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University of the Virgin Islands - Office of Financial Aid 2021-2022 STANDARD Verification Worksheet www.uvi.edu _______________________________________________________________ _____________I___________________________ Last Name First Name M.I. Last 4 Digits of SSN ID Number _______________________________________________________________ ________________________________________ Mailing Address Date of Birth _______________________________________________________________ ________________________________________ City State Zip Code Email Address _______________________________________________________________ _______________________________________ Home Phone Number (include area code) Alternate or Cell Phone Number List below the people in your parents’ household. Include:  Yourself and your parents (including a step-parent) even if you don’t live with your parents.  Your parents’ other children if your parents will provide more than half of their support from July 1, 2021 through June 30, 2022, or if the other children would be required to provide parental information if they were completing a FAFSA for 2021-2022. Include children who meet either of these standards, even if they do not live with your parents.  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, 2021 through June 30, 2022. Include the name of the college for any household member, excluding your parents, who will be enrolled, at least half time (six credit hours) in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2021 and June 30, 2022. If more space is needed, attach a separate page with the student’s name and UVI student ID number at the top. Full Name Age Relationship College/University Will be Enrolled at least half time (6 or more credits) Missy Jones (example) 18 Sister Central University Yes Self University of the Virgin Islands Note: Additional documentation for the household member(s) enrolled at an eligible postsecondary educational institution may be required. What you should do 1. Talk to your financial aid administrator if you have any questions about completing this worksheet. 2. Complete and sign the worksheet – you and at least one parent. 3. Submit the completed worksheet, 2019 Tax Return transcript(s) or a signed copy of the 2019 tax return, applicable schedules, W-2 form(s) and any other required documents your school requests to your financial aid administrator. 4. Your financial aid administrator will compare information on this worksheet and any supporting documents with the information you submitted on your FAFSA. You or your school may need to make corrections electronically or by using your Student Aid Report (SAR). V1 Dependent A. Student’s Information B. Dependent Student’s Family Information Your 2021-2022 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. Federal law states that before any Federal Student aid can be awarded, you and your parent(s) must provide copies of 2019 Tax Return transcript(s) or a signed copy of the 2019 tax return, applicable schedules and W-2 form(s) or Verification of Non-Filing Letter and other required documents to your school. The documents will be used to verify that the information reported on your FAFSA is correct. Any discrepancies will result in revision of your FAFSA. You must complete and sign the worksheet, attach all required documents, and submit to the University of the Virgin Islands Financial Aid Office. If you have questions about verification, contact us at financialaidstx@uvi.edu or 340-692-4193, St. Croix or at financialaidstt@uvi.edu 340-693-1090, St. Thomas. * Tax filers must submit the 2019 Tax Return transcript(s) or a signed copy of the 2019 tax return, applicable schedules and W-2 form(s) * PARENTAL Non-tax filers must submit a Verification of Non-Filing Letter from the IRS 2019 IRS Tax Return Transcript(s) or a signed copy of the 2019 income tax return and applicable schedules To request an official 2019 Tax Return Transcript 1. For U. S. Virgin Islanders Tax Filers: Form 4506T must be completed and signed by the tax payer and submitted to the Bureau of Internal Revenue (BIR) offices. You may also contact the VI BIR offices for assistance: St. Croix – (340) 773-1040; St. Thomas – (340) 715-1040; St. John – (340) 777-1446. 2. For U.S Tax Filers: Complete Form 4506T online at www.irs.gov or call 1-800-908-9946.  Not employed in 2019.  Check here if you will be attaching your W-2 Form(s) and 2019 IRS Income Tax Return or Tax Return Transcript. 3. If you did not file and are not required to file a 2019 Federal income tax return, list below your employer(s), even if you were not issued an IRS W-2 Form. Employer’s Name or Source of Income (Money received or paid on your behalf to include housing, food, living allowances) IRS W-2 Attached Yes/No 2019 Income $ $ $ 4. Funds received for child support and other untaxed income (See question 44 on the FAFSA.) Sources of Untaxed Income 2019 Amount Sources of Untaxed Income 2019 Amount a. Child support received (Line 2a) $ e. Workman’s Compensation $ b. Tax exempt (IRS form 1040 – Line 8b) $ f. Veterans non-education benefits $ c. Untaxed IRA pensions (IRS form 1040-line 4a minus 4b / 1040A-line 11a minus 11b) $ g. Payments to pension (W-2 boxes 12a through 12d, codes D, E, F, G, H & S) $ d. IRA deductions & payments (IRS form 1040- line 28+32) $ 2019 IRS Tax Return Transcript(s) or a signed copy of the 2019 income tax return and applicable schedules To request an official 2019 Tax Return Transcript or Verification of Non-Filing Letter 1. For U. S. Virgin Islanders Tax Filers: Form 4506T must be completed and signed by the tax payer or non-filer and submitted to the Bureau of Internal Revenue (BIR) offices. You may also contact the VI BIR offices for assistance: St. Croix – (340) 773-1040; St. Thomas – (340) 715- 1040; St. John – (340) 777-1446. 2. For U.S Tax Filers: Complete the request Form 4506T online at www.irs.gov or call 1-800-908-9946.  Check here if your parent(s) will be attaching the W-2 Form(s) and 2019 IRS Income Tax Return or Tax Return Transcript.  Check here if your parent(s) will be attaching a Verification of Non-Filing Letter because they will not file or were not required to file; or were not employed and had no income earned from work in 2019. 3. (a). If your parent(s) did not file and are not required to file a 2019 Federal income tax return, list below your parent(s) employer(s), even if they were not issued an IRS W-2 Form. (b). If your parent(s) were not employed and had no income earned from work in 2019, list the source of any income your household received in 2019. Employer’s Name or Source of Income (Money received or paid on your behalf to include housing, food, living allowances) IRS W-2 Attached Yes/No 2019 Income $ $ $ 4. Funds received for child support and other untaxed income (See question 92 on the FAFSA.) Sources of Untaxed Income 2019 Amount Sources of Untaxed Income 2019 Amount a. Child support received (Line 2a) $ e. Workman’s Compensation $ b. Tax exempt (IRS form 1040) $ f. Veterans non-education benefits $ c. Untaxed IRA pension(IRS form 1040-line 4a minus 4b) $ g. Payments to pension (W-2 boxes 12a through 12d, codes D, E, F, G, H & S) $ d. IRA deductions & payments (IRS form 1040- line 28+32) $ Each person signing this worksheet certifies that all of the information reported is complete and correct. The student and one parent must sign this worksheet. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. ____________________________________________________________ ___________________________________________________________ Student’s Signature Date Parent’s Signature Date Do not mail this worksheet to the U.S Department of Education. Submit this worksheet to the University of the Virgin Islands financial aid office. C. Dependent Student’s | 2019 IRS Tax Return Transcript(s) or a signed copy of the 2019 income tax return and applicable schedules D. Parent(s) | 2019 IRS Tax Return Transcript(s) or a signed copy of the 2019 income tax return and applicable schedules E. Certification & Signature Student’s Name _____________________________________ ID# _________________ 21-22 STANDARD Verification Worksheet V1-Dependent pg. 2