Verification Worksheet



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2015-2016 Verification Worksheet

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 and or your parents reported on your FAFSA. To verify that you provided correct information the financial aid administrator at Atlanta Metropolitan State College will compare your FAFSA with the information on this worksheet and with any other required documents. If there are any differences, your FAFSA information may need to be corrected.



Student’s Information
___________________________________________________ ______________________________________________

Student’s Last Name Student’s First Name M.I Atlanta Metropolitan State College Student ID Number

____________________________________________________ ______________________________________________

Student’s Street Address (include apt #) Student’s Date of Birth

__________________________________________________ ______________________________________________

City State Zip Code Students Phone Number (Best point of Contact)


Independent vs. Dependent Student

Are you at least 24 years old; or will you be 24 years old as of December 31, 2015?

Are your married?

Do you have any legal dependents (children?)

Are you a veteran of the U.S armed forces, having served on active duty?

Are you a ward of the court or both of your parents are deceased?


If you answered NO to all of these questions you are considered a Dependent Student and must supply parental information.


If you are Dependent student include:

  • Yourself

  • Your parent(s)- including step-parents

  • Your parent(s) other children if your parents will provide more than half of their support from July1, 2015 through June 20, 2016, or they would be required to provide parent information on their FAFSA.




If you are an Independent student include:

  • Yourself

  • Your spouse (if you are married)

  • Your children if you will provide more than half of their support from July 1, 2015 through June 30, 2016.







Full Name

Age

Relationship to Student

Name of College/University







Self

Atlanta Metropolitan State College









































































If more space is required please attach a separate page.


Tax and Income Information

Indicate below your 2014 federal tax return status

Student filed □ will not file □ extension filed

Spouse filed □ will not file □ extension filed

Father/Stepfather filed □ will not file □ extension filed

Mother/Stepmother filed □ will not file □ extension filed


Data Retrieval Used: Yes _______ No ________

2014 Tax Return Filers

  • If you answered “filed” above and did not use the IRS Data Retrieval Tool, you must submit 2014 IRS Tax Return Transcripts for yourself and parents (For dependent student.)

To obtain an IRS tax return transcript go to http://www.irs.gov and click on “Order a Return or Account Transcript” link, or call 1-800-908-9946. Make sure you order the IRS tax return Transcript and not the IRS tax account transcript. If the parents are married, and separate 2014 tax returns were filed, 2014 IRS tax return transcripts must be submitted for each parent.

2014 Tax Extension

  • If you answered “extension filed: above you must submit 2014 IRS Form 4868 and all W-2’s. If aid is awarded and disbursed based on tax extension data submitted, actual tax transcripts or submission of IRS Data Retrieval (on FAFSA) must be supplied to the Financial Aid Office within 30 days of filing your actual filed date.

2014 Nonfilers

  • If you or your parents answered “will not file” above, you must complete the following and attach all W2;s

List every employer even if they did not issue an IRS W2 form. If more space is needed, attach a separate page with the student’s name and student ID number at the top.

Student

Income Earned (Yes/No)

Employer’s Name

2014 Income Earned

Mother/Stepmother










Father/Stepfather










Spouse











Did Student’s parents receive any of the following during the 2014 calendar years? Check all that apply.

  • SNAP benefits (food stamps)Supplemental Security Income (SSI)

  • Temporary Assistance for needy Families (TANF) Special Supplemental Nutrition Program for Women (WIC)

Did Student or Student’s parent’s pay child support in 2014? If YES, complete the information below for each child.

Name of Person who paid Child support

Name of Recipient

Name of Child

For whom support was paid



Annual Amount of Child

Support Paid in 2014








































Certification and Signatures

Each person signing this worksheet certifies that all of the information reported on it is complete and accurate.

______________________________  _____________________________________ _____________

Print Student Name Student’s Signature Date

______________________________ __________________________________ ______________

Print Parent Name Parent Signature Date Submit this Verification Worksheet to: Atlanta Metropolitan State College (Office of Financial Aid)



1630 Metropolitan Parkway S.W

Atlanta, GA 30310

Fax (404) 756-4834

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