Fill - Free fillable Form 5307497999: 20202021DependentVerificationInstructionsV5 (Woodland Community College) PDF form

YubaCommunityCollegeDistrict

 F

inancialAidOffices



2020‐2021DependentVerificationInstructions–V5

Yourfinancialaidapplicationwasselectedfor aprocesscalled“verification”bytheDepartmentofEducation.TheFinancialAid

Officeisrequiredbythefederalgovernmenttoverifytheinformationyouprovidedonyourfinancialaidapplication (FAFSA) is

correct. Your financial aid application cannot be processed until all requested information

 is received. Any required

correctionsmaydelaytheprocessingofyourfinancialaidawards.Theinstructionsbelowapplytothestudentandparent(s).



WHATYOUNEEDTODO:

1.Complete(inink)allsectionsoftheDependentAggregateVerificationGroupWorksheet,signanddateit.



2.SubmitallrequiredformsanddocumentstotheFinancialAidOfficeatthecampusyouareattendingassoonaspossible.

Theverificationprocesscantakeup

toseveralweekstocomplete.CheckyourYCCDstudente‐mail(@go.yccd.edu)frequently

becausewewillcontactyouthroughyourstudente‐mailifthereareproblemsorweneedadditionalinformationafter

wereviewyourfile.

3.Provideproofofincomeearnedorbenefitsreceivedin2018for

studentandparent(s).Refertothechartbelowto

determinewhichincomeisrequiredtobeverifiedandwhatdocumentationyoumustsubmittotheFinancialAidOffice.

FILEDORWILLFILEA2018FEDERALINCOMETAXRETURN SUBMITTHEFOLLOWINGDOCUMENTATION:

 Ifyouand/oryourparent(s)fileda2018IRSIncomeTaxReturnand

 usedtheIRSDataRetrievalTooltotransferthe2018IRSincometax

returninformationintoyourFAFSAand

 didnotmakeanychangestothetransferredinformation

 Youarenotrequiredtosubmita2018Federal

TaxReturn



Note:Youmayberequiredtoprovideadditional

documentationifwehavereasontobelievethe

incomeinformationisinaccurate.

 Ifyouand/oryourparent(s)filedorwillfilea2018IRSIncomeTax

Returnand

 usedtheIRSDataRetrievalTooltotransferthe2018IRSincometax

returninformationintoyourFAFSAandchangedanyofthefields

containingtransferredinformationor

 didnotusethe

IRSDataRetrievalTooltotransferthe2018IRSincome

taxreturninformationintoyourFAFSA

 Youarerequiredtosubmita2018FederalTax

ReturnTranscript.

 See#4forinstructions.

 Youarerequiredtosubmitacopyofyour2018

1040FederalTaxReturnForm.



 Ifyourparent(s)filedseparate2018IRSIncomeTaxReturns



 Youarerequiredtosubmita2018FederalTax

ReturnTranscriptoracopyofthe1040Federal

TaxReturnsignedforeach.See#4for

instructions.

 Ifyouoryourparent(s)filedanamendedIRSIncomeTax.An

amendedreturnisoneyoufileifyoumadeamistakeonyouroriginal

returnandyouhavetoamendorcorrectit.

 Youarerequiredtosubmita2018IRSIncome

TaxReturnTranscript,1040or

IRSDRT

informationonanISIRrecordwithalltax

informationfromtheoriginaltaxreturn;and

 Asignedcopyofthe2018IRSForm1040Xthat

wasfiledwiththeIRSshowingthecorrections

 Ifyouoryourparentsfileda2018IRSIncomeTaxReturnandare

VictimsofIRSTax‐IdentityTheft



Note:MayobtainacopyofaTRDBVTranscriptbycallingtheIRS’sIdentity

ProtectionSpecializedUnitat1‐800‐908‐4490



 YouarerequiredtosubmitaTaxReturn

DataBase(TRDBV)Transcript



AStatementsignedanddatedbythetaxpayer

indicatingyouareavictimoftax‐relatedidentity

theftandtheIRSisaware



YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

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

DIDNOTORWILLNOTFILEA2018FEDERALINCOMETAXRETURN SUBMITTHEFOLLOWINGDOCUMENTATION:

 Ifyouand/oryourparent(s)workedin2018,butdidnotfilea2018

FederalIncomeTaxReturnand

 arenotrequiredtofilea2018FederalIncomeTaxReturn

 2018W‐2and1099Form(s)fromeach

employerorgovernmentagency

 VerificationofNon‐Filing(VONF)datedonor

afterOctober1,2019.

 Ifyouand/oryourparent(s)werenotemployedandhadnoincome

earnedfromworkin2018and

 arenotrequiredtofilea2018FederalIncomeTaxReturn

 2018WageandTaxStatement

 VerificationofNon‐Filing(VONF)datedonor

afterOctober1,2019

OTHER SUBMITTHEFOLLOWINGDOCUMENTATION:

 Identity/StatementofEducationalPurpose

 CompletetheIdentityandStatementof

EducationalPurpose,and

 Providegovernment‐issuedvalidphotoIDcard

 HighSchoolCompletionStatus  Provideproofofhighschoolcompletionstatus.



4.TaxfilerscanrequestanIRSTaxReturnTranscript,freeofcharge,fromtheIRSinoneofthreeways:

A. RequestanIRSTaxTranscriptorVerificationofNon‐FilingOnline(VONF)atwww.irs.govortheIRS2Goapp

 UnderTOOLS:Clickon“GetMyTaxRecord”Online

 Taxpayermusthaveaccesstovalidemailaddress,

 Atext‐enabledphone,(notpay‐as‐you‐go)andthephonemustbeinthetaxpayer’sname

 Certainfinancialaccountnumbers(suchasacreditcardnumberand/or

accountnumberforahome

mortgageorcarloan).Thisverifiesidentityonlythecardwillnotbecharged.

 TheIRSwillsendaconfirmationcodeviaemailortexttofinalizethe“GetTranscriptOnline”

registration.

 Select“GetStarted”andproceedtoenterpersonalinformation

 Torequest

aTaxReturnTranscriptorVerificationofNon‐Filing(VONF)bemailedtoyou:

UnderTOOLS:Clickon“GetMyTaxRecord”Mail

 Select“TaxReturnTranscript”

 Enteryourpersonaldemographicsandincludetheaddressfromyour2018FederalTaxReturn.When

asked,Select“ReturnTranscript”fortaxyear2018.DONOTselecttheAccountTranscript!OR

 CompleteIRSForm4506‐Tavailableatwww.irs.govforaTaxReturnTranscriptorVONF

 MailorFaxcompletedformtotheaddress/faxnumberlistedonform(July1,2019,theIRSwillno

longermailtothird‐parties)

B. OrderanIRSTaxReturnTranscriptbyphone‐CallIRSat1‐800‐908‐9946

 TheIRS’sautomatedgettranscriptbymailfeature.

 SelectOption2torequestaTaxReturnTranscriptandfollowthepromptstocompleteyourrequest



.TheFinancialAidOfficenolongermailsawardletters.Onceyourverificationiscompleted,yourfinancialaidaward(s)will

beavailableon

YubaCollegeSelf‐Service login.yccd.edu.Allawardsarecontingentuponavailable

fundingandyourmeetingallstudenteligibilityrequirementsforFederal,StateandInstitutionalfinancialaidprograms.

YCCDreservestherighttomodifyyourawardsatanytime.Arevisedawardletterwillbepostedifanawardismodified.



TheFinancialAidOfficereviewsyourenrollmentstatus,satisfactoryacademic

progress(SAP)andothereligibilitycriteriaand

willauthorizeapaymentifyouareeligible.Theamountslistedonyourfinancialaidawardletterreflecttheawardsforafull‐

timestudent.Theamountyoureceivemaybelessbecauseitisbasedonthenumberofunitsyouareactivelyenrolledin

whenthedisbursementsareprocessed.

REV11/14/19

2020‐2021DependentVerificationWorksheet

AggregateGroup–V5



A.STUDENTINFORMATION



____________________________________________________________ ___________________________________________

LastNameFirstName M.I. SocialSecurityNumber



____________________________________________________________ ___________________________________________

MailingAddress(includeapt.no.)DateofBirth



____________________________________________________________ ___________________________________________

CityState  ZipCode PhoneNumber(IncludeAreaCode)

B.FAMILY/HOUSEHOLDINFORMATION(StudentandParent) 



HouseholdMembers Age

Readinstructionsinitems1through4andcompletethetablebelow.

1.Listthepeoplewholiveinyourhousehold.Includethefollowing:

 Yourself

 Yourparent(s)evenifyoudon’tlivewithparent(s).Thisincludesa

stepparent.

 Yourparents’otherchildrenifyourparent(s)willprovidemorethan50%of

theirsupportfromJuly1,2020throughJune30,

2021.

 Otherdependentsiftheynowlivewithyourparent(s)andyourparent(s)

providemorethan50%oftheirsupportandwillcontinuetoprovidemore

than50%oftheirsupportthroughJune30,2021.

2.Writethedateofbirthforeachfamilymemberin

thechartbelow.



Relationship

3.Writetherelationshipofeachfamilymemberto

thestudentinthechartbelow.

College

4.Includethenameofthecollegeforanyhousehold

memberwhowillbeenrolledinadegreeor

certificateprogramatleasthalf‐timebetween

July1,2020andJune30,2021.



FullName(Print)



DateofBirth



Relationship

CollegeAttending

In2020‐21

#ofUnits

EnrolledIn



Self



5.Whatisyourcurrenthousingstatus? Ilivewithmyparent(s)  Iliveoffcampus

Ifmorespaceisrequired,attachaseparatepagewiththestudent’snameandIDnumberatthetop.

C. INCOMEINFORMATION(StudentandParent)

1.TAXRETURNNON‐FILERS

Page1REV3/14/17DependentV5

Checktheboxthatappliestothestudentandparent(s). Submitthefollowingrequireddocuments:

Student

Parent

I/wewerenotemployedandhadnoincomeearnedfrom

workin2018andarenotrequiredtofilea2018Federal

IncomeTaxReturn.

 2018WageandTaxStatement

 VerificationofNon‐filing(VONF)datedonor

afterOctober1,2019.



Note:SeeInstructionsabove

Student

Parent

I/weworkedin2018,butdidnotfileandarenotrequired

tofilea2018FederalIncomeTaxReturn.



 2018W‐2Form(s)

 VerificationofNon‐Filing(VONF)datedonor

afterOctober1,2019

Office Use Only:

DATE Received:

StudentName(Print):___________________________________________StudentID#:_______________________________



2.TAXRETURNFILERS

Checktheboxthatappliestothestudentandparent(s). Submitthefollowingrequireddocuments:

Student

Parent

Ifyouand/oryourparent(s)fileda2018FederalIncomeTax

ReturnandusedtheIRSDataRetrievalTooltotransfermy/our

2018IRSincometaxreturninformationintothestudent’s

FAFSA.I/wedidnotmakeanychangestothetransferred

information.

Nofurtherdocumentationisrequired

ifthe

importedinformationwasnotchangedonthe

FAFSA.

Note:Wemayrequireyoutoprovideadditional

documentationifwehavereasontobelievethe

informationisinaccurate.

Student

Parent

Ifyouand/oryourparent(s)fileda2018FederalIncomeTax

ReturnanddidnotusetheIRSDataRetrievalTooltotransfer

my/our2018IRSincometaxreturninformationintomyFAFSA

orchangedinformationthatwastransferredfromtheIRS.



 2018FederalTaxReturnTranscript



Parent MyParentsfiledseparate2018FederalIncomeTaxReturns.

 2018FederalTaxReturnTranscriptsforeach

parent



Student

Parent

Ifyouand/oryourparent(s)filedanamended2018Federal

IncomeTaxReturn.Anamendedreturnisoneyoufileifyou

madeamistakeonyouroriginalreturnandyouhavetoamend

orcorrectit.

 2018FederalTax ReturnTranscript

 20181040XSignedCopy



Student

Parent

Ifyouoryourparent(s)fileda2018IRSIncomeTaxReturnand

areVictimsofIRSTax‐RelatedIdentityTheft

 ATaxReturnDataBaseView(TRDBV)

transcriptmustbesubmittedfromtheIRS,

andSignedStatement



3.

VERIFICATIONOFINCOMEINFORMATION–TAXRETURNNON‐FILERSONLY

Listbelowthenameofthepersonwhoearnedtheincome,thenamesofallemployers,theamountearnedfromeachemployer

in2018,andwhetheranIRSW‐2Formisprovided.Providecopiesofall2018IRSW‐2Form(s)issuedtoyoubyyouremployer(s).

ListeveryemployereveniftheemployerdidnotissueanIRSW‐2Form.



NameofPersonWhoEarned

theIncome(Print)

Employer’sName Total2018

AmountEarned

IRSW‐2Form

Provided?



YesNo



YesNo



YesNo

 

YesNo

 

YesNo

 

YesNo



D.IDENTITYANDSTATEMENTOFEDUCATIONALPURPOSE(Student)



PleasereadandcompletetheIdentityandStatementofEducationalPurposeonpage4or5 ofthisform.Youmustcompleteone

oftwooptions.Witheitheroption, youmustprovideacopyofa valid government‐issuedphotoidentificationcardwiththeform.

Thiscanincludebutisnot

limitedtoadriver’slicense,otherstate‐issuedID,orpassport.

 Option1:YoucansigntheforminthepresenceofaFinancialAidstaffmember.

 Option2:Allowsthestudenttosigntheformbeforeanotarypublic.



Page2REV9/14/17DependentV5

StudentName(Print):___________________________________________StudentID#:_______________________________



E.HIGHSCHOOLCOMPLETIONSTATUS(Student)



Provideoneofthefollowingdocumentsthatindicateyourhighschoolcompletionstatuswhenthestudentwillbegincollegein

2020‐2021.AstudentwhoisunabletoobtainthedocumentationlistedbelowmustcontacttheFinancialAidOffice.

HighSchoolDiploma

 Acopyofthestudent’shighschooldiploma.

 Acopyofthestudent’sfinalofficialhighschooltranscriptthatshowsthedatewhenthediplomawasawarded.

 AcopyofDDForm214thatindicatesthestudentisahighschoolgraduateorequivalent

RecognizedEquivalentofaHighSchoolDiploma

 Acopyofthestudent’sGeneralEducationalDevelopment(GED)certificate.

 AnofficialGEDtranscriptthatindicatesthestudentpassedtheexam.

 AstatecertificateortranscriptthattheStaterecognizesastheequivalentofahighschooldiploma(HiSET,TASC,orotherstate‐

authorizedexamination).

 Acopy

ofthe“secondaryschoolleavingcertificate”orothersimilardocumentforstudentswhocompletedsecondaryeducationina

foreigncountry.

 Anacademictranscriptthatindicatesthestudentsuccessfullycompletedatleastatwo‐yearprogramthatisacceptableforfullcredit

towardabachelor’sdegree.

Homeschool

 Forahomeschooledstudentfromastatewherestatelawrequiresthestudenttoobtainasecondaryschoolcompletioncredentialfor

homeschool(otherthanahighschooldiplomaoritsrecognizedequivalent),acopyofthatcredential.

 Forahomeschooledstudentfromastatewherestatelawdoesnot

requirethestudenttoobtainasecondaryschoolcompletion

credentialforhomeschool(otherthanahighschooldiplomaoritsrecognizedequivalent)atranscriptorequivalent,signedbythe

student’sparentorguardian,thatliststhesecondaryschoolcoursesthestudentcompletedandincludesastatementthatthestudent

successfullycompletedasecondaryschooleducationinahomeschoolsetting.



F.CERTIFICATIONANDSIGNATURE(StudentandParent)



Eachpersonsigningthisworksheetcertifiesthatalltheinformation

providedistrueandcompletetothebestoftheirknowledge.Parent

signatureisrequired.



__________________________________________________________________________________________________________________

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



FINANCIALAIDOFFICEUSEONLY  



DateAwarded/FATech:___________________________________________ISIR:_________________EFC:___________________________

Comments:







3REV9/14/17DependentV5





WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet



ouma

befined

besentencedto

ail

orboth.

YubaCommunityCollegeDistrict

 FinancialAidOffices



IdentityandStatementofEducationalPurpose



StudentName(Print):________________________________________________ StudentID#:__________________________________



AsrequiredbytheDepartmentofEducation,youmustcompleteeitheroption 1attheFinancialAidOfficeatthecampusyouattendoroption2

withaNotaryPublic.Witheitheroption,youmustprovideacopyofavalidgovernment‐issued

photoidentificationcardwiththisform.



A.OPTION#1

The student must appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her 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 passport. The institution will

maintain a copy of the

 student’s photo ID that is annotated by the institution with the  date it was received and reviewed and the name of the

officialattheinstitutionauthorizedtocollectthe student’sID.



Inaddition,thestudentmustsign,inthepresenceoftheinstitutionalofficial,thefollowingEnglishorSpanish

statement:



STATEMENTOFEDUCATIONALPURPOSE



IcertifythatI,______________________________________________________________,amtheindividualsigningthisStatementofEducational

(PrintStudent’sName)

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

YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor2020‐2021.



DECLARACIÓNDEPROPÓSITOEDUCATIVO



Certificoqueyo,___________________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad

(ImprimirNombredelEstudiante)

Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizada parafineseducativosyparapagarelcostodeasistir

aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara2020‐2021.



B.CERTIFICATIONANDSIGNATURE



Eachpersonsigningthisworksheetcertifiesthatallthe

informationreportediscompleteandcorrect.



_____________________________________________________________________________________________________________________

StudentSignature/FirmadeEstudiante Date/FechaStudent’sIDNumber/NúmerodeIdentificacióndelEstudiante

  





FINANCIALAIDOFFICEUSEONLY:



_____________________________________________________________________________________________________________________

FinancialAidRepresentativeSignatureDateTypeofValidID



Page4REV9/14/17DependentV5

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

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

WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet



ouma

befined

besentencedto

ail

orboth.



YubaCommunityCollegeDistrict

 FinancialAidOffices







IdentityandStatementofEducationalPurpose



StudentName(Print):________________________________________________ StudentID#:__________________________________



A.OPTION#2

IfthestudentisunabletoappearinpersonatYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEtoverifyhisorheridentity,thestudentmust

providethefollowing:

(a) Acopyofthevalidgovernment‐issuedphotoidentification(ID)thatisacknowledgedinthenotarystatementbelow,suchasbutnot



limitedtoadriver’slicense,otherstate‐issuedID,orpassport;and

(b) TheoriginalnotarizedStatementofEducationalPurpose(inEngli shorSpanish)providedbelow.



STATEMENTOFEDUCATIONALPURPOSE



IcertifythatI,__________________________________________________________,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

YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor2020‐2021.



DECLARACIÓNDEPROPÓSITOEDUCATIVO



Certificoqueyo,_______________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad

aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara2020‐2021.



B.CERTIFICATIONANDSIGNATURE



Eachpersonsigningthisworksheetcertifiesthatallthe

informationreportediscompleteandcorrect.



___________________________________________________________________ ______________________________________________

Student Signature / Firma de Estudiante Date / Fecha Student’s ID Number / Número de Identificación del Estudiante

  

C.NOTARY’SCERTIFICATEOFACKNOWLEDGEMENT



Stateof_____________________________________City/Countyof__________________________________________________________

On________________________________________,beforeme,______________________________________________________,personally

(Date) (Notary’sName)

appeared,____________________________________________________,andprovedtomeonbasisofsatisfactoryevidenceofidentification

(Printednameofsigner)

_____________________________________________________,tobetheabove‐namedpersonwhosignedtheforegoinginstrument.



(Typeofgovernment‐issuedphotoIDprovided)



WITNESSmyhandandofficialseal  

(seal)________________________________________________________ 



     (NotarySignature)



Mycommissionexpireson___________________________________

(Date)

Page5Rev.9/14/17 DependentV5 

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999



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

WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet,youmaybefined,besentencedtojail,orboth.

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Form 5307497999: 20202021DependentVerificationInstructionsV5 (Woodland Community College)

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