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FOV1D (San Francisco State University)

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1
FOV1D
20-21
2020-2021
DEPENDENT STUDENT VERIFICATION WORKSHEET
Office of Student Financial Aid
San Francisco State University
1600 Holloway Ave
San Francisco, CA 94132-4011
http://financialaid.sfsu.edu
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. To verify that
you provided correct information, we will compare your FAFSA with the information on this worksheet and information from your
finalized 2018 tax data, W-2 forms or other financial documents. If there are differences, your FAFSA information will be corrected and
sent for reprocessing. Submit your documents as soon as possible to avoid late award notification or reduced funding.
Do not fax or email. Please complete in ink and make a copy for your records before submitting.
A. Student Information
Last Name:
First Name:
Street Address:
City:
State:
Zip:
B. Parent’s Family Information
Parent Marital Status: (check one)
☐ Single (Never married)
☐ Separated
☐ Divorced or Widowed
☐ Married or Remarried
☐ Unmarried – Both parents living together
List the people in your parent’s household.
Yourself
Your parents (including stepparent), even if you don’t live with your parents
Your parent’s other children, if they will provide more than half of their support from July 1, 2020 through June 30, 2021
or if the other children would be required to provide parental information if they were completing a FAFSA for 2020‐2021.
Include children who meet either of the above standards, even if they do not live with the parents
Other people if they now live with your parents, and your parents provide more than half of their support and will continue to
provide more than half of their support from July 1, 2020 through June 30, 2021.
DO NOT LIST CHILDREN FOR WHOM YOU OR SPOUSE PAID CHILD SUPPORT
Full Name of family members in
household.
Age
Relationship to
you (the student)
Name of College
(If attending at least half-time and
working toward a degree or certificate in
2020-2021.) If attending SF State include
STUDENT ID Number
SELF
SF State University
Total number of
people in
household
_______
Total number of
people in college
______
Last Name:
First Name:
Student ID:
2
FOV1D
20-21
C. Student Tax and Income Verification
2018 Federal Tax Filing Status:
Student: ☐ Already Filed or Will File (Complete C1) ☐ Not Required to File (Complete C2)
C1. Student Tax Filers
Update your student tax information using the IRS Data Retrieval Tool in the FAFSA correction process. We will receive your
updated tax information electronically. Please ensure your FAFSA is submitted (not saved).
If you choose not to use the IRS Data Retrieval Tool, or if you do not meet the criteria to use the IRS Data Retrieval Tool, you will
need to request a 2018 Tax Return Transcript from the IRS.
☐ Successfully used the IRS Data retrieval tool on the FAFSA
Date Completed:
☐ Unable to use the IRS Data Retrieval function on the FAFSA
MUST ATTACH 2018 IRS Tax Return Transcript (not an
Account Transcript).
Obtain at: www.irs.gov/individuals/get-transcript
C2. Student Non-Tax Filers
If you were employed in 2018, complete the employer and wage information below. Attach all W-2s or 1099 Forms.
Student : ☐ Employed, not required to file 2018 Federal taxes ☐ NOT Employed, not required to file 2018 Federal taxes
Name of Employer
2018 Annual Amount Earned
Must Attach W-2 or 1099 Form
Student:
$
☐ W-2 or 1099 (student)
Do I need to file taxes?
YES – If your earned income was more than $12,000 in 2018
____ /______ /_____
Last Name:
First Name:
Student ID:
3
FOV1D
20-21
D. Parent Tax and Income Verification
2018 Federal Tax Filing Status:
Parent(s): ☐ Already Filed or Will File (Complete D1) ☐ Not Required to File (Complete D2)
D1. Parent Tax Filers
Update your parent tax information using the IRS Data Retrieval Tool in the FAFSA correction process. We will receive your updated
tax information electronically. Please ensure your FAFSA is submitted (not saved).
If they choose not to use the IRS Data Retrieval Tool, or if they do not meet the criteria to use the IRS Data Retrieval Tool, they will
need to request a 2018 Tax Return Transcript from the IRS.
☐ Successfully used the IRS Data retrieval tool on the FAFSA
Date Completed:
☐ Unable to use the IRS Data Retrieval function on the FAFSA
MUST ATTACH 2018 IRS Tax Return Transcript (not an
Account Transcript).
Obtain at: www.irs.gov/individuals/get-transcript
If the following tax filing status applies to your parent(s), please refer to the Special Tax Filing Status page on our website for
further instructions. (https://financialaid.sfsu.edu/verification_special_tax)
SPECIAL FILING STATUS:
Change in marital status after 2018 taxes were filed
Foreign Tax Filers
Unmarried, both parents living together
Amended Tax Filers
Victims of Identity Theft
D2. Parent Non-Tax Filers
Parent non-tax filers must provide a “Verification of Non-Filling Letter” for tax year 2018 from the IRS dated after October 1,
2019. Obtain IRS form 4506 T and follow instruction at: https://www.irs.gov/pub/irs-pdf/f4506t.pdf
If your parent(s) were employed in 2018, complete the employer and wage information below. Attach all W-2s or 1099 Forms.
Parent 1 : ☐ Employed, not required to file 2018 Federal taxes ☐ NOT Employed, not required to file 2018 Federal taxes
Parent 2: ☐ Employed, not required to file 2018 Federal taxes ☐ NOT Employed, not required to file 2018 Federal taxes
Name of Employer
2018 Annual Amount Earned
Must Attach W-2 or 1099 Form
Parent 1:
$
☐ W-2 or 1099 (Parent 1)
Parent 2:
$
☐ W-2 or 1099 (Parent 2)
____ /______ /_____
Last Name:
First Name:
Student ID:
4
FOV1D
20-21
D. Parent Untaxed Income
If not applicable, write zeroes or “N/A.”
Source of Income
Annual Amount
Child Support Received
$
Federal Benefits (TANF/CAL
Works/Social Security)
$
Other Resources or money
paid on your behalf
$
If your 2018 total income was less than $5,500 per family member, itemize your annual expenses and explain how they were
met. (Include an additional sheet if necessary.)
E. Real Estate, Partnership and S Corporation Verification
Do your parents own rental real estate, have a partnership or S corporation?
☐ No
☐ Yes, see below
Rental Real Estate
If they own rental real estate, provide additional information below. Attach a separate sheet if there is more than one property:
Address:
City:
State:
Zip:
Current Market Value: $
Amount still owed: $
Year Purchased:
Purchase price: $
Comments:
Partnerships or S Corporation
If they have partnership or S corporation, attach a copy of their 2018 Schedule K-1 (1065 or 1120S). If their ownership percentage
is below 51%, complete the information below:
Name of Business/Partnership or S Corporation:
Percentage Owned:
Check if remaining ownership % is family owned ☐
Number of Employees:
Business Value: $
Business Debt: $
Comments:
Last Name:
First Name:
Student ID:
5
FOV1D
20-21
F. Certification & Signature
WARNING: If you purposely give false or misleading information, you may be fined, be sentenced to jail, or both.
I certify that all of the information reported on this worksheet is complete & correct.
Student Signature
Date
Parent Signature
Date
Do not fax or email
Return Form & Supporting Documentation:
Please make a copy for your records before submitting to the Financial Aid Office.
By Mail:
Office of Student Financial Aid
1600 Holloway Ave
Student Services Building
San Francisco, CA 94132-4011
In Person:
Office of Student Financial Aid
Student Services Building
SF State COUNSELOR Reviewer’s
Initials:
__________
Date:
__________
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Completed 16 July 2020

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