Fillable Financial Aid Office 2019-2020 Aggregate Verification Worksheet V5 (Big Bend Community College)

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Financial Aid Office 2019-2020 Aggregate Verification Worksheet V5 (Big Bend Community College)

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Aggregate Verification – V5
Financial Aid Office
2019-2020 Aggregate Verification Worksheet – V5
Your 2019-2020 Free Application for Federal Student Aid (FAFSA) was selected for a review process called Verification. In this
process, the Financial Aid Office (FAO) will compare information from your FAFSA with the information you provide on this
worksheet and other required documents. The law says that before awarding Federal Student Aid we must complete this process. If
there are differences between your FAFSA and the information you are providing on this worksheet, the FAO is required to make
corrections to your FAFSA.
Helpful Hints
• Complete this form in PEN. Incomplete worksheets will not be accepted.
• If you used the IRS Data Retrieval Tool (DRT) when submitting your FAFSA and did not make any recent changes, you still need
to complete this worksheet but will not need to submit additional tax information (unless requested by Financial Aid Office).
• If you did not use the IRS DRT, you can correct your FAFSA using the IRS DRT. Go to www.fafsa.gov
, log in using your FSA
ID, click on Make FAFSA Correction, select Financial Information, and click on Link to IRS to complete the process.
• If you cannot use the IRS DRT, you must provide a signed and dated 2017 Tax Return OR IRS Tax Return Transcript for you
and your legal parent(s) (if you are dependent). To request the Tax Return Transcript, go to www.irs.gov click on Get Your Tax
Record and complete the directions.
• If you did not file a 2017 tax return, and are an independent student, you must provide a Verification of Non-filing Letter. If you
are a dependent student and your parent(s) did not file a 2017 IRS Tax Return, you must provide a Verification of Non-filing
Letter for your parents. You can request this letter from the IRS. You can go online to www.irs.gov
click on Get Your Tax Record
and complete the directions OR download, complete and mail in Form 4506-T (check box 7 on the form). The form is also
available in the Financial Aid Office.
A. Student Information
_____________________________ _________________________ __________ ____________________________________________
Last Name First Name M.I. Social Security Number
_____________________________ ____________________________________ ____________________________________________
Date of Birth Phone Number (including area code) Student ID Number
Please select only one box that applies below and complete the remainder of this form accordingly.
☐ I am a DEPENDENT student. You were required to provide parental information on the FAFSA.
List the people in your legal parent(s)’ household including:
• yourself
• your legal parent(s) (including unmarried, adoptive and/or stepparent) even if you don’t live with them
• your legal parent’s other children if (a) your parents will provide more than half of their support from July 1, 2019 through June
30, 2020, or (b) the child would be required to provide parental information on the FAFSA, even if they do not live with your
parent(s)
• other people if they now live with your legal parents and your legal parents provide more than half of their support and will
continue to provide more than half of their support from July 1, 2019 through June 30, 2020.
☐ I am an INDEPENDENT student. You were not required to provide parental information on the FAFSA.
List the people in your household including:
• yourself
• your spouse (if applicable)
• your children, if you will provide more than half of their support from July 1, 2019, through June 30, 2020 or if the child would
be required to provide your information on the FAFSA, even if they do not live with you
• other people if they now live with you, and you provide more than half of their support and will continue to provide more than
half of their support from July 1, 2019, through June 30, 2020.
Aggregate Verification – V5
B. Family Information: List the people in your household below.
List all household members in the space(s) below based on the status you checked on previous page (Dependent or Independent).
Include the college name (if any) for any member listed who will be attending college at least half time between July 1, 2019 and June
30, 2020. If you need more space, attach a separate page.
Full Name
Age
Relationship
College
Self
Big Bend Community College
C. Student’s Tax and Income Information (all applicants)
Select only one option below that applies:
☐ I used the IRS Data Retrieval Tool to submit my FAFSA.
☐ I am attaching a signed and dated copy of my 2017 Tax Return or a copy of my IRS Return Transcript.
☐ I am an Independent student who will not file and am not required to file a 2017 U.S. Income Tax Return. I am attaching a copy of
my 2017 IRS Verification of Non-filing Letter. If you had income earned from work, list the employers and amount of income earned
in 2017 and attach all 2017 W2’s for employer(s) listed below.
☐ I am a Dependent student who will not file and am not required to file a 2017 U.S. Income Tax Return. If you had income earned
from work, list the employers and amount of income earned in 2017 and attach all 2017 W2’s for employer(s) listed below
Student
Employer Name(s)
2017 Income
$
$
$
D. Legal Parent(s) or Spouse Tax and Income Information
Select only one option below that applies:
☐ Your legal parent(s) or spouse used the IRS Data Retrieval Tool to submit your FAFSA.
☐ You are attaching a signed and dated copy of your legal parent(s)’ or spouse’s 2017 Tax Return or copy of IRS Return Transcript.
☐ Your legal parent(s) or spouse will not file and are not required to file a 2017 U.S. Income Tax Return. You are attaching a copy of
your parent(s)’ or spouse's 2017 IRS Verification of Non-filing Letter. If your parent(s) or spouse had income earned from work, list
the employers and amount of income earned in 2017 and attach all 2017 W2’s for employer(s) listed below.
Parent(s) / Spouse
Employer Name(s)
2017 Income
$
$
$
E. Student High School Completion Status
Provide one of the following documents that indicate your high school completion status when you begin college in the 2019-2020
academic year:
☐ I have attached a copy of my High School Diploma.
☐ I have attached a copy of my final official high school transcript that shows the date when the diploma was awarded.
☐ I have attached the state certificate or transcript I received after passing a State-authorized examination that is a Recognized
Equivalent of a High School Diploma (i.e. GED).
Aggregate Verification – V5
F. Student Identity Verification & Statement of Educational Purpose:
Select one option and complete.
☐ I am appearing in person at the Big Bend Community College Financial Aid Office to verify my identity by presenting a valid
government-issued photo identification (ID), such as, but not limited to, a driver’s license; other state issued ID; or U.S. passport. The
institution will maintain a copy of the student’s photo ID that is annotated with the date it was received and the name of the official at
the institution authorized to review the student’s ID. In addition, I must sign, in the presence of the institutional official, the following:
Statement of Educational Purpose
I certify that I, ______________________________________ (print student’s name), am the individual signing this Statement of
Educational Purpose and that the Federal student financial assistance I may receive will only be used for
educational purposes and to pay the cost of attending ______________________________________ (Name of Postsecondary
Education Institution) for 2019-2020.
______________________________________________ _________________________________________________
Student’s Signature Date Witnessing Financial Aid Official’s Signature Date
☐ I am unable to appear in person at Big Bend Community College to verify my identity and provide the Statement of Educational
Purpose. I understand I must attach a copy of the valid government-issued photo identification (ID), such as, but not limited to, a
driver’s license; other state issued ID; or U.S. passport and provide the Statement of Educational Purpose that is acknowledged in the
notary statement below. NOTE: Any costs incurred acquiring a Notary Public will not be reimbursed by Big Bend Community
College.
Statement of Educational Purpose
I certify that I, ______________________________________ (print student’s name), am the individual signing this Statement of
Educational Purpose and that the Federal student financial assistance I may receive will only be used for
educational purposes and to pay the cost of attending ______________________________________ (Name of Postsecondary
Education Institution) for 2019-2020.
______________________________________________
Student’s Signature Date
Notary’s Certificate of Acknowledgement (Original hard copy must be mailed in – cannot be faxed)
State of _________________________ City/County of _____________________________________ on
___________________________ (date), before me __________________________________________ (notary’s
name) personally appeared ____________________________________________(printed name of student), and
provided to me on basis of satisfactory evidence of identification __________________________ (type of government-
issued photo ID provided) to be the above named person who signed the foregoing instrument.
WITNESS my hand and official seal: ______________________________________________
Notary Public signature
______________________________________________
My Commission expiration date
G. Signatures
Each person signing this form certifies that all the information provided in this application and other financial aid documents is true
and correct. I agree that I have reviewed, understand and agree to the conditions, responsibilities and obligations in order to receive
financial aid for the 2019-2020 academic year as state in the Conditions of Award and Satisfactory Academic Progress Policy,
available on the financial aid website. The student and at least one legal parent (if a dependent student) must sign and date.
_______________________________________________ _____________________________________________________
Student Signature Date Legal Parent or Spouse Date
Big Bend Community College does not discriminate on the basis of race, color, national origin, sex, gender, disability, or age in its programs or
activities. The following person(s) have been designated to handle inquiries regarding the non-discrimination policies. Kim Garza, Title IX
Coordinator, Building 1400, Office 1449 at (509)793-2010 or kimg@bigbend.edu or LoraLyn Allen, Coordinator of Disability Services, Building 1400,
Office 1472 at (509)793-2027 or loraa@bigbend.edu.
Return this form to:
Student Administrative Support Services - Financial Aid • 7662 Chanute Street N.E. • Moses Lake, WA 98837-3299
Phone: 509.793.2088 • Fax: 1.888.820.2896 • Email: faidinfo@bigbend.edu • http://www.bigbend.edu/admissions/financial-aid/
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Financial Aid Office 2019-2020 Aggregate Verification Worksheet V5 (Big Bend Community College)

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Completed 8 October 2020

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