Fillable Dependency Override Continuation19 20 (Hudson Valley Community College)

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Dependency Override Continuation19 20 (Hudson Valley Community College)

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HVCC Financial Aid Office Phone 518-629-7150 Guenther Room 110
80 Vandenburgh Ave Fax 518-629-7479 Monday-Friday
Troy, NY 12180 financialaid@hvcc.edu 8AM-5PM
Mastrangelo Financial Aid Center
2019-2020 Dependency Override Continuation
Student Name
H00
In order for the Financial Aid Office to continue considering you an independent student for
financial aid purposes, you must complete this form and provide the following documentation:
1. A personal letter requesting continuation of independent status updating your family
circumstances and educational plans since your last letter.
• Your living arrangements over the last calendar year (2018), including with whom
you resided and who provided support to you.
• Why you cannot provide parental information on the 2019-2020 Free Application for
Federal Student Aid (FAFSA)
• The whereabouts of both biological parents and their living arrangements. Include
any contact you had with both biological parents and the frequency of contact over
the past year.
• Your name, social security number, and signature.
2. 2019-2020 Free Application for Federal Student Aid (FAFSA) if not already filed
online.
3. 2019-2020 Verification Worksheet
4. Your 2017 IRS Tax Return Transcript, an IRS match on your FAFSA or an IRS non-
filing statement
5. Your 2017 W2 forms
I, _____________________________, certify that I have submitted all requested
documentation, as listed above. The Financial Aid Office will review my request for a
Dependency Override for 2019-2020 and will notify me of their decision.
Student Signature
Date
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Completed 27 July 2020

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