Fillable Verification Worksheet 18 19 (University of Dayton)

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Verification Worksheet 18 19 (University of Dayton)

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Federal Verification Worksheet
2018-19 Academic Year
INSTRUCTIONS
Your 2018-19 FAFSA has been selected by the U.S. Department of Education for federal verification, a process which requires us to
verify certain data fields from your FAFSA. Please review the complete instructions at www.finaid.udayton.edu/verification and
contact us with any questions. This process must be completed before we can apply your aid to your account; therefore we encourage
you to submit all requirements within 30 days of receipt of request. For your convenience, you can email, mail or fax the
documentation to us. Failure to comply with this request may jeopardize your award for the year.
STUDENT INFORMATION
Student’s Name Student ID#
Last First MI
Permanent Address
Street Address City State Zip
SSN (optional) ________________________ Home Phone ______________________ Cell Phone __________________
For financial aid purposes, a ‘dependent’ student is one who is required to provide parental information on the FAFSA.
2016 FEDERAL TAX RETURN FILING STATUS
Student (& Spouse) Filing Status
(all students)
Tax Filers:
I (We) filed a 2016 federal return and
used the IRS DRT via the FAFSA or
will provide/have provided an IRS tax return transcript or
will provide/have provided a signed copy of foreign tax return
I (We) had to amend my 2016 federal return so will submit both
a signed copy of my IRS 1040X form filed with the IRS, and
a copy of my IRS tax return transcript showing original data
I was a (We were) victim(s) of IRS tax-related identity theft,
so will submit both
a Tax Return DataBase View (TRDBV) transcript or regular IRS
tax transcript(s); and
a statement signed and dated by me (or my spouse) indicating
that I (or my spouse) was a victim of IRS tax-related identity theft
and that the IRS is aware of the tax-related identity theft.
I (We) will file but have yet to file my 2016 return and have
attached copies of IRS Form 4868 and all W-2s related to my
(our) 2016 earnings.
Non-Tax Filers: (select all that apply)
I (We) did not file and are not required to file a 2016 return
because either
I was not employed, so had no earnings in 2016; or
had $ ________ earnings in 2016 and
Copies of W-2s from all employers are included or
W-2s were not issued for 2016 but my employer(s) was/were
____________________________________________
____________________________________________
I’m an independent student per FAFSA guidelines and have
requested/attached the IRS Verification of Non-filing
Letter. (Required)
Parent(s) Filing Status
(dependent students only)
Tax Filers:
My parents filed their 2016 return and
used the IRS DRT via the FAFSA or
will provide/have provided an IRS tax return transcript or
will provide/have provided a signed copy of foreign tax return
My parents had to amend their 2016 return so will submit both
a signed copy of their IRS 1040X form filed with the IRS, and
a copy of their IRS tax return transcript showing original data
My parents were victims of IRS tax-related identity theft, so
will submit both
a Tax Return DataBase View (TRDBV) transcript or regular IRS tax
return transcript(s); and
a statement signed and dated by the tax filer indicating that he or
she was a victim of IRS tax-related identity theft and that the IRS is
aware of the tax-related identity theft.
My parents will file but have yet to file their 2016 return and
have attached copies of IRS Form 4868 and all W-2s related to
their 2016 earnings.
Non-Tax Filers: (select all that apply)
My parent(s) did not file and are not required to file a 2016
return(s) because
either they were not employed, so had no earnings in 2016; or
parent 1 earned $ ______________ from work
parent 2 earned $ ______________ from work and
Copies of W-2s from all employers are included or
W-2s were not issued for 2016 but their employer(s) was/were
____________________________________________
__________________________________________
and
My parents have requested/attached the IRS Verification of
Non- filing Letter. (Required)
Please complete next page
HOUSEHOLD INFORMATION
Dependent Students: List the people within your parents’ household for whom your parent(s) will provide at least half of their
support* between July 1, 2018 and June 30, 2019. Also, please indicate in the space below if a household member will be enrolled in
college at least half-time in a degree, diploma or certificate program at an eligible postsecondary educational institution any time
between July 1, 2018 and June 30, 2019, by listing the name of the college and grade level.
Include the following:
• Yourself (even if you do not live with your parents) and
• Your parent(s) and
• Your parent(s)’ other children and
• Other people if they now live with your parents and your parents provide more than half of the other person’s support, and will
continue to provide more than half of that person’s support through June 30, 2019;
Independent Students: List the people within your household for whom you will provide at least half of their support* between
July 1, 2018 and June 30, 2019. Also, please indicate in the space below if a household member will be enrolled in college at least
half-time in a degree, diploma or certificate program at an eligible postsecondary educational institution any time between July 1,
2018 and June 30, 2019, by listing the name of the college and grade level.
Include the following:
• Yourself and
• Your spouse (if you have one) and
• Your children and
• Other people if they now live with you and you or your spouse provides more than half of the other person’s support, and will
continue to provide more than half of that person’s support through June 30, 2019.
* Support includes money, gifts, loans, housing, food, clothes, car, medical and dental care, payment of college costs, etc.
Please read guidelines above before completing. Attach extra page if needed.
Family Member Age Relationship to Student College Name and Grade Level for 2018-19
SELF
Signature(s) - REQUIRED
I (We) hereby affirm that all information reported on this form and any attachment hereto is true, complete, and accurate to the best of
my (our) knowledge. I (We) understand that if I (we) receive federal student aid based on incorrect information, I (we) will need to repay
it; I (we) may be required to pay fines and fees.
Student Date
Parent (if dependent) Date
Office of Financial Aid
300 College Park
Dayton, Ohio 45469 -1605
FAX: 937-229-4338
finaid@udayton.edu
www.finaid.udayton.edu
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Completed 25 July 2020

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