
i
s complete and correct. The student must sign this
worksheet.
If married, the
spouse
'
s signature is
o
pt
iona
l.
Student's Signature Date
Spous
e
'
s Signature (Optional) Date
Submit this Worksheet to the Financial Aid Office at CMC or attach in an email through MyCMC Portal
.
click to sign
signature
click to edit
click to sign
signature
click to edit