2015-2016 Verification Worksheet Independent Student Your 2015 2016 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 the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school. Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible so that your financial aid will not be delayed. ***You MUST contact the Financial Aid staff at the campus you are planning to attend in order to know which verification group is to be completed. Athens Campus (903) 675-6233 Palestine Campus (903) 723-7028 Terrell Campus (972) 563-4940 ***NOT filling out the correct sections WILL cause a delay in your financial aid being processed. ***Filling out sections that are NOT REQUIRED, may result in the need for additional verification and delay your financial aid being processed. V1 Verification Group A C D E G J V4 Verification Group A B D E H I J V6 Verification Group A C D E F G J V3 Verification Group A E J V5 Verification Group A B C D E G H I J A. Independent Student s Information Student s Last Name Student s First Name Student s M.I. Student s Social Security Number Student s Mailing Address (include apt. no.) Student s Trinity Valley ID # (TVIN) City State Zip Code Student s of Birth Student s Home Phone Number (include area code) Student s Alternate or Cell Phone Number.
B. High School or Equivalent Completion Check the box and attach the document that applies: A copy of the student s final official high school transcript that shows the date when the diploma was awarded. A state transcript or certificate, with scores, date, etc. after the student passed a State-authorized examination (GED test, HiSET, TASC, or other State-authorized examination) that the State recognizes as the equivalent of a high school diploma. For students who completed secondary education in a foreign country, a copy of the secondary school leaving certificate or other similar document. An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit toward a bachelor s degree. For a homeschooled student in a state where state law requires the student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a copy of that credential. For a homeschooled student in a state where state law does not require the student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and includes a statement that the student successfully completed a secondary school education in a homeschool setting. Student has checked with the Registrar s office and they have a copy of my final transcript, GED or homeschool. C. Independent Student s Family Information List below the people in your household: ONLY include: Yourself. Your spouse, if married. Your children, if any, if you will provide more than half of their support from July 1, 2015, through June 30, 2016, or if the child would be required to provide your information if they were completing a FAFSA for 2015-2016. Include children who meet either of these standards, even if they do not live with you. Other people if they now live with you and you provide more than half of their support and will continue to provide more than half of their support July 1, 2015 through June 30, 2016. Include the name of the college for any household member who will be enrolled, at least half time in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2015, and June 30, 2016. If more space is needed, attach a separate page with the student s name and Social Security Number at the top. (Additional documentation may be required regarding the household members enrolled in eligible postsecondary educational institutions.) LIST ALL HOUSEHOLD MEMBERS THAT MEET THE CRITERIA HERE: Full Name Age Relationship College (if attending) Will be Enrolled at Least ½ Time SELF TVCC D. Supplemental Nutrition Assistance Program (SNAP- Food Stamps) Yes, I certify that a member of my household received SNAP benefits in 2013 or 2014. (If you need assistance determining who is considered part of your household, see the guidelines in Section C.) If asked by the student s school, I will provide documentation of the receipt of SNAP benefits during 2013 and/or 2014. Additional documentation may be required. No, no one in my household received SNAP benefits in 2013 or 2014. (If you need assistance determining who is considered part of your household, see the guidelines in Section C.)
E. Child Support Paid Complete if student and/or student s spouse PAID CHILD SUPPORT IN 2014. Indicate below the name of the person who paid the child support, the name of the person to whom the child support was paid, the name of the child for whom child support was paid, and the total annual amount of child support that was paid in 2014 for each child. Student may be required to provide documentation of the payment of child support. If you need more space, attach a separate page that includes your name and Social Security Number at the top. Write not applicable (N/A) if no funds were paid. Name of Person Who Paid Child Support Name of Person to Whom Child Support was Paid Name of Child for Whom Support Was Paid Yearly Amount Paid in 2014 Marty Jones Chris Smith (example) Terry Jones $6,000.00 F. Untaxed Income_& Complete this section if the student (and/or the student s spouse if married) received any untaxed income in 2014. Be sure to enter not applicable (N/A) if no funds were received. Source of Untaxed Income Child Support Received 2014 Amount Earned Workman s Compensation Veteran s Non-education Benefits Housing and/or Living Allowances Other (List) Other (List) F. (continued) Money received or paid on behald of the student/spouse Complete this section if the student (and/or the student s spouse if married) received any payments in their behalf in 2014. Enter not applicable (N/A) if no funds were received. Purpose: Cash, Rent, Utilities, etc. Annual Amount Received in 2014 Source Total Amount Received $
G. Independent Student s Income Information to Be Verified. Tax Return Filers: Complete #1 AND either #2, #3, #4 or #5 in this section, whichever applies. 1. Untaxed pension/retirement found on W-2 form(s). Add all amounts listed in Box 12a - Box 12d: Code D: Code E: Code F: Code G: Code H: Code S: Code DD: (do not include) 2. TAX RETURN FILERS notify the financial aid office if student/spouse filed separate IRS tax returns Students/student s spouses selected for V6 Verification Group must submit IRS W-2(s) or IRS WAGE STATEMENT from all employers. Contact the Financial Aid Office if employer W-2(s) are not available. The best way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If the student/spouse has not already used the tool, the spouse and the student should go to FAFSA.gov, log in to the student s FAFSA record, select Make FAFSA Corrections, and navigate to the Financial Information section of the form. From there, follow the instructions to determine if the student and spouse is eligible to use the IRS Data Retrieval Tool to transfer 2014 IRS income tax information into the student s FAFSA. It takes up to 2 weeks for IRS income information to be available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and up to 8 weeks for paper IRS tax return filers. If you need more information about whether, or how, to use the IRS Data Retrieval Tool see the student s financial aid office. Check the box that applies: I, the student (and spouse, if married), have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my (and, if married, my spouse s) 2014 IRS income information into my FAFSA. I, the student (and spouse, if married), have not yet used the IRS Data Retrieval Tool, but will use the tool to transfer 2014 IRS income tax information into my FAFSA once I have filed my 2014 IRS tax return. I, the student (and spouse, if married), am unable or choose not to use the IRS Data Retrieval Tool, and I will submit to the school a copy of the 2014 IRS tax return transcript(s) not photocopies of the income tax return. A 2014 IRS Tax Return Transcript may be obtained through the: Online Request - Go to www.irs.gov, under the Tools heading on the IRS homepage, click "Get Transcript of Your Tax Records." Click Get Transcript ONLINE or Get Transcript by MAIL. Make sure to request the IRS Tax Return Transcript and NOT the IRS Tax Account Transcript. IRS2Go App Apple Online Store at https://itunes.apple.com/us/app/irs2go/id414113282?mt=8 Google Play at https://play.google.com/store/apps/details?id=gov.irs Telephone Request - 1-800-908-9946 Check here if an IRS tax return transcript(s) is attached to this worksheet. 3. REQUIRED DOCUMENTS FOR AMENDED IRS TAX RETURN FILED A signed copy of the original 2014 IRS income tax return that was filed with the IRS or a 2014 IRS Tax Return Transcript and a signed copy of the 2014 IRS Form 1040X, Amended U.S. Individual Income Tax Return, that was filed with the IRS. 4. VICTIMS OF TAX ADMINISTRATION IDENTITY THEFT TAX RETURN TRANSCRIPT OR DATABASE VIEW required: A victim of tax administration identity theft who is not able to obtain a 2014 IRS Tax Return Transcript or use the IRS DRT must contact the IRS at 1-800-908-4490 for information concerning the DATABASE View. 5. TAX RETURN NON-FILERS IRS W-2(s) OR IRS WAGE STATEMENT REQUIRED Complete this section if you, the student (and spouse, if married), will not file and are not required to file a 2014 income tax return with the IRS. The student (&/or the student s spouse if married) was not employed and had no income earned from work in 2014. Written IRS conformation may be required. The student/spouse must list below the names of all employers, enter the amount earned from each employer and submit W-2(s). List all employers even if they did not issue an IRS W-2 form & contact the Financial Aid Office for more information on documentation needed. Use separate page if needed. Employer s Name 2014 Amount Earned IRS W-2 Attached?
H. Proof of Identity I understand I must bring (in person) my STATE OR GOVERNMENT issued photo identification to be copied BY AN AUTHORIZED TVCC EMPLOYEE to the Financial Aid office Or I understand if I am unable to bring in my photo identification in person, I must obtain Appendix A of the Verification Worksheet to be signed in front of a Notary Republic. Authorized TVCC employee s signature I. Statement of Educational Purpose **Important: this section MUST be signed in the presence of an authorized TVCC Financial Aid employee.** If unable to sign in the presence of an authorized TVCC Financial Aid employee, you must obtain Appendix A of the Verification Worksheet to be signed in front of a Notary Republic. I hereby certify by signing this document that I will use federal and/or state student financial aid only to pay the cost of attending Trinity Valley Community College. I further certify that I am not in default on a federal student loan or have made satisfactory arrangements to repay it. I do not owe money back on a federal student grant or have made satisfactory arrangements to repay it. I will notify Trinity Valley Community College if I default on a federal student loan and will not receive a Federal Pell Grant from more than one institution for the same period of time. I certify that I,, am the individual signing this Statement of Educational Purpose and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending Trinity Valley Community College for 2015-2016. Student s Signature Student s ID Number
J. Certification and Signatures I certify that all of the information reported on this worksheet is complete and correct. The student must sign this worksheet. If married, the spouse s signature is optional. WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. Student s Signature Spouse s Signature TVCC - Athens 100 Cardinal Drive Athens, TX 75751 Campus Mailing Addresses TVCC Palestine PO Box 2530 Palestine, TX 75802 TVCC Terrell 1200 E. Interstate 20 Terrell, TX 75161 7/27/2015