Independent Verification Worksheet for HSC Students

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1 15IVHP Independent Verificatin Wrksheet fr HSC Students Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing infrmatin frm yur FAFSA applicatin with cpies f yur/yur spuse s and yur parents 2014 Federal tax transcripts, W2 frms, r ther financial dcuments. The law states we have the right t ask yu fr this infrmatin befre awarding Federal aid. If there are differences between yur FAFSA applicatin infrmatin and yur financial dcuments, yu r Temple University may need t make crrectins electrnically r by using yur Student Aid Reprt (SAR). Cmplete this verificatin wrksheet and submit alng with all required dcuments t Student Financial Services (SFS) immediately, as Federal and/r University need-based aid awarded is estimated until this prcess is cmplete. Failure t cmplete verificatin in a timely manner may lead t cancellatin f aid. Upn review f the dcumentatin yu submit, additinal infrmatin may be required; ntificatin f such will be made as quickly as pssible. Yu will be ntified if FAFSA crrectins result in changes/cancellatin f award(s). 1. Submit the cmpleted Independent Verificatin Frm. Make sure the frm is SIGNED by student and parent. This frm is five-sided and needs t be filled ut cmpletely; if the answer is zer r if the questin des nt apply t yu, write 0, d nt leave blank. 2. Submit 2014 Federal Tax Transcript(s) and W2 frms fr bth student/spuse and parents, if filed. As per federal regulatins, we can n lnger accept cpies f the filed federal tax return unless it is specifically requested by the SFS ffice. Yu can btain a Federal Tax Return Transcript by calling the IRS at r visit and click n the Order a Return r Accunt Transcript link. Make sure t request the IRS Tax Return Transcript and NOT the IRS Tax Accunt Transcript. In mst cases, fr electrnic filers, a 2014 IRS Tax Return Transcript may be requested frm the IRS within 2-3 weeks after the 2014 IRS incme tax return has been accepted by the IRS. Generally, fr filers f 2014 paper IRS incme tax returns, the Tax Transcript may be requested within 8-11 weeks after the paper return has been received by the IRS. The best way t verify incme is by using the IRS Data Retrieval Tl (IRS DRT) that is part f FAFSA n the web at Nte: this ptin is available t mst tax filers, nt all. If yu are unable t utilize this ptin and are cntacted by SFS t submit verificatin dcuments then yu MUST request an IRS Tax Return Transcript. A. Independent Student s Infrmatin Student s Last Name Student s First Name Student s M.I. Student s Temple University ID# Student s Street Address (include apartment number) Student s f Birth City State Zip Cde Student s Phne # (include area cde)/cell 1

2 _ B. Independent Student s Family Infrmatin List belw the peple in yur husehld. Include: Yurself and yur spuse (if married) Yur children, if yu will prvide mre than half f their supprt frm July 1, 2014, thrugh June 30, 2015, r if the ther children wuld be required t prvide yur infrmatin if they were cmpleting a FAFSA fr Include children wh meet either f these standards, even if they d nt live with yu. Other peple if they nw live with yu and yu prvide mre than half f their supprt and will cntinue t prvide mre than half f their supprt thrugh June 30, If mre space is needed, attach a separate page with the student s name and TUID number at the tp. Full Name Age Relatinship Cllege Attending 7/1/15-6/30/16 Enrlled at least half-time? (Yes/N) Self Temple University C. Independent Student s (and if married, spuse s) Incme Infrmatin t Be Verified 1. Check nly ne bx belw. Tax transcripts include the 2014 IRS transcript frm filing Frm 1040, 1040A, 1040EZ, r a tax return frm Puert Ric. Tax transcripts can be btained by calling the IRS, If nt married, disregard spusal references. Check here if yu are attaching a cpy f yur (and yur spuse s) 2014 (jint) tax transcript. Check here if yu filed separately frm yur spuse and are attaching bth 2014 transcripts. Check here if yu r yur spuse will nt file and are nt required t file a 2014 U.S. Incme Tax Return. If yu r (yur spuse) earned wages in 2014, yu must submit all W2 frms. 2. If yu (yur spuse) did nt file and are nt required t file a 2014 federal incme tax return, list belw yur emplyer(s) and any incme received in 2014 (Yu must prvide all W2 frms r ther earnings statements with this frm). Emplyer Name/Surces f Incme Indicate Student r Spuse Incme 2014 Incme Earned 2

3 D. Independent Student s Parent(s) Family Infrmatin List belw the peple in yur parent(s) husehld. Include: Yurself and yur parent(s) (including a stepparent) even if yu dn t live with yur parent(s). Yur parent(s) ther children if yur parent(s) will prvide mre than half f their supprt frm July 1, 2015, thrugh June 30, 2016, r if the ther children wuld be required t prvide parental infrmatin if they were cmpleting a FAFSA fr Include children wh meet either f these standards, even if they d nt live with yur parent(s). Other peple if they nw live with yur parent(s) and yur parent(s) prvide mre than half f their supprt and will cntinue t prvide mre than half f their supprt thrugh June 30, If mre space is needed, attach a separate page with the student s name and TUID number at the tp. Full Name Age Relatinship Cllege Attending 7/1/15-6/30/16 (excluding parents cllege) Enrlled at least half-time? (Yes/N) Self Temple University E. Independent Student s Parent(s) Incme Infrmatin t Be Verified 1. Check nly ne bx belw. Tax transcripts include the 2014 IRS transcript frm filing Frm 1040, 1040A, 1040EZ, a tax return frm Puert Ric. Tax transcripts can be btained by calling the IRS, Check here if yu are attaching a cpy f yur parent(s) tax transcript. Check here if yur parent(s) will nt file and is nt required t file a 2013 U.S. Incme Tax Return. If yur parent(s) earned wages in 2014, yu must submit all W2 frms. 2. If yur parent(s) did nt file and is nt required t file a 2014 federal incme tax return, list belw their emplyer(s) and any incme received in 2014 (Yu must prvide all W2 frms r ther earnings statements with this frm). Emplyer Name/Surces f Incme 2014 Incme Amunt 3

4 F. Student, Spuse and Parent(s) Additinal Financial Infrmatin and Untaxed Incme Use the tables belw t reprt annual (nt mnthly) amunts. If the amunt is zer, r the questin des nt apply t yu, write 0, d nt leave blank. This sectin is directly frm the FAFSA. PARENT(S) 2014 Additinal Financial Infrmatin STUDENT S (and SPOUSE S) Child supprt paid because f divrce r separatin r as a result f a legal requirement (DO NOT include supprt fr children in parent s husehld). Taxable earnings frm need-based emplyment prgrams, such as federal wrk-study and need-based emplyment prtins f fellwships and assistantships. Grant and schlarship aid reprted t the IRS in yur adjusted grss incme. Includes AmeriCrps benefits (awards, living allwances and interest accrual payments), as well as grant and schlarship prtins f fellwships and assistantships (DO NOT include Temple University schlarships r grants). Cmbat pay r special cmbat pay. Only enter the amunt that was taxable and included in yur adjusted grss incme. Earnings frm wrk under a cperative educatin prgram ffered by a Cllege (DO NOT include earnings frm any Temple University wrk prgram). If the amunt is zer, r the questin des nt apply t yu, write 0, d nt leave blank. This sectin is directly frm the FAFSA. PARENT(S) 2014 Untaxed Incme STUDENT S (and SPOUSE S) Child supprt received fr all children in yur husehld. (DO NOT include fster care r adptin payments). Husing, fd and ther living allwances paid t members f the military, clergy and thers (including cash payments and cash value f benefits). Veterans nn-educatin benefits such as Disability Death Pensin r Dependency & Indemnity Cmpensatin (DIC) and/r VA Educatinal Wrk- Study allwances. Other untaxed incme nt reprted elsewhere n this frm, such as wrkers cmpensatin, disability, etc. Als include the Health and Savings accunt deductin frm IRS frm 1040, line 25 and the first-time hmebuyer tax credit frm IRS frm 1040, line 59b. DO NOT include student aid, earned incme credit, child tax credit, welfare payments, untaxed Scial Security benefits, Supplemental Security Incme, Wrkfrce Investment Act educatinal benefits, n base military husing r a military husing allwance, cmbat pay, (if yu are nt a tax filer), benefits frm flexible spending arrangements (e.g. cafeteria plans), freign incme exclusin r credit fr federal tax n special fuels. Student nly; mney received, r paid n yur behalf (e.g. bills), in 2013, nt reprted elsewhere n FAFSA. 4

5 G. Sign this Wrksheet Each persn signing this frm certifies that all the infrmatin reprted n it is cmplete and crrect. If married, spuse s signature is ptinal. Student WARNING: If yu purpsely give false r misleading infrmatin n this wrksheet, yu may be fined, be sentenced t jail, r bth. Spuse Parent H. Submit signed and cmpleted Independent Verificatin Wrksheet t the SFS ffice. SFS highly recmmends students uplad signed and cmpleted frms in the Student Tls tab f the TUprtal. It is fast & easy! Students may als mail r fax t the apprpriate SFS ffice: Temple University: HSC Campus Student Financial Services 3340 N. Brad St. Student Faculty Cnference Building, LB-41 Philadelphia, PA (phne) (fax) Temple University: Schl f Pdiatric Medicine Student Financial Services 8 th and Race Streets Philadelphia, PA (phne) (fax) Visit Student Financial Services n the web fr mre infrmatin, 5

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