Fill - Free fillable Verication Worksheet 2019-2020 Dependent Student (Kellogg Community College) PDF form

Financial Aid

450 North Avenue • Battle Creek, MI 49017-3397

269-965-4123 • FAX 269-966-4089

www.kellogg.edu/nancial-aid

KELLOGG

COMMUNITY COLLEGE

2019-2020 Dependent Student

Verication Worksheet

VEP

READ THIS!

You were selected for VERIFICATION

by the Department of Education.

Before the Financial Aid Oce (FAO)

can award Federal Student Aid, please

conrm the information you and

your parents reported on your 2019-

2020 FAFSA. A Kellogg Community

College Financial Aid Administrator

will compare the information on this

worksheet. If there are dierences,

your FAFSA information will need to

be corrected. You and at least one

parent will need to complete and

sign this worksheet, attach any

required documents, and submit

the form to the FAO. The FAO may

ask for additional information. If you

have questions about verication,

contact the FAO as soon as possible

so that your nancial aid will not

be delayed.

Part I. STUDENT INFORMATION

Last Name First Name M.I. Student ID#

Street Address (include apt. no.) Social Security #

City State Zip Date of Birth

Home Phone Cell Phone Alternative Phone

Part II. HOUSEHOLD INFORMATION

In the box below list ALL members of your parent(s) household. Your household

should include:

• The student

• The parents (including a stepparent) even if the student doesn’t live with the

parents. If parents are unmarried and living together, include information for

parent 1 and parent 2.

• The parents’ other children if the parents will provide more than half of their

support from July 1, 2019, through June 30, 2020, or if the other children would

be required to provide parental information if they were completing a FAFSA

for 2019-2020. Include children who meet either of these standards even if the

children do not live with the parents.

• 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, 2020.

Full Name Age

Male or Female

M or F Relationship College

*Will be Enrolled at

Least Half Time

(Yes or No)?

Self Kellogg Community College Yes

Parent

* For any household member (excluding parents) who will be enrolled at least half time (6 credits) in a

degree or certicate program at an eligible postsecondary educational institution any time during the

academic year. If more space is needed, provide a separate page with the student’s name and ID number at the top.

NOTE: We may require additional documentation if we have reason to believe that the information regarding the household

members enrolled in eligible postsecondary educational institutions is inaccurate.

DEPENDENT VERIFICATION WORKSHEET VEP 2

Part III. STUDENT INCOME INFORMATION

a. Tax Return Filers — Complete this section if you, the student, have led or will le a 2017 tax return with the IRS. You may have used the IRS

Data Retrieval To ol (DRT) on your 2019-2020 FAFSA. For assistance using the DRT, see instructions on the last page of this worksheet.

Check the box that applies:

I have led a 2017 Federal IRS Tax Return and have used the DRT through FAFSA

I was UNABLE or chose not to use the DRT through FAFSA, and I will submit one of the following:

Attach your signed 2017 Federal Tax Return Transcript to this worksheet

Submit Tax Return Transcript at a later date

To obtain a Tax Return Transcript online or by mail, go to www.irs.gov/individuals/get-transcript.

OR call IRS at 1-800-908-9946.

I have led an amended tax return (1040X) and will attach to this worksheet or submit at a later date.

b. Tax Return Non-lers: Complete this section if you, the student did not le a 2017 Federal Tax Return

I was not employed, did not have any income earned from working during the year of 2017.

-OR-

I was employed however, I was not required to le a 2017 Federal IRS Tax Return. If so, complete the box below and attach the

following:

Attach copies of all 2017 W-2’s and/or 1099 forms

Name of Employer Amount Earned in 2017 W-2 Attached? Yes or No

Suzy’s Auto Body Shop (example) $2,000.00 (example) Yes (example)

Part IV. PARENT’S INCOME INFORMATION

a. Tax Return Filers — Complete this section for parents listed as a household member under Part II of this form. If parents have not already

used the IRS Data Retrieval Tool (DRT), please see instructions on the last page of this worksheet.

Check the box that applies:

I, the parent(s), have led a 2017 Federal IRS Tax Return and have successfully used the DRT through FAFSA

I, the parent(s), will le and have NOT yet used the DRT, however I will use the DRT later

I was UNABLE or chose not to use the DRT through FAFSA, and I will submit an IRS Tax Return Transcript separately:

Attach your 2017 Tax Return Transcript to this worksheet

Submit 2017 Tax Return Transcript at a later date To obtain a Tax Return Transcript online or by mail, go to www.irs.gov/

individuals/get-transcript. OR call 1-800-908-9946.

I, the parent(s) have led an amended tax return (1040X) and will attach to this worksheet or submit at a later date.

b. Tax Return Non-Filers — If parent(s) DID NOT le a 2017 Federal tax return, they are required to submit a 2017 “IRS Verication of Non-ling

Letter” which can be retrieved from IRS online at https://www.irs.gov/pub/irs-pdf/f4506t.pdf

Check the box that applies:

I, the parent(s), was not employed and did not earn income from working in 2017.

Complete and submit a Household Resources Verication Worksheet — This form can be found online on the Financial Aid

webpage or at the FAO.

I, the parent(s), were employed in 2017 however, I was not required to le a 2017 Federal Tax Return. If so, complete the box below

and attach copies of all 2017 W-2’s and/or 1099 forms

Name of Employer Amount Earned in 2016 W-2 Attached? Yes or No

Suzy’s Auto Body Shop (example) $2,000.00 (example) Yes (example)

Part V. ADDITIONAL INCOME – Use the table below to report Annual amounts for you and your parents. Be sure to

enter zeros if no funds were received in 2017

Parent’s Amount 2017 Additional Financial Information Student’s Amount

$ Combat pay or special combat pay. Only enter the amount that was taxable

and include in your adjusted gross income. Combat pay is reported on the

W-2 in Box 12, Code Q.

Payments to tax-deferred pension and savings plans including, but not limited

, amoun

ts reported on the W-2 forms in Boxes 12a-12d, Codes D, E, F, G, H and

S. (Do Not include DD)

Child support received for any of your children. Don’t include foster care or

adoption payments. Provide names of child(s) you received child support for:

$ Housing, food and other living allowances paid to members of the military,

clergy and others (Including cash payments and cash value of benets.)

Don’t include the value of on-base military housing or the value of a basic

military allowance for housing.

Veteran’s non-education benets such as disability, Death Pension, or

ependenc

y & I

ndemnity Compensation (DIC) and/or VA Educational

Work-Study allowances.

Other untaxed income not reported from FAFSA items 44a - j or 92a- h, such

as workers’ compensation, disability, etc. Don’t include student aid, EIC,

additional child tax credit, welfare payments, untaxed SS benets, SSI,

WIA educational benets, on-base military housing or a military housing

allowance, combat pay, benets from exible spending arrangements (e.g.

cafeteria plans), foreign income exclusion or credit for federal tax on

special fuels.

Part VI. CERTIFICATION AND SIGNATURE

Each Person signing this worksheet ceres

that ALL informaon reported is complete and

correct. The student and one parent must sign

and date

WARNING: If you purposely give false

or misleading information on this work-

sheet, you may be ned, sentenced to jail,

or both.

Student Signature Date

Parent Signature Date

Updated 2/19

RETURN BY MAIL, EMAIL OR FAX TO:

Kellogg Community College

Financial Aid Oce

450 North Avenue

Battle Creek, MI 49017

Email: naid@kellogg.edu

Phone: (269)965-4123

FAX #: (269) 966-4089

DEPENDENT VERIFICATION WORKSHEET VEP 3

ADDITIONAL ASSISTANCE AND INSTRUCTIONS

Using the IRS Data Retrieval Tool

• Access your FAFSA at www.fafsa.gov and log into your account.

• Once logged in, click on the option to “Make FAFSA Corrections” (this will take you to your completed FAFSA information). If

federal taxes have been led, go to the tax information section and update status to “already completed” taxes. Answer the

series of questions that follow. If you answer “no” to each question an option will be provided to “link to IRS”.

• Enter your name and address information EXACTLY as it appears on your 2017 tax form. If the tool can locate tax information,

click the option to “transfer now”. If you need to use the IRS Data Tool for the student, repeat steps in the student section of the

FAFSA. Once you are done make sure to “next” through the rest of the FAFSA and complete the new submission on the “Sign and

Submit” page.

Requesting an IRS Tax Return Transcript

• Go to www.irs.gov , click “Get My Tax Record”. Then choose “Get Transcript Online” or “Get Transcript by Mail.”

• If you already have an account established, you can log in to access your Tax Return Transcript. To “Get Transcript by Mail” simply

chose that option and supply requested the requested information.

• Request can also be made by telephone at (800) 908-9946 or by completing a 4506-T that can be mailed or faxed to the IRS. In

any case make sure that you request the “IRS Tax Return Transcript” and NOT “IRS Account Transcript”. The transcripts requested

by “Get Transcript by Mail”, Phone and 4506-T are received within 10 business days from the IRS’s receipt of your request.

Verication of Non-Filing Letter

• Go to www.irs.gov, click “Get My Tax Record”. Then choose “Get Transcript online”. The “Get Transcript Online” tool is currently

unavailable for new users. If you already have an account established, you can log in to access a Verication of Non-ling letter.

• Request can also be made by telephone at (800) 908-9946 or by completing a 4506-T that can be mailed or faxed to the IRS.

Verication of Non-ling letters requested by phone or 4506-T are generally received within 10 business days from the IRS’s

receipt of your request.

DEPENDENT VERIFICATION WORKSHEET VEP 4

Updated 2/19

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