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2012/2013 Dependent Verification Worksheet: Please Print Clearly - Illegible Documents Cannot Be Processed

This document is a dependent verification worksheet for a student's FAFSA application. It requests information to confirm the student's FAFSA details, including names and ages of family members, whether the student and parents filed tax returns, and signatures certifying the information is correct. Differences between the FAFSA and this form could require FAFSA corrections. It informs the student their application was selected for the verification process required by the financial aid office.

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Steve Stewart
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23 views

2012/2013 Dependent Verification Worksheet: Please Print Clearly - Illegible Documents Cannot Be Processed

This document is a dependent verification worksheet for a student's FAFSA application. It requests information to confirm the student's FAFSA details, including names and ages of family members, whether the student and parents filed tax returns, and signatures certifying the information is correct. Differences between the FAFSA and this form could require FAFSA corrections. It informs the student their application was selected for the verification process required by the financial aid office.

Uploaded by

Steve Stewart
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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2012/2013 Dependent Verification Worksheet

Your FAFSA was selected for review in a process called Verification. In this process, our office is required to confirm data reported on the FAFSA. If there are differences between your FAFSA information and your documentation, our office may need to make corrections to your FAFSA. Please answer this form carefully and completely. STUDENT INFORMATION: Please print clearly Illegible documents cannot be processed. Name UMBC Email______________________________ UMBC ID _______________________ Phone number_____________________

FAMILY INFORMATION: List the people in your household. Include: Yourself and your parent(s) including stepparent even if you dont live with your parents Your parents children, even if they do not live with your parent(s) if: o Your parents will provide more than half of their support from July 1, 2012 through June 30, 2013, OR o The children would be required to provide parental information when applying for federal aid Any other people who live with your parents and your parents provide more than half of their support and will continue provide more than half of their support from July 1, 2012 through June 30, 2013. Write the names of all household members. Also write in the name of the college for any household member who will be attending college at least half time (typically 6 credits) between July 1, 2012 and June 30, 2013, and will be enrolled in a degree or certificate program. If you need more space, attach a separate page. Full Name Age Relationship Self Name of College UMBC

TAX FILING STATUS: Student: Parent: I have/will complete a 2011 Federal Tax Return. I worked in 2011 but was not required to file a 2011 Federal Tax Return If you select this option you must attach W2 forms. I did not work during 2011. SIGNATURES: Warning: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. Signing the document certifies the information reported is complete and correct. Student Signature Date

Parent Signature

Date UMBC Office of Financial Aid and Scholarships 1000 Hilltop Circle Baltimore, MD 21250 Phone: 410-455-2387 Fax: 410-455-1094 Email: [email protected]

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