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FAC17V1I (Howard Community College)

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U.S.A. forms for Howard Community College

BROWSE HOWARD COMMUNITY COLLEGE FORMS

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A. Student’s Information
Student’s Last Name Student’s First Name Student’s M.I. Student’s HCC ID Number
B. Family Information
Number of Household Members: List below the people in the student’s household. Include:
The student.
The student’s spouse, if the student is married.
The student’s or spouse’s children if the student or spouse will provide more than half of the children’s support from July 1, 2017, through
June 30, 2018, even if a child does not live with the student.
Other people if they now live with the student and the student or spouse provides more than half of the other person’s support, and will
continue to provide more than half of that person’s support through June 30, 2018.
Attending college at least ½ time? Include in the space below
information about any household member who is, or will be, enrolled
at least half time in a degree, diploma, or certicate program at a Title
lV-eligible postsecondary educational institution any time between
July 1, 2017, and June 30, 2018. Include the name of the college.
Household
Members
Full Name
Marital Status
as of today
Age
Attending college at least ½ time?
If yes, list name of college.
HCC Student
Date of birth:
Spouse
Yes No
Name of college:
Household
Members
Full Name
Relationship
to student
Age
Attending college at least ½ time?
If yes, list name of college.
All children or
dependents
who meet the
criteria above.
If more space is
needed, attach a
separate sheet.
Yes No
Name of college:
Yes No
Name of college:
Yes No
Name of college:
Yes No
Name of college:
Yes No
Name of college:
Yes No
Name of college:
Yes No
Name of college:
Note: We may require additional documentation if we have reason to believe that the information regarding the household members enrolled in eligible
postsecondary educational institutions is inaccurate.
2017/2018 V1 Independent
VERIFICATION WORKSHEET
1
Your 2017–2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process
called verication. The law says that, before awarding Federal Student Aid, we must ask you to conrm the
information you reported on your FAFSA.
To verify that you provided correct information, we will compare your FAFSA with the information on this
institutional verication document and with any other required documents. If there are dierences, your
FAFSA information may need to be corrected. You and the parent who completed the FAFSA must complete
and sign this institutional verication document, attach any required documents, and submit the form and oth-
er required documents to Financial Aid Services, RCF 222. If you have questions about verication, contact us
as soon as possible so that your nancial aid will not be delayed.
Review of submitted documents can take up to 15 business days.
RESET FORM
PRINT
Single
G. CerticationandSignature
I certify that all of the information reported on this worksheet is complete and correct.
The student must sign this worksheet.
Student’s Signature Date
WARNING: If you purposely give false or misleading information,
youmaybened,senttoprison,orboth.
HCC ID#
V1–Independent
1
C. IncomeandTaxDatafor2015(The 2017/2018 FAFSA uses 2015 tax information.)
Complete both the student and spouse section and provide the required income or tax information.
The quickest way to provide tax information on the 2017/2018 FAFSA is to use the IRS Data Retrieval Tool.
Please note: students and/or spouses who submitted 2015 tax return transcripts for 2016/2017 verication at HCC
may use the same transcript to satisfy 2017/2018 verication; however, students and spouses are encouraged to
use the IRS data retrieval tool on the 2017/2018 FAFSA.
Link to the
IRS on your
FAFSA!
STUDENT
AMENDED TAXES
If you and/or your parent(s) led or will le an amended 2015
IRS tax return, you must submit:
1) a 2015 IRS Tax Return Transcript of the originally-led
taxes AND
2) a signed copy of the 1040X
VICTIMS OF IDENTITY THEFT
A victim of IRS tax-related identity theft must provide:
1) A Tax Return Database View (TRDBV) transcript obtained
from the IRS, or any other IRS tax transcript(s) that in-
cludes all of the income and tax information required to be
veried; AND
2) A statement signed and dated by the tax ler indicating
that he or she was a victim of IRS tax-related identity theft
and that the IRS is aware of the tax-related identity theft.
TAX FILING EXTENSION
If you and/or your parent(s) have requested a ling exten-
sion, you must submit:
1) a copy of the IRS’s approval of an extension beyond the
automatic six-month extension if the individual requested
an additional extension of the ling time for tax year 2015;
AND
2) a copy of your W-2s or, if self-employed, a signed
statement with the amount of your AGI and U.S.
income taxes paid.
INCOME TAX RETURNS FOR US TERRITORIES AND
POSSESSIONS
A 2015 tax return transcript must be submitted if it is available
for free from the taxing authority.
INCOME TAX RETURNS FOR FOREIGN COUNTRIES
A copy of the 2015 foreign tax return must be submitted if
it is available.
NON-TAX FILERS IN US TERRITORIES AND
POSSESSIONS OR IN A FOREIGN COUNTRY
Non-tax lers in US territories and possessions or in a foreign
country must submit a copy of their Wage and Tax statement
for each source of employment income for 2015 and a signed
statement identifying all income and taxes for 2015.
TAX RETURN TRANSCRIPTS
A 2015 IRS Tax Return Transcript may be obtained through:
1) Online Request at www.IRS.gov. (Under“Tools” menu), or
2) Telephone Request: 1-800-908-9946, or
3) Paper Request: IRS Form 4506T-EZ or IRS Form 4506-T.
OTHER IMPORTANT TAX INFORMATION
Check one box, below, for student’s information.
The student was not employed and had no income earned from work in 2015.
StudentmustprovidedocumentationofnonlingfromtheIRS(useIRSform4506-T)
Thestudentwasemployedin2015butdidnotletaxes.
Student must complete the table, below; AND
Studentmustprovidecopiesofall2015IRSW-2forms,ifissuedbyemployers; AND
StudentmustprovidedocumentationofnonlingfromtheIRS(useIRSform4506-T).
Thestudentwasemployedin2015andledtaxes.
Student has used/will use IRS DATA Retrieval Tool on FAFSA; OR
Student has provided/will provide 2015 Federal Tax Return Transcript from the IRS.
If married, check one box for spouse’s information.
My spouse was not employed and had no income earned from work in 2015
SpousemustprovidedocumentationofnonlingfromtheIRS(useIRSform4506-T)
Myspousewasemployedin2015butspousedidnotletaxes.
Spouse must complete the table, below; AND
Spousemustprovidecopiesofall2015IRSW-2formsissuedbyemployers; AND
SpousemustprovidedocumentationofnonlingfromtheIRS(useIRSform4506-T).
Myspousewasemployedin2015andledtaxes.
Student and spouse, if ling jointly, will use IRS DATA Retrieval Tool on FAFSA; OR
Spouse will provide 2015 Federal Tax Return Transcript(s) from the IRS.
Employer’s Name
2015 Amount
Earned
IRSW-2
Attached?
Examples: CVS or handyman services Example: $1775 Yes or No
Spouse’s Name Employer’s Name
2015 Amount
Earned
IRSW-2
Attached?
Example: John Jones Example: Suzy’s Car Wash Example: $2,000 Yes or No
SPOUSE
Financial Aid Services
10901 Little Patuxent Pkwy
ColumbiaMD21044
443-518-1260;443-518-4576(FAX)
naid@howardcc.eduwww.howardcc.edu
CRI: FAC17V1I
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Sub-queue: Academic Year
Fill in this table ONLY if you did not file 2015 taxes.
Fill in this table ONLY if your spouse did not file 2015 taxes.
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Completed 23 July 2020

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