D. CerticationandSignature
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,
youmaybened,senttoprison,orboth.
HCC ID#
V1–Independent
2
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.eduwww.howardcc.edu
CRI: FAC18V1I
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Sub-queue: Academic Year
C. IncomeandTaxDatafor2016
VERIFICATION OF 2016 INCOME FOR STUDENT
Student resided in a FOREIGN COUNTRY in 2016.
S
tudent will complete Foreign Income Supplement, even if no income was
earned, and provide documentation.(Officeuseonly:insertFAC18FIDinCRI.)
Student was employed in 2016 and led US taxes.
Student has used/will use IRS DATA Retrieval Tool on FAFSA. OR
Student has provided/will provide 2016 Federal Tax Return Transcript from IRS.
Student was not employed in the US and no income was earned
from work in 2016.
Studentwillprovidestatementofnonlingfromthe IRS (use IRS form 4506-T)
Student was employed in the US in 2016 but did not le taxes.
Student will provide copies of all 2016 IRS W-2 forms, if issued by employers; AND
Student must complete the table, below:
DO NOT COMPLETE THIS TABLE
IF YOU FILED TAXES!
Employer’s Name
IRS W-2 or an
Equivalent Document
Provided?
Annual Amount
Earned in 2016
Total Amount Earned From Work in 2016
VERIFICATION OF 2016 INCOME FOR SPOUSE, IF MARRIED
My spouse resided in a FOREIGN COUNTRY in 2016.
S
pouse will complete Foreign Income Supplement, even if no income was
earned, and provide documentation.(Officeuseonly:insertFAC18FIDinCRI.)
My spouse was employed in 2016 and led US taxes.
Spouse has used/will use IRS DATA Retrieval Tool on FAFSA. OR
Spouse has provided/will provide 2016 Federal Tax Return Transcript from IRS.
My spouse was not employed in the US and no income was earned
from work in 2016.
Spousewillprovidestatementofnonlingfromthe IRS (use IRS form 4506-T)
My spouse was employed in the US in 2016 but did not le taxes.
Spouse will provide copies of all 2016 IRS W-2 forms, if issued by employers; AND
Spouse must complete the table, below:
DO NOT COMPLETE THIS TABLE
IF YOU FILED TAXES!
Spouse’s Employer’s Name
IRS W-2 or an
Equivalent Document
Provided?
Annual Amount
Earned in 2016
Total Amount Earned From Work in 2016
Verication of Income for Individuals
with Unusual Circumstances
An individual who is required to le a
2016 IRS income tax return and has been
granted a ling extension by the IRS be-
yond the automatic six-month extension for
tax year 2016, must provide:
• A copy of IRS Form 4868, Application for
Automatic Extension of Time to File U.S.
Individual Income Tax Return, that was
ledwiththeIRSfortaxyear2016;
• A copy of the IRS’s approval of an exten-
sion beyond the automatic six-month ex-
tension for tax year 2016;
• VericationofNon-lingLetter(conrma-
tion that the tax return has not yet been
led)fromtheIRSorotherrelevanttaxau-
thority dated on or after October 1, 2017;
• A copy of IRS Form W–2 for each source
of employment income received or an
equivalent document for tax year 2016 and,
• If self-employed, a signed statement cer-
tifying the amount of the individual’s Ad-
justed Gross Income and the U.S. income
tax paid for tax year 2016.
An individual who led an amended IRS
income tax return for tax year 2016 must
provide:
• A 2016 IRS Tax Return Transcript (that
will only include information from the
original tax return and does not have to be
signed), or any other IRS tax transcript(s)
that includes all of the income and tax
informationrequiredtobeveried;and
• A signed copy of the 2016 IRS Form
1040X, “Amended U.S. Individual Income
TaxReturn,”thatwasledwiththeIRS.
An individual who was the victim of IRS
tax-related identity theft must provide:
• A Tax Return DataBase View (TRDBV)
transcript obtained from the IRS, or any
other IRS tax transcript(s) that includes all
of the income and tax information required
tobeveried;and
• A statement signed and dated by the tax
lerindicatingthatheorshewasavictim
of IRS tax-related identity theft and that
the IRS is aware of the tax-related
identity theft.