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FAC18VSI (Howard Community College)

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Country of origin: US
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1
Your 2018–2019 FAFSA was selected for review in a process called verication. To verify that you provided
correct information, we will compare your FAFSA with the information on this institutional verication docu-
ment and with any other required documents. If there are dierences, your FAFSA information may need to
be corrected. Review of submitted documents can take up to 15 business days.
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, 2018, through
June 30, 2019, 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, 2019.
Household
Members
Full Name
Marital Status
as of today
Age
Attending college at least ½ time?*
Check “yes” for any household member who is, or will be, enrolled
at least half time in a degree, diploma, or certicate program at an
eligible postsecondary educational institution any time between
July 1, 2018, and June 30, 2019. Include the name of the college.
HCC Student
Student’s
date of birth:
Spouse
Yes No
Name of college:
Household
Members
Full Name
Relationship
to student
Age
Will be enrolled in college at least half time?
*
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 Title lV-eligible postsecondary institutions is inaccurate.
1
2018/2019 Supplemental Independent
VERIFICATION WORKSHEET
C. Current Net Worth
Please report the requested information as of the date the student led the 2018-2019 FAFSA. Net worth means the current value
of an asset minus debt. If you do not have any assets in that category, enter $0. If the net worth is negative, enter $0.
Net Worth of Cash,
Savings, and
Checking Accounts
Net Worth of
Investment*
Net Worth
of Business/
Investment Farm**
Net Worth
of Student
Net Worth
of Spouse
* Net Worth of Investment
Includes real estate (not including the home you live in),
trust funds, UGMA/UTMA accounts, money market funds,
mutual funds, CD’s, stocks, stock options, bonds, installments
and land sale contracts (including mortgages held), and
commodities. Include qualied education benets or savings
accounts—if owned by student, report as a parental asset.
** Net Worth of Business/ Investment Farm
Don’t include a family farm or family business with 100 or
fewer full-time or full-time-equivalent employees.
RESET FORM
PRINT
Single
D. 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#
Supplemental–Independent
2
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.eduwww.howardcc.edu
CRI: FAC18VSI
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Sub-queue: Academic Year
C. IncomeandTaxDatafor2016
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.(Officeuseonly:insertFAC18FIDinCRI.)
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.
Studentwillprovidestatementofnonlingfromthe 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.
Spous
e will complete Foreign Income Supplement, even if no income was
earned, and provide documentation.(Officeuseonly:insertFAC18FIDinCRI.)
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.
Spousewillprovidestatementofnonlingfromthe 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
Verication 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;
• VericationofNon-lingLetter(conrma-
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veried;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.
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Completed 22 July 2020

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