Greenville University 2018-19 Verification Worksheet

Greenville University 2018-19 Verification Worksheet

Section 1: Student Information

Student’s NameLast 4 Digits SSN

Section 2: Family Household Information

If you are a dependent student, write in the space provided below the requested information for each of the following persons:

Yourself
Your parent(s) (include step-parent)
Your parent(s) other dependent children if your parent(s) will provide more than half of their support from July 1, 2018 through June 30, 2019
Other people only if they now live in your parent household and your parents will provide more than half of their support from July 1, 2018 through June 30, 2019

If you are an independent student, write in the space below the requested information for each of the following persons:

Yourself
Your spouse (if you are married)
Your children if you will provide more than half of their support from July 1, 2018 through June 30, 2019
Other people only if they live in your household and you provide more than half of their support and will continue to do so from July 1, 2018 through June 30, 2019

Number in College: Include in the space below information about any household member who is, or will be, enrolled at least half time in a degree, diploma, or certificate program at an eligible post-secondary educational institution any time between July 1, 2018, and June 30, 2019, and include the name of the college. Do not include parents enrolled in college.

Full Name / Age / Relationship to Student / Name of College (if at least 6 credit hours 2018-19)
Student / Greenville University

Note: We may require additional documentation if we have reason to believe the information regarding the household members is inaccurate.

Page 1 of 4

Section 3: Verification of 2016 Income Information for StudentNONTAX Filer

The instructions and certifications in Section 3 apply to the student (and spouse, if married). Complete this section if the student or student/spouse did not file and are not required to file a 2016 income tax return with the IRS.

Check the box that applies forthe Student or Student/Spouse:

□The student (and/or spouse) wasnot employed and had no income earned from work in 2016.

□The student (and/or spouse)was employed in 2016(but was not required to file a federal tax return) and have listed below the name(s) of all employers, the amount earned from each employer in 2016 and whether an IRS W2 form was provided. (Send copies of all 2016 IRS W2 forms issued to the student and/or spouse by the employers to the GU Financial Aid Office.) List every employer even if the employer did not issue an IRS W2 form.

Employer’s Name / Name of Employee / Amount Paid to you in 2016 / Did you receive a W2?
Total Amount of Income Earned From Work / $

INDEPENDENT STUDENT NOTE:If you completed your FAFSA as an Independent student (not using parent information) and you did not file a 2016 federal tax return, you must send the GU Financial Aid Office an IRS Verification of Nonfiling Letter.

IRS Verification of Non-filing Letter- provides proof that the IRS has no record of a filed Form 1040, 1040A or 1040EZ for 2016. It doesn't indicate whether you were required to file a return for that year. This letter is available at using Get TranscriptOnline or Form 4506-T.

Page 2 of 4

Section 4: Verification of 2016 Income Information for Parent NONTAX Filer

Complete this section if the parent(s) did not file and are not required to file a 2016 income tax return with the IRS.

Check the box that applies:

□Neither parent was employed, and neither had income earned from work in 2016.

□One or both parents were employed in 2016but were not required to file a federal tax return. List below the names of all employers, the amount earned from each employer in 2016, and whether an IRS W-2 form was provided by the employer. (Send copies of all 2016 IRS W2 forms issued to the parents by employers to the GU Financial Aid Office.) List every employer even if the employer did not issue an IRS W2 form.

Employer’s Name / Name of Employee / 2016 Amount Paid / Did you receive a W2?
Total Amount of Income Earned From Work / $

NOTE: Parents mustprovide the GU Financial Aid Office documentation from the IRS that indicates a 2016 IRS income tax return was not filed with the IRS.

Page 3 of 4

Section 5: Certification and Signature

Each person signing this form certifies that all the information reported on this worksheet is complete and correct. If dependent, at least one parent must sign.

Federal Warning:If you purposely give false or misleading information on this worksheet, you may be fined, be sent to prison, or both.

Student Signature Date

Parent Signature Date

SEND THIS WORKSHEET & REQUESTED ITEMS

TO THE GREENVILLE UNIVERSITY FINANCIAL AID OFFICE

Scan & Email to or Fax to 618-664-7198

Mail to 315 E. College Avenue, Greenville, IL 62246

Do not submit requested items to the federal processor

Page 4 of 4