Fillable FAC19V5I (Howard Community College)

Fill Online, Printable, Fillable, Blank FAC19V5I (Howard Community College) Form

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

FAC19V5I (Howard Community College)

On average this form takes 24 minutes to complete

The FAC19V5I (Howard Community College) form is 4 pages long and contains:

  • 0 signatures
  • 36 check-boxes
  • 78 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Howard Community College

BROWSE HOWARD 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
 
A. Student’s Information
Student’s Last Name Student’s First Name Student’s M.I. Student’s HCC ID Number
Your 2019–2020 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 document 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.
2019/2020 V5 Independent Verication Worksheet
1
B. Family Information
Number of Household Members: List below the people in your household. Include:
Yourself.
Your spouse, if married (Do not include spouse if you are separated and living apart.)
Your or your spouse’s children, if you or your spouse will provide more than half of the children’s support from July 1, 2019 through
June 30, 2020, even if a child does not live with you. Do not include children for whom child support is paid or foster children
supported by another entity.
Other people if they now live with you and you or your spouse provide more than half of the other person’s support, and will con-
tinue to provide more than half of that person’s support through June 30, 2020.
Full name Date of Birth Marital status as of today
Student:
Single Married/Remarried on
Mont h/ Ye ar
Separated on
Mont h/ Ye ar
Divorced/Widowed on
Mont h/ Ye ar
Spouse:
Is spouse enrolled in college at least half time? Yes No College:
Full name of dependent children
Relationship
to student
Age Enrolled in college at least half time?
Yes No College:
Yes No College:
Yes No College:
Yes No College:
Yes No College:
Yes No College:
Yes No College:
Yes No College:
Full name of others in household for whom
student provides more than 50% support
Relationship
to student
Age Enrolled in college at least half time?
I certify that I provide more than 50% support for the individuals listed below and they
do not receive any additional state or federal benets, ie. disability, pension, or retirement.
Student Signature
Yes No College:
Yes No College:
Yes No College:
Yes No College:
PRINT
RESET FORM
HCC ID#
V5–Independent
Notes on Current Net Worth (section C)
Net worth means the current value, as of today,
of investments, businesses, and/or investment
farms, minus debts related to those same invest-
ments, businesses, and/or investment farms.
When calculating net worth, use 0 for investments
or properties with a negative value.
Investments include:
• real estate (do not include the home in which you
live);
• rental property (includes a unit within a family home
that has its own entrance, kitchen, and bath rented
to someone other than a family member);
• trust funds;
• UGMA and UTMA accounts;
• money market funds;
• mutual funds;
• certicates of deposit;
• stocks;
• stock options;
• bonds;
• other securities;
• installment and land sale contracts (including
mortgages held);
• commodities, etc.
Investments also include:
• qualifed educational benefts or education savings
accounts (e.g., Coverdell savings accounts;
Continued on page 3
C. 2017 Income and Tax Data
Verication of Income for Individuals with Unusual Circumstances, page 3, addresses ling extentions, amended taxes and identity theft.
VERIFICATION OF 2017 INCOME FOR STUDENT
VERIFICATION OF 2017 INCOME FOR SPOUSE
My spouse worked in a FOREIGN COUNTRY in 2017.
 Spouse will complete Foreign Income Supplement, even if no income was earned, and provide documentation.
(Oce use only: insert FAC19FII in CRI.)
My spouse was employed in 2017 and led US taxes. Was this a work-study position? Yes No
 Spouse has used/will use IRS DATA Retrieval Tool on FAFSA. OR
 Spouse has provided/will provide signed copy of 2017 1040, 1040A or 1040EZ tax form.
My spouse was not employed in the US and no income was earned from work in 2017.
Spouse will complete Spouse Non-Tax Filer form (unless ling jointly).
My spouse was employed in the US in 2017 but did not le taxes. Was this a work-study position? Yes No
Spouse will provide copies of all 2017 IRS W-2s, if issued by employers.
Student worked in a FOREIGN COUNTRY in 2017.
 Student will complete Foreign Income Supplement, even if no income was earned, and provide documentation.
(Oce use only: insert FAC19FII in CRI.)
Student was employed in 2017 and led US taxes. Was this a work-study position? Yes No
 Student has used/will use IRS DATA Retrieval Tool on FAFSA. OR
 Student has provided/will provide signed copy of 2017 1040, 1040A or 1040EZ tax form.
Student was not employed (in the US or any foreign country) and no income was earned from work in 2017.
Student will complete Student Non-Tax Filer form.
Student was employed in the US in 2017 but did not le taxes. Was this a work-study position? Yes No
Student will provide copies of all 2017 IRS W-2s, if issued by employers.
D. Net Worth as of THE DATE FAFSA WAS COMPLETED
Please carefully read the notes on page 3 which explain the criteria for each asset. Enter the net worth of assets as of the date
FAFSA was completed. If you do not have any assets in that category, enter $0. If the net worth is negative, enter $0.
Student Spouse
Net Worth of Cash, Savings, and Checking Accounts
Net Worth of Investment*
Net Worth of Business/ Investment Farm**
2017 Filing
Requirements
for Most
Taxpayers
See IRS Publication 17
for detailed guidance or
if you are over 65.
IF your ling status is...
AND at the end of 2017
you were...
THEN le a return if your
gross income was at least...
Single Dependent under 24 $6,350
Single Independent Student under 65 $10,400
Married ling jointly under 65 (both spouses) $20,800
Married ling separately any age $ 4,050
Head of household under 65 $13,400
Qualifying widow(er) under 65 $16,750
Business and/or investment farm
value includes:
• the market value of land, buildings, machinery,
equipment, inventory, etc. Business and/or
investment farm debt means only those debts for
which the business or investment farm was used
as collateral.
Business value DOES NOT include:
• the value of a small business if your family owns
and controls more than 50 percent of the business
and the business has 100 or fewer full-time or
full-time equivalent employees. For small business
value, your family includes (1) persons directly
related to you, such as a parent, sister or cousin,
or (2) persons who are or were related to you by
marriage, such as a spouse, stepparent or sister-
in-law. Investment farm value does not include the
value of a family farm that you (your spouse and/or
your parents) live on and operate
Notes on Verication of Income for Individu-
als with Unusual Circumstances
An individual who is required to le a 2017 IRS income
tax return and has been granted a ling extension by
the IRS beyond the automatic six-month extension for
tax year 2017, 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 2017;
• A copy of the IRS’s approval of an extension beyond
the automatic six-month extension for tax year 2017;
• 529 college savings plans and the refund value
of 529 prepaid tuition plans). For a student who
does not report parental information, the accounts
owned by the student (and/or the student’s spouse)
are reported as student investments in question
42. For a student who must report parental
information, the accounts are reported as parental
investments in question 91, including all accounts
owned by the student and all accounts owned by
the parents for any member of the household.
• Money received, or paid on your behalf, also
includes distributions to you (the student
benefciary) from a 529 plan that is owned by
someone other than you or your parents (such
as your grandparents, aunts, uncles, and non-
custodial parents).
Investments DO NOT include:
• the home you live in, the value of life insurance;
• retirement plans (401[k] plans;
• pension funds;
• annuities;
• non-education IRAs, Keogh plans, etc.);
• cash, savings and checking accounts already
reported in questions 41 and 90;
• UGMA and UTMA accounts for which you are the
custodian, but not the owner. Investment value
means the current balance or market value of
these investments as of today. Investment debt
means only those debts that are related to the
investments.
E. High School Completion Status
Provide one of the following documents to indicate the student’s high school completion status when the student begins
college in 2019–2020:
• A copy of the student’s high school diploma.
• For students who completed secondary education in a foreign country, a copy of the “secondary school leaving
certicate” or other similar document.
• A copy of the student’s nal ocial high school transcript that shows the date when the diploma was awarded.
• A State certicate or transcript received by a student after the student passed a State-authorized examination that
the State recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized
examination).
• An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
• For a student who was homeschooled in a State where State law requires the student to obtain a secondary school completion
credential for homeschooling (other than a high school diploma or its recognized equivalent), a copy of that credential.
• For a student who was homeschooled in a State where State law does not require the student to obtain a secondary school
completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a
transcript, or the equivalent, signed by the student’s parent or guardian, that lists the secondary school courses the
student completed and includes a statement that the student successfully completed a secondary school education in a home-
school setting.
A student who is unable to obtain the documentation listed above must contact the nancial aid oce.
F. CerticationandSignature
Each person signing below certies that all of the information reported is complete and correct.
Date:
Student’s Signature
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260; 443-518-4576 (FAX)
naid@howardcc.edu www.howardcc.edu
CRI: FAC19V5I
ImageNow Doc type: UG Finaid Verication
FA Doc Name: V-Verication Forms
Work Flow Main: FAS Document Processing
Sub-queue: Academic Year
WARNING: If you purposely give false or misleading information, you may be ned, sent to prison, or both.
Investments also include:
• Verication of Non-ling Letter (conrmation that
the tax return has not yet been led) from the IRS
or other relevant tax authority dated on or after
October 1, 2018;
• A copy of IRS Form W–2 for each source of em-
ployment income received or an equivalent docu-
ment for tax year 2017 and,
• If self-employed, a signed statement certifying
the amount of the individual’s Adjusted Gross
Income and the U.S. income tax paid for tax year
2017.
An individual who led an amended IRS income
tax return for tax year 2017 must provide:
• A 2017 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 veried; and
• A signed copy of the 2017 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) tran-
script 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.
F. StatementofEducationalPurposeandCerticationofIdentity
• This statement must be completed and signed in the presence of an HCC Financial Aid Representative.
• Do not complete form in advance!
HCC ID#
V5–Dependent
Statement of Educational Purpose
I certify that I am the individual signing this
Print Student’s Name
Statement of Educational Purpose and that the Federal student nancial assistance I may
receive will only be used for educational purposes and to pay the cost of attending
Howard Community College for 2019-2020.
Student’s Signature
Date
Student’s HCC ID Number
The student must appear in person at Howard Community College’s Financial Aid Services to verify his or
her identity by presenting an unexpired valid government-issued photo identication (ID), such as, but not limited
to, a driver’s license, other state-issued ID, or passport. The institution will maintain a copy of the student’s
photo ID that is annotated by the institution with the date it was received and reviewed, and the name of the ocial
at the institution authorized to receive and review the student’s ID.
In addition, the student must sign, in the presence of the institutional ocial, the Statement of Educational
Purpose provided below.
Verication of Government-Issued ID
OFFICE USE ONLY: To be completed by HCC Financial Aid Representative.
ID Type: □ Driver’s License □ Non-Driving State ID □ Passport □ Other
ID Number: Expiration date:
FAA Name:
FAA Title:
FAA Signature:
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

FAC19V5I (Howard 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 22 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document