2014-15 Independent Verification Worksheet

2014-15 Independent Verification Worksheet
Your application has been selected for review in a process called Verification. In this process, the information from your Free
Application for Federal Student Aid (FAFSA) will be compared with you and your spouse’s answers to the questions below. If
there are differences, our office may correct your FAFSA information. You must complete and sign this worksheet, attach all
required documents, and submit to The Office of Student Financial Aid.
_______________________________________________________________
Student’s Last Name
First Name
MI
_______________________________
Furman University ID Number
________________________________________________________________
Address (include apartment number)
Check here if new freshman
______________________________________________________________
City
State
Zip
HOUSEHOLD INFORMATION
Please list the people in your household. Include:
 Yourself,
 Your spouse,
 Your dependent children,
 Other people ONLY if they now live with you and receive more than half of their support from you (and your spouse)
AND will continue to receive this support through June 30, 2015.
 The name of the college/university attended by household members who will be pursuing a degree at least halftime
(usually 6 hours/semester) in 2014-15.
Full Name of Family Member in
Student’s Household
Age
Relationship to
Student
Name of
College/University in
2014-15
Self
Furman University
Check here if
family member is
in graduate school
(Master’s, PhD)
CHILD SUPPORT PAID
Please list the child support that you or spouse paid to another household because of separation, divorce or a legal requirement.
Do not include child support paid for children listed on this form.
Name of person who paid
child support
VERI15.pdf
Name of adult to whom
child support was paid
Name of child for whom
child support was paid
Amount of child support
paid in 2013
2/10/14
SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)/FOOD STAMPS
ION ASSISTANCE PROGRAM (SNAP)
Did you, your spouse, or anyone listed in your household receive SNAP/food stamps (Supplemental Nutrition Assistance
Program) in 2012 or 2013? Yes
No
?
INCOME VERIFICATION
The easiest way to verify income is to use the IRS Data Retrieval Tool when completing or updating your FAFSA at
www.fafsa.gov. If you did not use the IRS Data Retrieval Tool when completing or updating the FAFSA, you must provide an
IRS Tax Return Transcript. Due to changes in federal regulations, schools can no longer accept photocopies of tax returns.
To request an IRS Tax Return Transcript please visit www.irs.gov. Be sure to request a Tax Return Transcript, NOT an
Account Transcript. If you or your spouse did not and will not file a 2013 federal tax return, please check the appropriate box
below.
Student (and Spouse) Income
I (and my spouse) used the IRS Data Retrieval process when completing/updating the 2014-15 FAFSA.
My 2013 Federal IRS Tax Return Transcript is attached. If I am married and my spouse filed separately, his/her 2013
Tax Return Transcript is attached. See Income Verification section above for important details.
I (and my spouse) will not file and am (are) not required to file a 2013 federal tax return. I (and my spouse) was (were)
not employed and had no income earned from work in 2013. Additional information may be requested to verify
how you met your living expenses.
I (and my spouse) will not file and am (are) not required to file a 2013 federal tax return. I (we) was (were) employed
in 2013. Provide copies of all 2013 IRS W-2 forms issued to the student and spouse by all employers.
Employer’s Name
2013 Amount Earned
Was IRS W-2 Issued by Employer?
CERTIFICATIONS AND SIGNATURES
By signing this worksheet, I/we certify that all of the information reported is complete and correct. We also acknowledge that
we have read and agree to comply with all verification policies as stated by the University.
Student (Required)
VERI15.pdf
Date
Spouse
Date
2/10/14