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YubaCommunityCollegeDistrict
FinancialAidOffices
20202021MaritalStatusResolutionForm
Wereceivedyour20202021FreeApplicationforFederalStudentAid(FAFSA).Yourapplicationforfederalstudent
aidindicateswehavereceivedconflictingormissinginformationregardingyouoryourparent’smaritalstatus.
Completethisformifyouoryourparent(s)(ifdependentstudent)answeredthemaritalstatusquestionincorrectly,
experiencedamaritalstatuschangeoryouoryourparents(ifdependentstudent)maritalstatusdoesnotappearto
agreewithyour2018FederalTaxReturnfilingstatusonthedayyousubmittedyour20202021FAFSAapplication.
Please complete the attached Marital Status Resolution Form and submit along with
the required supporting
documentation from the listbelow.Inadditiontotheinformationprovidedbelow,we may alsorequestfurther
financial information upon review of this form. Federal regulations require that we verify the accuracy of this
informationbeforeawardingfinancialaid.Theinformationyouprovidewillbeusedtoverify,
update,orcorrectthe
information provided on your 20202021 FAFSA. Completion of this form does not guarantee approval of your
request.
IMPORTANT:ThedeadlineforsubmittingthisformisApril1,2021ornextbusinessday.
SUPPORTINGDOCUMENTATION:Pleaseprovideproofofthesupportingdocumentationcheckedbelow.(Tobe
completedbyFinancialAidStaff)
SeparationAgreementorCourtDocument:Attachcourtfileddocumentation,withanofficialsealorclerk

signature,confirmingtheseparation.
DivorceDecree:Attachcourtfileddocumentation,withanofficialsealorclerksignature,confirmingthe
divorceforyouoryourparents(ifdependentstudent).
MarriageCertificate:Attachacopyofyouroryourparents(ifdependentstudent)marriagecertificate.
DeathCertificate:Attach
acopyofyourspouses’orparent(s)(ifdependentstudent)deathcertificateorobituary.
UtilityBills(telephone,water,electricity):Attachacopyoftwoseparatebills verifyingthatyouandyour
spouseoryourparents(ifindependentstudent)infacthaveseparatelivingaddresses.
Lease,rental,ormortgage
agreement:Attachacopyoftwoseparatelease,rentalormortgageagreements
fromyourspouseoryourparents(ifdependentstudent)confirmingseparatelivingaddresses.
BankStatements:Attacharecentcopyofyouroryourparent’s(ifdependentstudent)bankstatement
toverifytheaccountisnotajoint
account.
2018IRSTaxReturnTranscript:Attachacopyofyouroryourparent(s)(ifdependentstudent)2018IRSTax
ReturnTranscriptyoureceivedfromtheIRS.(Thisisnotthe1040formyoumayhaveobtainedfroman
individualtaxpreparer).YoumayordertheIRSTax
ReturnTranscriptatIRS.GOVorusetheIRSautomated
orderingsystembycalling18009089946andselectoptiontwo,thenfollowtheprompts.
2018W2Forms,1099’s,orotherearningsstatement:AttachacopyofanyW2Forms,1099orotherwage
earningstatements.(If
providinganyofthesestatementsyoumayalsoberequiredtoprovidetheIRSTax
ReturnTranscript.
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307417999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCountyCampus
15880DamRoadExtension
Clearlake,CA95422
7079957923
YubaCommunityCollegeDistrict
FinancialAidOffices
20202021MaritalStatusResolutionForm
SectionA:Studentmustcompletealloftheitemsinthissection.
_______________________________________________________ __________________________
FirstMI Last StudentID#
_______________________________________________________ __________________________
MailingAddressDateofBirth
_________________________________________________________________________________
City State ZipCode PhoneNumber
SectionB:MaritalStatus(StudentorParent)
Whoisthemaritalstatuschange/correctionfor?
Student
:CompleteSectionC
Parent
:CompleteSectionD
SectionC:Ifthemaritalstatuschangerequestisforyou(student),completethissection.
Providethemonth/yearyourmaritalstatuschanged:Month:______________Year:________________
Whatwasyourmaritalstatuswhenyoufiledyour20202021FAFSA?
SingleMarriedSeparatedDivorcedWidowed
Whatwasthe
filingstatusonyour2018FederalIncomeTaxReturn?
SingleQualifyingWidow(er) HeadofHousehold
MarriedFilingJointlyMarriedFilingSeparatelyNonFiler
Spouse’sName(Print):__________________________________________________________________________
Spouse’sCurrentMailingAddress:_________________________________________________________________
Spouse’sTelephoneNumber:(_______)________________________
Whenwasthelastyearyoufiledajointfederalincometaxreturn?________/________/_____________
Ifyourmaritalstatusdoesnotmatchyour2018taxfilingstatus,please
explainwhy: _______



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YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307417999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCountyCampus
15880DamRoadExtension
Clearlake,CA95422
7079957923
SectionD:Ifthemaritalstatuschangerequestisforyourparent(s),completethissection.
Providethemonth/yearyourparentsmaritalstatuschanged:Month:______________Year:_______________
Whatwasyourparent’smaritalstatuswhenyou(student)filedyour20202021FAFSA?
SingleMarriedSeparatedDivorcedWidowed
Whatwastheirfilingstatusontheir2018FederalIncomeTaxReturn?
SingleQualifyingWidow(er) HeadofHousehold
MarriedFilingJointlyMarriedFilingSeparatelyNonFiler

Father/StepFather’sName(Print):_________________________________________________________________
Mother/StepMother’sName(Print):_______________________________________________________________
Parent(s)CurrentMailingAddress:
__________________________________________________________________
Parent(s)TelephoneNumber:(_______)________________________
Whenwasthelastyearyourparentsfiledajointfederalincometaxreturn?________/________/_____________
Ifyourparent(s)maritalstatusdoes
notmatchtheir2018taxfilingstatus,pleaseexplainwhy: _______



Icertify that theinformationprovidedon thisformandanyattachmentsistrueand correcttothebestofmy knowledge.I
understandthatfalseormisleadinginformationmaybecausefordenial,termination,and/orrepaymentoffinancialaidfunds.
________________________________________________________ ________________________________________
StudentSignatureDate 
________________________________________________________ ________________________________________
ParentSignatureDate
FORFINANCIALAIDOFFICEUSEONLY
Approved Denied
Decision/Reason:_________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________ ________________________________________
FinancialAidSignatureDate
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Rev.9/30/19
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