Topics: Taxation in the United States, Internal Revenue Service, FAFSA Pages: 5 (1520 words) Published: June 23, 2013
2012–2013 Verification Worksheet Independent Student
Please make sure to complete this form in its entirety. Incomplete forms will be returned and will cause a delay in the processing of your financial aid. Submit the completed form, signed and dated, through SFA online to ensure quick and secure delivery. Use the My Documents link on the left side of the page, and follow the instructions. You should make a copy of this worksheet for your records. If you cannot access my documents through SFA online, submit the completed form, signed and dated, by faxing to 866.487.9735.

Your 2012–2013 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. A. Independent Student’s Information __________________________________________________________ Student’s Last Name Student’s First Name Student’s M.I. __________________________________________________________ Student’s Street Address (include apt. no.) __________________________________________________________ City State Zip Code _________________________________________________________ Student’s Home Phone Number (include area code) _________________________________ Student’s Social Security Number _________________________________ Student’s Date of Birth _________________________________ Student’s Email Address _________________________________ Student’s Alternate or Cell Phone Number

B. Independent Student’s Family Information List below the people in your household. Include: Yourself. Your spouse, if you are married. Your children, if any, if you will provide more than half of their support from July 1, 2012, through June 30, 2013, or if the child would be required to provide your information if they were completing a FAFSA for 2012– 2013. 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 through June 30, 2013. 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, 2012, and June 30, 2013. If more space is needed, attach a separate page with your name and Social Security Number at the top. Full Name Marty Jones(example) Age 28 Relationship Wife Self College Central University Will be Enrolled at Least Half Time Yes

Student’s Name: ______________________________________________ SSN: __________________________ C. Independent Student’s Income Information to Be Verified 1. TAX RETURN FILERS—Important Note: If you (or your spouse, if married) filed, or will file, an amended 2011 IRS tax return, you must contact your financial aid administrator before completing this section. Instructions: Complete this section if you, the student, filed or will file a 2011 income tax return with the IRS. The best way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If you have not already used the tool, go to, log in to your FAFSA record, select “Make FAFSA Corrections,” and navigate to the Financial...
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