You need to:
Complete this form and submit any additional documentation as soon as possible so that the processing of your aid will
not be delayed. Please note that students are randomly selected for verification and that this process may occur at any time
throughout the award year. If you have any questions about verification, please contact Student Financial Services.
A. List people in household
List the people that you (and your spouse) will support between July 1, 2019 and June 30, 2020 in the chart below.
Include:
• yourself
your spouse
your dependent children if you provide more than half support and will continue to do so from July 1, 2019
through June 30, 2020.
other people if they now live with you and will receive more than half of their support from you and/or your spouse
and will continue to provide more than half of their support through June 30, 2020.
B. List the college they are attending
Also, write in the name of the college/university for any family members who will be attending college/university at least
half-time between July 1, 2019 and June 30, 2020 and will be enrolled in a degree or certificate program in the chart below.
If you need more space, attach a separate page.
2019–2020
Verification Worksheet Independent Student
Student Financial Services • 1 Ferncroft Road • Danvers, MA 01923-0840
978-762-4189 www.northshore.edu/paying/financial-services
sfs@northshore.edu
Required (please print) 19VWKI
Student ID#
N 0 0
Last Name: __________________________________________
First Name: __________________________________________
Your application was selected by the federal government for review
in a process called verification. In this process, we will be comparing
information from your application with your (and your spouse’s, if
you are married) 2017 federal tax data. If you are not required to file
a 2017 federal tax return, we will need your (and your spouse’s) 2017
W2 forms. The law states that we have the right to ask you for this
information before awarding federal and state aid.
(OVER)
8/13/19
A. List people in household B. List the college they are attending if applicable
Will be
Full name Age Relationship College/University
enrolled
at least
half
time
Martha Jones (example) 36 spouse Central University
self NSCC
2019–2020 Verification Worksheet Independent Student (continued)
C. Tax information
You must check only ONE box that applies to your 2017 tax filing status. This status applies to
BOTH you and your spouse if you indicated you were married on the FAFSA.
If you do not qualify to use DRT, instructions on how to obtain a transcript are listed at
www.northshore.edu/paying/aid/irs-transcripts.html
Student’s tax information (check ONE box)
I have completed I will provide a copy of
the IRS DRT through FAFSA. my 2017 Tax Transcript.
I filed an amended 2017 IRS tax return I will provide a signed copy of
and will provide both a signed copy of my 2017 Federal Tax Return.
my IRS 1040x and a 2017 Tax Transcript.
Spouse’s tax information (check ONE box)
I have completed I will provide a copy of
the IRS DRT through FAFSA. my 2017 Tax Transcript.
I filed an amended 2017 IRS tax return I will provide a signed copy of
and will provide both a signed copy of my 2017 Federal Tax Return.
my IRS 1040x and a 2017 Tax Transcript.
D. Non Tax Filer Information
Complete this section if you le the Tax Information box blank. This section is if you
and/or your spouse will not fi
le and are not required to file a 2017 federal income tax re-
turn with the IRS. Check only ONE box that applies.
You (and your spouse, if applicable) must submit a Verification of Nonfiler letter
from the IRS. Instructions on how to obtain the letter can be found at
www.northshore.edu/paying/aid/obtain-irsverification.html
Student’s Non Tax Filer Information (check ONE box)
I will not file a 2017 Federal Tax return, but worked in 2017.
Submit a copy of all W2 forms issued by your employer(s).
I did not earn any income in 2017 and did not file taxes.
Spouse’s Non Tax Filer Information (check ONE box)
I will not file a 2017 Federal Tax return, but worked in 2017.
Submit a copy of all W2 forms issued by your employer(s).
I did not earn any income in 2017 and did not file taxes.
E. Certification and Signatures
Each person signing below certifies that all the information reported is complete and correct.
We cannot accept digital signatures.
_____________________________________________________ ________________________________________________
STUDENT’S SIGNATURE DATE SPOUSE’S SIGNATURE DATE
WARNING: If you purposely give false or misleading information on this form, you may be fined, sentenced to prison, or both.
Student Financial Services
1 Ferncroft Road
Danvers, MA 01923-0840
978-762-4189
www.northshore.edu/paying/
financial-services
8/13/19
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