Fillable V1 Dependent 1819 030918 - V1 - Dependent 030918

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V1 Dependent 1819 030918 - V1 - Dependent 030918

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Alvin Community College
2018-2019 Verification of FAFSA Information
Group 1 - Dependent
Page 1 of 3
Updated 3/9/18
Your 2018-2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before
awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information, we
will compare your FAFSA with the information on this institutional verification document and with any other required documents. If there are differences,
your FAFSA information
may need to be corrected. You and a parent or spouse (if applicable), whose information was reported on the FAFSA, must complete
and sign this verification document, attach any required documents, and submit the form and other required documents to us. We may ask for additional
information. If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.
Additional documentation may be required to support the information provided on this form.
Student’s Information
____________________________________________ ________________________ ____________________________
Student’s Last Name First Name M.I. Student’s ACC ID Number Student’s Phone Number
___________________________________________________________________________________________________________
Student’s Street Address (include apt. no.) City/State/Zip Code
Parent Household Information
List below the people in the parents’ household. Include:
The student
The parents (including stepparents) even if the student doesn’t live with the parents.
The parents’ other children if the parents will provide more than half of their support from July 1, 2018, through June 30, 2019, or
if the other children would be required to provide parental information if they were completing a FAFSA for 2018–2019. Include
children who meet either of these standards even if the children do not live with the parents. Do not include children for which
you or your parents pay child support.
Other people, if they now live with the parents, and the parents provide more than half of their support and will continue to
provide more than half of their support through June 30, 2019.
For household members NOT attending college during the 2018-2019 year, please write “NA” in the college/university column. OR,
for household member who will be enrolled at least half time, excluding parents, in a degree, diploma, or certificate program at an
eligible postsecondary educational institution any time between July 1, 2018, and June 30, 2019, include the name of the college. If
more space is needed, provide a separate page with the student’s name and ID number at the top.
Full Name Age Relationship
Will be enrolled
in college?
(Yes or No)
If yes, which college/university?
Missy Jones (example) 20 Sister Yes Alvin Community College
Self Yes Alvin Community College
Note: We may require additional documentation regarding the household members.
Student’s Name _______________________________ Student’s ACC ID Number ________________ V1 - D
Page 2 of 3
Updated 3/9/18
Student Income Information
Did you file a 2016 tax return?
YES -- Please check a box below.
The student filed a 2016 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The student filed a 2016 tax return and did not use, or was unable to use, the IRS Data Retrieval Tool to complete the
FAFSA. Please submit a 2016 IRS Tax Transcript. All W2s, 1099s, worksheets, and schedules must be included. Please
see “How to Provide Tax Information for Financial Aid” (available on our website) for assistance.
NO -- Please check a box below.
The student was not employed and had no income earned from work in 2016.
The student worked or had other income in 2016, but did not and was not required to file a 2016 tax return. List below
the names of all employers, the amount earned from each employer in 2016, and submit a 2016 W2/1099 for each
employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
Employer’s Name 2016 Amount Earned
Suzy’s Auto Body Shop (example) $2,000.00
Parent(s) Income Information
Did your parents/step-parents file a 2016 tax return?
YES -- Please check a box below.
The parent(s) filed a 2016 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The parent(s) filed a 2016 tax return and did not use or was unable to use the IRS Data Retrieval Tool to complete the
FAFSA. Please submit a 2016 IRS Tax Transcript. All W2s, 1099s, worksheets, and schedules must be included. Please
see “How to Provide Tax Information for Financial Aid” available on our website for assistance.
NO -- Please check a box below. Please submit a 2016 Verification of Non-filing from the IRS. Please see “How to Provide Tax
Information for Financial Aid” (available on our website) for assistance.
The parent(s) were not employed and had no income earned from work in 2016.
The parent(s) worked or had other income in 2016, but did not and were not required to file a 2016 tax return. List
below the names of all employers, the amount earned from each employer in 2016, and submit a 2016 W2/1099 for
each employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
Employer’s Name 2016 Amount Earned
Suzy’s Auto Body Shop (example) $2,000.00
Only
complete
this box if
your parents
did NOT
file taxes.
Only
complete
this box if
you did NOT
file taxes.
Student’s Name _______________________________ Student’s ACC ID Number ________________ V1 - D
Page 3 of 3
Updated 3/9/18
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
________________________________________ ________________________
Student’s Signature Date
________________________________________ ________________________
Parent’s Signature Date
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
Financial Aid Office
Fax: 281-756-3840
fa@alvincollege.edu
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V1 Dependent 1819 030918 - V1 - Dependent 030918

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Completed 15 November 2019

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