Fillable Independent Verification Worksheet 2019 2020 (Our Lady of the Lake University)

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Independent Verification Worksheet 2019 2020 (Our Lady of the Lake University)

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____________________________________ _______________ _______________________
Student’s Last Name Student’s First Name M.I. Student’s ID or SSN
_______________________
Student’s Date of Birth
_______________________
Student’s Phone Number
___________________________________________________
Student’s
Street Address
___________________________________________________
City State Zip Code
Li
st the names of all household members, including yourself, your spouse and your children if
you provide more than half of their support even if they do not live with you. Also, list the
name of any household member who will be attending at least half time between July 1, 2019
and June 30, 2020, and will be enrolled in a degree, diploma, or certificate program. If you
need more space, attach a separate page.
Full Name
Age
Relationship
College
Self
OLLU
2019-2020 Independent Verification Worksheet
Your 2019-2020 Free Application for Federal Student Aid was selected by the Department of
Education for review in a process called verification. Federal law requires OLLU to verify the
information you reported on your FAFSA before awarding you federal aid. If there are
differences between your FAFSA information and your financial documents, we will submit
corrections electronically. You must complete this verification form, sign and date it, and
submit it to the financial aid office as soon as possible. This will ensure that your financial
aid will not be delayed.
A. Student Information
B. Family Information
Print Student Name and ID: ___________________________________________
C. Student’s Tax and Income Information
Check here if you will request a 2017 tax return transcript and W-2 from the IRS
(www.irs.gov, or call 800-908-9946). All documents must have the Student's Name
and OLLU ID (or date of birth) written on each page.
Check here if you will not file and are not required to file a 2017 U.S. Income Tax Return.
2.
If you did not file and are not required to file a 2017 U.S. Income Tax Return, list below your
employer(s) and any income received in 2017. Please attach a copy of a 2017 W-2 form for each
source of employment. You must also request a Non-Filer’s Transcript from the IRS at www.irs.gov.
All documents must have the Student's Name and OLLU ID (or date of birth) written on each page.
Sources 2017 Income
_______________________________________________
Student Signature
_______________________________________________
Spouse Signature
______________________________
Date
______________________________
Date
Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail or both.
Please submit all verification documents to OLLU/Financial Aid Office, 411 S.W. 24
th
Street, San Antonio, TX 78207
1. Check only one box below.
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Independent Verification Worksheet 2019 2020 (Our Lady of the Lake University)

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Completed 26 July 2020

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