Aggregate Verification V5
Financial Aid Office
2020-2021 Aggregate Verification Worksheet V5
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/
Your 2020-2021 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 and
make any necessary corrections to your FAFSA. 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 and/or your parent(s) if dependent cannot use the IRS DRT, you must provide a signed and dated 2018 Tax Return OR
IRS Tax Return Transcript. 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 2018 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 2018 IRS Tax Return, you must provide a Verification of Non-filing
Letter for your parent(s). To request this letter visit www.irs.gov, click on Get Your Tax Record, and complete the directions OR
complete and mail-in Form 4506-T (check box 7 on the form).
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, 2020 through June
30, 2021, 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, 2020 through June 30, 2021.
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, 2020, through June 30, 2021 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, 2020, through June 30, 2021.
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, 2020 and June
30, 2021. 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 2018 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 2018 U.S. Income Tax Return. I am attaching a copy of
my 2018 IRS Verification of Non-filing Letter OR I am a Dependent student who will not file and am not required to file a 2018
Income Tax Return.
I earned $0 in income during 2018
I worked in 2018 and have attached my W-2(s) for income earned from the following employer(s):
Employer Name
2018 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 2018 Tax Return or copy of IRS Return Transcript.
Your legal parent(s) or spouse will not file and are not required to file a 2018 U.S. Income Tax Return. You are attaching a copy of
your parent(s)’ or spouse's 2018 IRS Verification of Non-filing Letter.
My parent(s) or spouse earned $0 in income during 2018
My parent(s) or spouse worked in 2018 and attached are their W-2(s) for income earned from the following employer(s):
Parent(s) / Spouse
Employer Name(s)
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 2020-2021
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 2020-2021.
______________________________________________ _________________________________________________
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 2020-2021.
______________________________________________
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 declare that I have reviewed, understand and agree to the conditions, responsibilities and obligations in order to receive
financial aid for the 2020-2021 academic year as stated 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) 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 / kimg@bigbend.edu or LoraLyn Allen, Coordinator of Disability Services, Building 1400,
Office 1472 at (509)793-2027 / loraa@bigbend.edu.
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