Fill - Free fillable Form 5307417999: 20192020MaritalStatusResolutionForm (Woodland Community College) PDF form





YubaCommunityCollegeDistrict

FinancialAidOffices

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2019‐2020MaritalStatusResolutionForm

Wereceivedyour2019‐2020FreeApplicationforFederalStudentAid(FAFSA).Yourapplicationforfederalstudent

aidindicateswehavereceivedconflictingormissinginformationregardingyouoryourparent’smaritalstatus.



Completethisformifyouoryourparent(s)(ifdependentstudent)answeredthemaritalstatusquestionincorrectly,

experiencedamaritalstatuschangeoryouoryourparents(ifdependentstudent)maritalstatusdoesnotappearto

agreewithyour2017FederalTaxReturnfilingstatusonthedayyousubmittedyour2019‐2020FAFSAapplication.



Please complete the attached Marital Status Resolution Form and submit along with

the required supporting

documentation from the listbelow.Inadditiontotheinformationprovidedbelow,we may alsorequestfurther

financial information upon review of this form. Federal regulations require that we verify the accuracy of this

informationbeforeawardingfinancialaid.Theinformationyouprovidewillbeusedtoverify,

update,orcorrectthe

information provided on your 2019‐2020 FAFSA. Completion of this form does not guarantee approval of your

request.

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IMPORTANT:ThedeadlineforsubmittingthisformisApril1,2019ornextbusinessday.



SUPPORTINGDOCUMENTATION:Pleaseprovideproofofthesupportingdocumentationcheckedbelow.(Tobe

completedbyFinancialAidStaff)



SeparationAgreementorCourtDocument:Attachcourtfileddocumentation,withanofficialsealorclerk



signature,confirmingtheseparation.

DivorceDecree:Attachcourtfileddocumentation,withanofficialsealorclerksignature,confirmingthe

divorceforyouoryourparents(ifdependentstudent).

MarriageCertificate:Attachacopyofyouroryourparents(ifdependentstudent)marriagecertificate.

DeathCertificate:Attach

acopyofyourspouses’orparent(s)(ifdependentstudent)deathcertificateorobituary.

UtilityBills(telephone,water,electricity):Attachacopyoftwoseparatebills verifyingthatyouandyour

spouseoryourparents(ifindependentstudent)infacthaveseparatelivingaddresses.

Lease,rental,ormortgage

agreement:Attachacopyoftwoseparatelease,rentalormortgageagreements

fromyourspouseoryourparents(ifdependentstudent)confirmingseparatelivingaddresses.

BankStatements:Attacharecentcopyofyouroryourparent’s(ifdependentstudent)bankstatement

toverifytheaccountisnotajoint

account.

2017IRSTaxReturnTranscript:Attachacopyofyouroryourparent(s)(ifdependentstudent)2017IRSTax

ReturnTranscriptyoureceivedfromtheIRS.(Thisisnotthe1040formyoumayhaveobtainedfroman

individualtaxpreparer).YoumayordertheIRSTax

ReturnTranscriptatIRS.GOVorusetheIRSautomated

orderingsystembycalling1‐800‐908‐9946andselectoptiontwo,thenfollowtheprompts.

2017W‐2Forms,1099’s,orotherearningsstatement:AttachacopyofanyW‐2Forms,1099orotherwage

earningstatements.(If

providinganyofthesestatementsyoumayalsoberequiredtoprovidetheIRSTax

ReturnTranscript.



YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐741‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCountyCampus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923



YubaCommunityCollegeDistrict



2019‐2020MaritalStatusResolutionForm

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SectionA:Studentmustcompletealloftheitemsinthissection.



_______________________________________________________ __________________________

FirstMI Last  StudentID#



_______________________________________________________ __________________________

MailingAddressDateofBirth



_________________________________________________________________________________

City    State  ZipCode PhoneNumber

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SectionB:MaritalStatus(StudentorParent)

Whoisthemaritalstatuschange/correctionfor?



Student

:CompleteSectionC

Parent

:CompleteSectionD

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SectionC:Ifthemaritalstatuschangerequestisforyou(student),completethissection.

Providethemonth/yearyourmaritalstatuschanged:Month:______________Year:________________

Whatwasyourmaritalstatuswhenyoufiledyour2019‐2020FAFSA?

SingleMarriedSeparatedDivorcedWidowed

Whatwasthe

filingstatusonyour2017FederalIncomeTaxReturn?

SingleQualifyingWidow(er) HeadofHousehold



MarriedFilingJointlyMarriedFilingSeparatelyNon‐Filer



Spouse’sName(Print):__________________________________________________________________________

Spouse’sCurrentMailingAddress:_________________________________________________________________

Spouse’sTelephoneNumber:(_______)________________________

Whenwasthelastyearyoufiledajointfederalincometaxreturn?________/________/_____________

Ifyourmaritalstatusdoesnotmatchyour2017taxfilingstatus,please

explainwhy:   _______





Page1

MaritalStatus

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐741‐7999



WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCountyCampus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

SectionD:Ifthemaritalstatuschangerequestisforyourparent(s),completethissection.

Providethemonth/yearyourparentsmaritalstatuschanged:Month:______________Year:_______________

Whatwasyourparent’smaritalstatuswhenyou(student)filedyour2019‐2020FAFSA?

SingleMarriedSeparatedDivorcedWidowed

Whatwastheirfilingstatusontheir2017FederalIncomeTaxReturn?

SingleQualifyingWidow(er) HeadofHousehold



MarriedFilingJointlyMarriedFilingSeparatelyNon‐Filer



Father/Step‐Father’sName(Print):_________________________________________________________________

Mother/Step‐Mother’sName(Print):_______________________________________________________________

Parent(s)CurrentMailingAddress:

__________________________________________________________________

Parent(s)TelephoneNumber:(_______)________________________

Whenwasthelastyearyourparentsfiledajointfederalincometaxreturn?________/________/_____________

Ifyourparent(s)maritalstatusdoes

notmatchtheir2017taxfilingstatus,pleaseexplainwhy: _______





Icertify that theinformationprovidedon thisformandanyattachmentsistrueand correcttothebestofmy knowledge.I

understandthatfalseormisleadinginformationmaybecausefordenial,termination,and/orrepaymentoffinancialaidfunds.

________________________________________________________ ________________________________________

StudentSignatureDate    

________________________________________________________ ________________________________________

ParentSignatureDate



FORFINANCIALAIDOFFICEUSEONLY



Approved Denied

Decision/Reason:_________________________________________________________________________________________

________________________________________________________________________________________________________



________________________________________________________ ________________________________________

FinancialAidSignatureDate



Page2Marital Status

Rev.9/25/17

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Form 5307417999: 20192020MaritalStatusResolutionForm (Woodland Community College)

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