HCC ID#
Supplemental–Dependent
D. CerticationandSignature
Each person signing below certies that all of the information reported is complete and correct.
Date:
Student’s Signature
Date:
Parent’s Signature
WARNING: If you purposely give false or misleading information, you may be ned, sent to prison, or both.
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.edu www.howardcc.edu
CR I: FAC18VSD
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Sub-queue: Academic Year
D. 2016IncomeandTaxData
VERIFICATION OF 2016 INCOME FOR STUDENT
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 the IRS.
Student was employed in a FOREIGN COUNTRY in 2016.
Student will complete Foreign Income Supplement and provide documentation.
Link to Foreign Income Supplement is under parents’ Information.
Student was not employed (in the US or any foreign country) and had
no income earned from work in 2016.
The 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 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 PARENT(S)
One or both parents resided in a FOREIGN COUNTRY in 2016.
Parent(s) will complete Foreign Income Supplement, even if no income was
earned, and provide documentation. (Office use only: insert FAC18FID in CRI.)
One or both parents were employed in 2016 and parent(s) led US taxes.
Parent(s) has used/will use IRS DATA Retrieval Tool on FAFSA. OR
Parent(s) has provided/will provide 2016 Federal Tax Return Transcript(s) from IRS.
Neither parent was employed in the US and no income was earned from work
in 2016.
Parent(s) will provide statement of nonling from the IRS (use IRS form 4506-T)
One or both parents were employed in the US in 2016 but did not le taxes.
Parent(s) will provide copies of all 2016 IRS W-2 forms, if issued by employers; AND
Parent(s) must complete the table, below:
DO NOT COMPLETE THIS TABLE
IF YOU FILED TAXES!
Parent’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
led with the IRS for tax year 2016;
• A copy of the IRS’s approval of an exten-
sion beyond the automatic six-month ex-
tension for tax year 2016;
• Verication of Non-ling Letter (conrma-
tion that the tax return has not yet been
led) from the IRS or other relevant tax au-
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
information required to be veried; and
• A signed copy of the 2016 IRS Form
1040X, “Amended U.S. Individual Income
Tax Return,” that was led with the IRS.
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
to be veried; and
• 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.
