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FA Form 2
Independent Student
Verication Worksheet
Your Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verication.
The law says that before awarding Federal Student Aid, we may ask you to conrm the information you reported on your
FAFSA. To verify that you provided correct information the nancial aid administrator at your school will compare your
FAFSA with the information on this worksheet and with any other required documents. If there are differences, your
FAFSA information may need to be corrected. Your school may ask for additional information.
If you have questions about verication, contact your nancial aid administrator as soon as possible so that your nancial
aid will not be delayed.
What you should do now:
· Collect you and your spouse’s (if you are married) nancial documents – IRS Tax Return Transcript (if you led), IRS
W-2 Forms (if you will not le).
· Complete and sign the worksheet—you and your spouse if applicable.
· Submit the completed worksheet, tax transcripts, and any other documents requested to the nancial aid ofce.
· Your nancial aid administrator will compare information on this worksheet and your tax documents with the information
you submitted on your FAFSA application. You or your school may need to make corrections electronically.
A. Independent Student’s Information (Please PRINT)
Student Last Name Student First Name MI SSN or WHC ID#
Mailing Address City/State Zip Code Date of Birth
Phone Number
B. Independent Student’s Household Size Information
List below the people in your household. Include:
· Yourself
· Your spouse, if you are married. Students who are separated/divorced should not list their ex-spouses.
· Any children for which you will provide more than 50% of their support from July 1, through June 30, .
· Other people who live with you and who receive more than 50% of their support from you, now and through June 30, .
Note: DO NOT Include the following:
· Foster children
· Any child you (or your spouse) are paying child support for
Please include the name of the college for any household member who is, or will be, enrolled in at least half time (6 units)
in a degree, diploma, or certicate program at an eligible college between July 1, , and June 30, .
Full Name Age Relationship College (if attending)
Enrolled at
Least Half
Time (yes/no)
If more space is needed, attach a separate page with your name and SSN/WHC ID# at the top.
2020-21
2020-21
2018
2018
2020
2021
2021
2020
2021
Self
West Hills College
Student’s Name: ____________________ , ______________________ SSN/WHC ID#: _____________
C. Independent Student’s Tax and Income Information
Did you work in ?
p No, I did not work in . You are required to provide a “Verication of Nonling Letter” from the IRS by
submitting IRS Form 4506-T and checking box 7 or by calling 1-800-908-9946.
Please explain how you met b asic living expenses during and then skip to Section D. For example, if
you receive subsidized housing, nancial aid, live off savings, etc. Please attach a separate page if necessary.
p Yes, I did work in . (Please go on to the next question)
Did you le taxes in ?
p No, I was not required to le in . You are required to provide a “Verication of Nonling Letter” from the
IRS by submitting IRS Form 4506-T and checking box 7 or by calling 1-800-908-9946.
Please list below the names of all employers in and the amount earned. IRS W-2 Forms must be
provided if you did not le a IRS tax return.
Name of Employer(s)
IRS W-2 or an
Equivalent Document
Provided?
Annual Amount
Earned in 20??
$
$
$
Total Amount of Income Earned from Work $
p Yes, I was required to le in . (Please choose one of the options below)
Student Submitted Or Will Submit IRS Tax Transcript Check one:
¨ FAFSA application at www.fafsa.gov and use the IRS Data Retrieval Tool.
OR
¨ Request a Tax Return Transcript from the IRS one of following ways:
· Get Transcript by Mail – Go to www.irs.gov, click “Get Your Tax Record.” Click “Get Transcript by Mail.”
(Generally within 10 business days from IRS receipt)
· Get Transcript Online – Go to www.irs.gov, click “Get Your Tax Record.” Click “Get Transcript Online.”
The
User must have (1) access to a valid email address, (2) a text-enabled mobile phone (pay-as-you-go plans cannot
be used) in the users name, and (3) specic nancial account numbers (such as a credit card number or an account
number for a home mortgage or auto loan). The transcript displays online upon successful completion of the IRS’s
two-step authentication.
· Call 1-800-908-9946 (Generally within 10 business days from IRS receipt)
· Paper Request – IRS Form 4506T-EZ or IRS Form 4506-T. (Generally within 10 business days)
· Visit an IRS Field Ofce - Fresno – 2525 Capitol St., (559) 444-2044
Be Sure to Request the “Return Transcript”, NOT the “Account Transcript”.
NOTE: If the student and spouse led separate IRS income tax returns, IRS Tax Return
Transcripts must be provided for each.
Financial Aid Awards may be delayed if we do not receive ALL required documentation
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
D. Independent Student’s Child Support Paid
Did you or your spouse (if married) pay child support in ? (Skip if not applicable)
p Yes, and I have listed below the names of the persons who paid the child support, the person child support was
paid to, the names of children for whom child support was paid, and the total amount paid in for each child.
Name of Person Who
Paid Child Support
Name of Person to Whom
Child Support Was Paid
Name of Child for Whom
Support Was Paid
Amount of Child
Support Paid In 20??
$
$
$
NOTE: If we have reason to believe that the information regarding child support paid is inaccurate, we
may require additional documentation, such as:
· A signed statement from the individual receiving the child support certifying the amount of child support received; or
· Copies of the child support payment checks, money order receipts, or similar records of electronic payments made.
E. Independent Student’s Receipt of SNAP Benets Certication Statement
Did anyone in your household receive food stamp benets from the Supplemental Nutrition Assistance Program or SNAP
(formerly known as the Food Stamp Program) anytime during or ? For assistance in determining the name used
in a state, please call 1-800-4FED-AID (1-800-433-3243)
Yes, and if asked I will provide documentation from the agency that issued the SNAP benets in p or .
NOTE: If we have reason to believe that the information regarding the receipt of SNAP benets is
inaccurate, we may require documentation from the agency that issued the SNAP benets in or
.
2018
2018
2018
2018
2019
2018
2019
2018
2019
No, my spouse did not work in
_____________________________________________________ __________________
F. Spouse’s Tax and Income Information
Important Note: The section below applies to the student’s spouse, if the student is married. Students who are
separated or divorced do not need to include ex-spouse’s information. Notify the Financial Aid Ofce if you
and your spouse led separate IRS income tax returns for or if you had a change in marital status after
the end of .
Did your spouse work in ?
p . Your spouse is required to provide a “Verication of Nonling Letter”
from the IRS by submitting IRS Form 4506-T and checking box 7 or by calling 1-800-908-9946. (STOP.
Please skip to Section G and Sign.)
p Yes, my spouse did work in . (Please go on to the next question.)
Did your spouse le taxes in ?
p No, my spouse was not required to le in . Your spouse is required to provide a “Verication of Nonling
Letter” from the IRS by submitting IRS Form 4506-T and checking box 7 or by calling 1-800-908-9946.
(Please answer just this rst question)
Please list below the names of all employers for your spouse in and the amount earned. IRS W-2
Forms must be provided if you did not le a IRS tax return.
Name of Employer(s)
IRS W-2 or an
Equivalent Document
Provided?
Annual Amount
Earned in 20??
$
$
$
Total Amount of Income Earned from Work $
p Yes, my spouse was required to le in and led separately or was jointly included on my tax return. (Please
choose one of the options below)
Spouse Submitted Or Will Submit IRS Tax Transcript Check one:
¨ FAFSA application at www.fafsa.gov and use the IRS Data Retrieval Tool.
OR
¨ Request a Tax Return Transcript from the IRS one of the following ways:
· Get Transcript by Mail – Go to www.irs.gov, click “Get Your Tax Record.” Click “Get Transcript by Mail.” (Gener-
ally within 10 business days from IRS receipt)
· Get Transcript Online – Go to www.irs.gov, click “Get Your Tax Record.” Click “Get Transcript Online.” The User
must have (1) access to a valid email address, (2) a text-enabled mobile phone (pay-as-you-go plans cannot be used)
in the users name, and (3) specic nancial account numbers (such as a credit card number or an account number
for a home mortgage or auto loan). The transcript displays online upon successful completion of the IRS’s two-step
authentication.
· Call 1-800-908-9946 (Generally within 10 business days from IRS receipt)
· Paper Request – IRS Form 4506T-EZ or IRS Form 4506-T. (Generally within 10 business days)
· Visit an IRS Field Ofce Fresno – 2525 Capitol St., (559) 444-2044
Be Sure to Request the “Return Transcript”, NOT the “Account Transcript”.
G. Certication and Signature
I certify that all of the information reported on this worksheet is complete and correct. I am aware that if I purposely give false
or misleading information on this worksheet, I may be ned, sentenced to jail, or both. The student must sign this worksheet.
Student Signature Date
_____________________________________________________ __________________
Spouse Signature (optional) Date
WHC #228
Revised: 11/19
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
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