Fillable FA104 IVWS20 (Coconino Community College)

Fill Online, Printable, Fillable, Blank FA104 IVWS20 (Coconino Community College) Form

Use Fill to complete blank online COCONINO COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

FA104 IVWS20 (Coconino Community College)

On average this form takes 16 minutes to complete

The FA104 IVWS20 (Coconino Community College) form is 2 pages long and contains:

  • 0 signatures
  • 8 check-boxes
  • 59 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Coconino Community College

BROWSE COCONINO COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
IVWS20
INDEPENDENT VERIFICATION WORKSHEET
(2019-2020 Academic Year – V1, V5)
2800 S Lone Tree Rd Flagstaff, AZ 86005-2701 PH: 928-226-4219 FAX: 928-226-4110 finaid@coconino.edu
FA-104 IVWS20 20191009
Your financial aid file was selected for a process called verification. Department of Education Regulation 34 CFR, Part
668 requires colleges to compare your household’s 2017 financial documentation with the information provided on your
Free Application for Federal Student Aid (FAFSA). This process must be completed before CCC can award you financial
aid. If there are differences between your FAFSA and your financial documents, we correct your FAFSA. We may require
additional documentation if we have reason to believe the information on this form is inaccurate or incomplete.
Instructions for Section A:
Independent Students Instructions for Section A:
1. List yourself (and your spouse if you are legally married).
2. List your children (if you will provide more than half of their support from July 1, 2019 through June
30, 2020, even if the child does not live with you).
3. List other people currently living with you (only if you will provide more than half of their support
from July 1, 2019 through June 30, 2020.)
4. If you are unsure of who to list, please call us at 928-226-4219 so we can assist.
SECTION A. Complete this chart about the people in your household. Follow the instructions below it carefully.
Household Member’s
First Name and Last Name
Age
Relationship
(to the
student)
College Attending in 2019-20
(if applicable)
Will this person be
enrolled at least
half time in a
degree, diploma or
certificate
program?
Y/N
Self
Coconino Community College
CCC ID# Last Name First Name MI
Mailing Address City State Zip Code
Telephone No. (include area code) Email Address
IVWS20
INDEPENDENT VERIFICATION WORKSHEET
(2019-2020 Academic Year – V1, V5)
2800 S Lone Tree Rd Flagstaff, AZ 86005-2701 PH: 928-226-4219 FAX: 928-226-4110 finaid@coconino.edu
FA-104 IVWS20 20191009
SECTION B. Tax Status and Requirements for Student: Check only one box below that applies.
Student filed 2017 Federal Income taxes and used the IRS Data Retrieval Tool to transfer in the 2017 IRS
income information onto the FAFSA. Skip to Section C.
Student did not use the IRS Data Retrieval Tool on the FAFSA but did file 2017 Federal Income taxes.
Student must attach an official 2017 IRS Tax Return Transcript. Skip to Section C.
Student worked but was not required to file 2017 Federal Income Taxes. Complete the chart below AND
attach copies of your 2017 W-2’s. Also attach an IRS Non-Filing Letter for the 2017 tax year.
Employer(s) in 2017
Skip to Section C.
Student did not work in 2017 and is not required to file 2017 Federal Income Taxes. Attach a copy of the
IRS Non-Filing Letter for the 2017 tax year.
Explain how you financially supported yourself in 2017.
SECTION C. Tax Status and Requirements for the Spouse of Student: If you are legally married, you are required
to report spouse’s information on the FAFSA. Check the box below that applies.
Spouse filed 2017 Federal Income taxes and used the IRS Data Retrieval Tool to transfer in the 2017 IRS
income information onto the FAFSA. Skip to Section D.
Spouse did not use the IRS Data Retrieval Tool on the FAFSA but did file 2017 Federal Income taxes.
Spouse must attach an official 2017 IRS Tax Return Transcript. Skip to Section D.
Spouse worked but was not required to file 2017 Federal Income Taxes. Complete the chart below AND
attach copies of your spouse’s 2017 W-2’s. Also attach an IRS Non-Filing Letter for the 2017 tax year.
Employer(s)
Spouse did not work in 2017 and is not required to file 2017 Federal Income Taxes. Attach a copy of the
IRS Non-Filing Letter for the 2017 tax year.
Explain how your spouse financially supported your household in 2017.
SECTION D. Sign this Worksheet
Each person signing this form certifies that all the information reported on it is complete and correct. The student
must sign and date. I certify that information provided on this form is true and complete to the best of my
knowledge. Purposely giving false or misleading information may result in a delay or denial of my federal financial
aid and I may be fined up to $20,000, sent to prison or both.
Student Date Spouse (Signature Optional)
Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

FA104 IVWS20 (Coconino Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document