USVI Public Records

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Your school must review the requested information, under the financial aid program rules (34 CFR, Part 668). Your application was selected for review in a process called “Verification.” In this process, your school will be comparing information from your application with signed copies of your and your parent(s)’ 2005 Federal tax forms, or with W-2 forms or other financial documents. The law says we have the right to ask you for this information before awarding Federal aid. If there are differences between your application information and your financial documents, you or your school may need to make corrections electronically or by using your Student Aid Report (SAR). Complete this verification form and submit it to your financial aid administrator as soon as possible, so that your financial aid won’t be delayed. Your financial aid administrator will help you. A. Student Information B. Family Information Last name First name M.I. Address (include apt. no.) City State ZIP code Social Security Number Date of birth Phone number (include area code) What you should do 1. Collect your and your parent(s)’ financial documents (signed Federal income tax forms, W-2 forms, etc.). 2. Talk to your financial aid administrator if you have questions about completing this worksheet. 3. Complete and sign the worksheet—you and at least one parent. 4. Submit the completed worksheet, tax forms, and any other documents your school requests to your financial aid administrator. 5. Your financial aid administrator will compare information on this worksheet and any supporting documents with the information you submitted on your application. You may need to make corrections electronically or by using your SAR. Write the names of all household members in the space(s) below. Also write in the name of the college for any household member, excluding your parent(s), who will be attending college at least half time between July 1, 2006 and June 30, 2007, and will be enrolled in a degree, diploma, or certificate program. If you need more space, attach a separate page. List the people in your parents’ household, include: • yourself and your parent(s) (including stepparent) even if you don’t live with your parents, and • your parents’ other children, even if they don’t live with your parent(s), if (a) your parents will provide more than half of their support from July 1, 2006 through June 30, 2007, or (b) the children would be required to provide parental information when applying for Federal Student Aid, and • other people if they now live with your parents, and your parents provide more than half of their support and will continue to provide more than half of their support from July 1, 2006 through June 30, 2007. FORM APPROVED OMB NO. 1845-0041 Full Name Age Relationship College Missy Jones (example) 18 Sister Central University Self According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1845-0041. The time required to complete this information collection is estimated to average twelve minutes, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: US Department of Education, Washington, DC 20202-5345. 2006-2007 Verification Worksheet Federal Student Aid Programs U.S. Department of Education Dependent C. Student’s Tax Forms and Income Information (all applicants) WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. By signing this worksheet, we certify that all the information reported on it is complete and correct. At least one parent must sign. E. Sign this Worksheet Student Date Parent Date Do not mail this worksheet to the Department of Education. Submit this worksheet to your Financial Aid Administrator at your school. Make sure that tax forms are signed. 1. Check only one box below. Tax returns include the 2005 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or a foreign income tax return. If your parent(s) did not keep a copy of their tax return, request a copy from the tax preparer or request an Internal Revenue Service form that lists tax account information. D. Parent(s)’ Tax Forms and Income Information Check and attach signed tax return. Check and complete - a signed tax return will be submitted to the school by ______________________(date). Check here if you will not file and are not required to file a 2005 U.S. Income Tax Return. 1. Check only one box below. Tax returns include the 2005 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or a foreign income tax return. If you did not keep a copy of your tax return, request a copy from your tax preparer or request an Internal Revenue Service form that lists tax account information. 3. If you did not file and are not required to file a 2005 Federal income tax return, list below your employer(s) and any income received in 2005 (use the W-2 form or other earnings statements if available). 2. Funds received for child support and other untaxed income. (See worksheets A&B of the Free Application for Federal Student Aid- FAFSA.) Sources 2005 Amount Check and attach signed tax return(s). Check and complete - a signed tax return(s) will be submitted to the school by ______________________(date). Check here if your parent(s) will not file and are not required to file a 2005 U.S. Income Tax Return. 3. If your parent(s) did not file and are not required to file a 2005 Federal income tax return, list below your parent(s)’ employer(s) and any income they received in 2005 (use the W-2 form or other earnings statements if available). 2. Funds received for child support and other untaxed income. (See worksheets A & B of the Free Application for Federal Student Aid.) Sources 2005 Amount Dependent Sources of Untaxed Income 2005 Amount Sources of Untaxed Income 2005 Amount a. Child Support b. Social Security (non-taxed) c. Welfare (including TANF) Sources of Untaxed Income 2005 Amount Sources of Untaxed Income 2005 Amount d. e. f. a. Child Support b. Social Security (non-taxed) c. Welfare (including TANF) d. e. f. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $