Fillable Dependent Verification Worksheet 2019 2020 (Our Lady of the Lake University)

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Dependent Verification Worksheet 2019 2020 (Our Lady of the Lake University)

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2019-2020 Dependent Verification Worksheet
Your 2019-2020 Free Application for Federal Student Aid (FAFSA) was selected by the Department of
Education for review in a process called verification. Federal law requires OLLU to verify the information you
and your parents reported on your FAFSA before awarding you federal aid. If there are differences between
your FAFSA information and your financial documents, we will submit corrections electronically. You must
complete this verification form, sign and date it, and submit it to the financial aid office as soon as possible.
This will ensure that your financial aid will not be delayed.
A. Student Information
Write the names of all household members in the space(s) below. Also write the name of the college for any household member,
excluding your parent(s), who will be attending at least half time between July 1, 2018 and June 30, 2019, and will be enrolled in a
degree, diploma, or certificate program. If you need more space, attach a separate page.
Full Name Age Relationship College
Self OLLU
___________________________________________________ _________________________
Student's First Name
Student's ID or SSN
Student's Last Name M.I.
___________________________________________________
Student's Street Address
___________________________________________________
City State Zip Code
_________________________
Student's Date of Birth
_________________________
Student's Phone Number
B. Family Information
List the people in your parent(s) household, including:
• Yourself and your parent(s) including stepparent even if you don’t live with your parents, and
• Your parents’ other children even if they don’t live with parent(s), if (a) your parents will provide more
than half of their support from July 1, 2019 through June 30, 2020, or (b) the children would be
required to provide parental information when applying for Federal Student Aid, and
• Other people if they now live with your parents and your parents provide more than half of their
support and will continue to provide more than half of their support from July 1, 2019 through June
30, 2020.
Print Student Name and ID:
Sources 2017 Income
Sources 2017 Income
_______________________________________
Student Signature
_______________________________________
Parent Signature
____________________
Date
____________________
Date
Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail or both.
Please submit all verification documents to OLLU/Financial Aid Office 411 S.W 24
th
Street, San Antonio, TX 78207
____________________________________________
C. Student Tax Forms and Income Information
1. Check only one box below:
Check here if you will request a 2017 tax return transcript and W-2 from the IRS
(www.irs.gov, or call 800-908-9946). Write the Student's Name and OLLU ID number
(or date of birth) on all pages of all documents.
Check here if you will not file and are not required to file a 2017 U.S. Income Tax Return.
2. If you did not file and are not required to file a 2017 Federal Income Tax Return, list below your
employer(s) and any income received in 2017. Please attach a copy of a W-2 form for each source
of employment. You must also request a Non-Filers transcript from the IRS at www.irs.gov. Write
the Student's Name and OLLU ID number (or date of birth) on all pages of all documents.
D. Parents Tax Forms and Income Information
1. Check only one box below:
Check here if you will request a 2017 tax return transcript and W-2 from the IRS
(www.irs.gov, or call 800-908-9946). Write the Student's Name and OLLU ID number (or
date of birth) on all pages of all documents.
Check here if you will not file and are not required to file a 2017 U.S. Income Tax Return.
2.
If your parent(s) did not file and are not required to file a 2017 Federal Income Tax Return, list
below your parent(s) employer(s) and any income received in 2017. Please attach a copy of a W- 2
form for each source of employment. Your parent(s) must also request a Non-Filers transcript
from the IRS at www.irs.gov. Write the Student's Name and OLLU ID number (or date of birth) on
all pages of all documents.
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Completed 26 July 2020

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