 2014-2015 Independent Verification Worksheet
STUDENT TAX TRANSCRIPT REQUESTV1
WHY YOU HAVE RECEIVED THIS FORM
Your application was selected for review in a process called “verification”. In this verification process, we will be comparing information from your FAFSA with copies of your 2013 federal tax return transcripts, with W-2 forms or other financial documents. Federal regulations require us to collect this information before disbursing federal aid. If there are differences between your FAFSA and the verification documents, we will make the corrections and send the required changes electronically to the federal student aid processor to have your information reprocessed.
Student Information
Last Name: First Name: MI: __________________
Student ID: ______________________________ Date of Birth: / /
Home Phone: ( ) Cell Phone: ( ) Email: _________
Student’s Income Information to Be Verified
TAX RETURN FILERS—complete this section if you and/or your spouse (if applicable), filed or will file a 2013 income tax return with the IRS. To download and print a copy of you and/your spouse’s tax transcript, go to www.irs.gov and click “Get transcript of your tax records. Click “Get transcript online” to request a PDF copy immediately. 1040 TAX RETURNS ARE NO LONGE R ACCEPTABLE.
I filed 2013 taxes and have attached the IRS tax return transcripts to this worksheet
My spouse filed 2013 taxes and has attached the IRS tax return transcripts to this worksheet
TAX RETURN NONFILERS—complete this section if student and/or spouse (if applicable) WILL NOT FILE and is not required to file a 2013 income tax return with the IRS.
Check the box that applies:
The student was NOT employed and had no income earned from work in 2013
The student was employed in 2013 and has listed below the names of all the student’s employers. Attach copies of all 2013 IRS W-2 forms issued to the student by employers.
The spouse was NOT employed and had no income earned from work in 2013
The spouse was employed in 2013 and has listed below the names of all the spouse’s employers. Attach copies of all 2013 IRS W-2 forms issued to the student by employers.
Employer’s Name
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2013 Amount Earned
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IRS W-2 Attached?
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Employer’s Name
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2013 Amount Earned
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IRS W-2 Attached?
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Suzy’s Auto Body Shop (Example)
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$2,000(example)
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Yes (example)
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Suzy’s Auto Body Shop (Example)
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$2,000(example)
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Yes (example)
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Student Signature Date Spouse’s Signature Date
Atlanta Metropolitan State College Office of Financial Aid
1630 Metropolitan Pkwy S.W. 404 756-4002 office
Atlanta, Georgia 30310 404 756-4834 fax
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Atlanta Metropolitan State College