2015-2016 Verification Worksheet

15/16

2015-2016 Verification Worksheet

WEST TEXAS A&M UNIVERSITY

WTAMU Box 60939, Canyon, TX 79016

Phone: 806-651-2055 FAX: 806-651-2924 Email:

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 must ask you to confirm the information you reported on the FAFSA. To verify that you provided correct information, the financial aid administrator at WTAMU will compare your FAFSA with the information on this worksheet along with copies of your (your spouse’s and/or parents’) 2014 Federal Tax Transcripts with W2s and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You (and at least one parent if you are a dependent) must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at WTAMU. WTAMU may ask for additional information. If you have questions about verification, contact the financial aid office at WTAMU as soon as possible so that your financial aid will not be delayed.

Student’s Information

______

Student’s Last Name Student’s First NameStudent’s M.I. Student’s Social Security Number

______

Student’s Street Address (include apt. no.) Student’s Date of Birth

______

City State Zip CodeStudent’s Email Address

______

Student’s Home Phone Number (include area code)Student’s Alternate or Cell Phone Number

■ INDEPENDENT - List the people in your household, include: yourself, and your spouse if you have one, and your children, if you will provide more than half of their support from July 1, 2015 through June 30, 2016and other people if they now live with you, and you currently provide more than half of their support and will continue to provide more than half of their support from July 1, 2015 through June 30, 2016.

■ DEPENDENT – List the people in your parents’ household, include: yourself and your parent(s) (including stepparent), and your parents’ other children under 24 years of age if (a) your parents will provide more than half of their support from July 1, 2015 through June 30, 2016, or if (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 provided more than half of their support and will continue to provide more than half of their support from July 1, 2015 through June 30, 2016.

Write the names of all household members include their date of birth, ages and relationship to you. Identify any household members, who will be attending college at least half-time between July 1, 2015 and June 30, 2016, and will be enrolled in a degree, diploma, or certificate program. If you need more space, attach a separate page.

Full Name / Date of birth / Age / Relationship / College Will be Enrolled at at Least Half
Time
Self / WTAMU Yes/No

With few exceptions, state law gives you the right to request, receive, review and correct information about yourself collected on this form.

Student’s Name: ______Buff ID #______

Student’sIncome Information to Be Verified

TAX RETURN FILERS-Complete this section if you (or your spouse, if married) filed, or will file a 2014 tax return

In order to verify your 2014 tax return informationour office has to get one of these two documents, Check the box that applies:

The FAFSA was completed using the IRS Data Retrieval tool. No adjustments were made to any of the transferred income information.

*if you successfully completed the IRS Data Retrieval on your FAFSA application then our office does not need a tax return transcript. But our office has to verify that the Data Retrieval was successful and no changes were made after the Retrieval. (If you need guidance on completing FAFSA data retrieval contact our office)

The FAFSA could not be completed using the IRS Data Retrieval tool. An official IRS tax transcript for the 2014 tax year is attached.

*To request a Tax Return Transcript from the IRS online go to or by phone call1-800-908-9946

In order to verify your and/or spouse’s income earned from work please include in the box below all W2 income, self employment income, farm income, rental property income, and/or partnership income.

Employer’s Name / 2014 Amount Earned / IRS W2 Income? / Self-Employment Income? / Farm Income? / Rental Prop or Partnership Income?
Suzy’s Auto Body Shop (example) / $1500.00(example) / Yes(example)

*For income earned from work additional documents must be turned in to verify the amounts.

-W2 for IRS W2 income

-Schedule C for Self Employment Income

-Schedule F for Farm income

-Value of Rental Property minus debt on property for rental property income

-K-1 for Partnership Income

TAX RETURN NONFILERS-Complete this section if you, the student (or your spouse, if married) will not file and are not required to file a 2014 income tax return with the IRS.

Check the box that applies:

The student (and, if married, the student’s spouse) was not employed and had no income earned from work in 2014.

*If no income earned from work and not a dependent student additional documents are needed

-If receiving disability, unemployment, or some other kind of assistance proof of benefits needs to be turned into our office

-If Independent student with no income earned from work a non filing tax transcript is needed, you can request a tax transcript from the IRS. Also complete the Income/Expense form that you can obtain from our office or our website.

The student (and, if married, the student’s spouse) was employed but was not required to file taxes because the amount of income made was not enough to have to file 2014 taxes.

*Please indicate what income was earned in the provided box above

Student’s Name: ______Buff ID #______

Dependent StudentParent’sIncome Information to Be Verified

TAX RETURN FILERS-Complete this section if your parent/parents filed, or will file a 2014 tax return

In order to verify parents 2014 tax return information our office has to get one of these two documents, Check the box that applies:

The FAFSA was completed using the IRS Data Retrieval tool. No adjustments were made to any of the transferred income information.

The FAFSA could not be completed using the IRS Data Retrieval tool. An official IRS tax transcript for the 2014 tax year is attached.

*To request a Tax Return Transcript from the IRS online go to or by phone call1-800-908-9946

In order to verify your parent’s income earned from work please include in the box below all W2 income, self employment income, farm income, rental property income, and/or partnership income.

*For income earned from work additional documents must be turned in to verify the amounts.

-W2 for IRS W2 income

-Schedule C for Self Employment Income

-Schedule F for Farm income

-Value of Rental Property minus debt on property for rental property income

-K-1 for Partnership Income

TAX RETURN NONFILERS-Complete this section if yourparent/parent’s will not file and are not required to file a 2014 income tax return with the IRS.

Check the box that applies:

The parent/parent’s of the student was not employed and had no income earned from work in 2014.

*If no income earned from work additional documents are needed

-If receiving disability, unemployment, or some other kind of assistance proof of benefits needs to be turned into our office

-If parent had no income earned from work a non filing tax transcript is needed, you can request a tax transcript from the IRS. Also complete the Income/Expense form that you can obtain from our office or our website.

The parent/parent’s of the student was employed but was not required to file taxes because the amount of income made was not enough to have to file 2014 taxes.

*Please indicate what income was earned in the provided box above

Student’s Name: ______Buff ID # ______

Other Information to Be Verified

Complete this section if someone in the student’s household (including parents) received benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly known as food stamps) any time during the 2013 or 2014 calendar years.

Either the student or student’s parent’s received SNAP benefits in 2013 or 2014.

*If we have reason to believe that the information regarding the receipt of SNAP benefits is inaccurate, we may require documentation from the agency that issued the SNAP benefits in 2012 or 2013

Complete this section if you, a spouse if married, or a parent paid child support in 2014.

Either I (or my spouse, if married) or (one (or both) of the student’s parentspaid child support in 2014. List below the name of the person who paid the child support, the name of the person to whom the child support was paid, the names of the children for whom child support was paid, and the total annual amount of child support that was paid in 2014 for each child.

*Official proof of payments must be provided to Financial Aid office.

If you need more space, attach a separate page that includes the student’s name and Social Security Number at the top

Name of Person Who Paid Child Support / Name of Person to Whom Child Support was Paid / Name of Child for Whom Support Was Paid / Amount of Child Support Paid in 2014
Marty Jones (example) / Chris Smith (example) / Terry Jones / $6,000.00

Certification and Signatures

Each person signing this worksheet certifies that all of the

information reported is complete and correct. The student

and one parent (if student is a dependent) must sign and date.

______

Student’s SignatureDate

______

Print Student’s Name Student Buff ID Number

______

Parent’s SignatureDate

Do not mail this worksheet to the U.S. Department of Education.

Submit this worksheet to the financial aid administrator at WTAMU

You should make a copy of this worksheet for your records.