Fillable DEPENDENT VERIFICATION WORKSHEET - V1 2021-2022 (Southeast Technical Institute)

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DEPENDENT VERIFICATION WORKSHEET - V1 2021-2022 (Southeast Technical Institute)

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DEPENDENT VERIFICATION WORKSHEET - V1
2021-2022
FEDERAL STUDENT AID PROGRAMS
SEND ALL PAPERWORK TO:
Southeast Technical College
Oce of Financial Aid
2320 N Career Ave
Sioux Falls, SD 57107
Fax: 605-367-8305
Phone: 605-367-7867
Email: financialaid@southeasttech.edu
A. Student Information
Last Name First Name M.I. Student ID# or Social Security Number
Address (include Apt No.) Phone Number
City State Zip Email
B. Please identify the people in your parents’ household, include your self and your parent(s):
Number in Household on FAFSA: Please list those people in this section.
• If your parent is remarried, include your step-parent
• If your parents support other people and will continue to provide more than half of their support
between July 1, 2021 and June 30, 2022 (such as their other children), include them in the household.
• If your parents’ other children would be required to provide parental information when completing the FAFSA,
include them in the household.
Name (First & Last) Age Relationship
Student/Self
B. Please identify the people listed in the above household who will be attending college at least
half-time between July 1, 2021 and June 30, 2022 and will be in a degree or certificate program.
Number in College on FAFSA: Please list those people in this section.
Name
Student/Self
Name of College/Post Secondary School
Southeast Technical College
D. Refer to the enclosed sheet for detailed instructions regarding tax information requested, then
complete and sign the back of this form.
E. Student: Did you file a 2019 U.S. Federal Tax Return?
IF YES:
Choose One
I successfully used the
Link to IRS tax
information.
Attached is a copy of
my 2019 Federal tax
return (signed) OR 2019
IRS Tax Return Transcript.
I have ordered my 2019
IRS Tax Return Transcript
and will submit it when it
is received
IF NO:
Choose One
I did not earn income during 2019 and I was not required to file a 2019
Federal Tax Return
I was not required to file a 2019 Federal Tax Return but did earn income
during 2019. Attached are my 2019 W-2s OR my 2019 IRS Wage and
Income Transcript.
NON-FILERS ONLY
List the Names of ALL
the Parent(s)’ Employers
Enter the Amount
Earned from each
Employer in 2019
W-2 Attached?
(circle one)
Yes No
Yes No
Yes No
F. Parent(s): Did you file a 2019 U.S. Federal Tax Return?
IF YES:
Choose One
I successfully used the
Link to IRS tax
information.
Attached is a copy of
my 2019 Federal tax
return (signed) OR 2019
IRS Tax Return Transcript.
I have ordered my 2019
IRS Tax Return Transcript
and will submit it when it
is received
IF NO:
Choose One
I did not earn income during 2019 and I was not required to file a 2019
Federal Tax Return
I was not required to file a 2019 Federal Tax Return but did earn income
during 2019. Attached are my 2019 W-2s OR my 2019 IRS Wage and
Income Transcript.
NON-FILERS ONLY
List the Names of ALL
the Parent(s)’ Employers
Enter the Amount
Earned from each
Employer in 2019
W-2 Attached?
(circle one)
Yes No
Yes No
Yes No
G. Certification of signatures: SENDING WITHOUT SIGNATURES WILL DELAY THE FINANCIAL AID PROCESS.
By signing this worksheet, we certify that all information reported on this form to qualify for Federal aid is
complete and correct.
Student Date Parent Date
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined,
sentenced to jail, or both.
SOUTHEASTTECH.EDU
Updated: December 10, 2020
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DEPENDENT VERIFICATION WORKSHEET - V1 2021-2022 (Southeast Technical Institute)

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Completed 4 February 2021

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