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1819 Verification Form Dependent Nofill PDF

This document is a verification form for a dependent student's FAFSA. It requires the student to provide family information including names and ages of family members as well as the name of any family members attending college. It also requires the student and parent to indicate their tax filing status and whether they completed a 2016 tax return or obtained a verification of non-filing letter from the IRS. Signatures are required to certify the accuracy of the information provided.

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64 views

1819 Verification Form Dependent Nofill PDF

This document is a verification form for a dependent student's FAFSA. It requires the student to provide family information including names and ages of family members as well as the name of any family members attending college. It also requires the student and parent to indicate their tax filing status and whether they completed a 2016 tax return or obtained a verification of non-filing letter from the IRS. Signatures are required to certify the accuracy of the information provided.

Uploaded by

anna elizabeth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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2018-2019 Verification Form- Dependent

Student Name: ____________________________ Campus ID: ____________________


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.

Family Information
List the people your household. Include:

• Yourself and your parent(s) including stepparent even if you do not live with your parents
• Your parent’s children, even if they do not live with your parent(s) if:
o Your parent will provide more than half of their support from July 1st, 2018 through June 30th, 2019; 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 their support and will continue to live with
and provide more than half of their support through June 30th, 2019.

Write the names of the household members. Also write the name of the college for any household member who will be attending college at
least half time (6 credits) between July 1st, 2018 and June 30th, 2019. If you need more space, attach a separate page.

Full Name Age Relationship Name of College Will be enrolled at


least half time?
Yes or No
SELF UMBC

Tax Filing Status

Student Parent
I have completed a 2016 Federal Tax Return.

I worked in 2016 but was not required to file a 2016 Federal Tax Return. I am submitting copies of all my W2s.
For any wages earned that a W2 was not received, I am providing a statement of the employer’s name and
wages earned.
*Additional Requirement for parents who did not file: Attach a Verification of Non-fiing Letter from the IRS
(or other foreign government).

I did not work in 2016.


*Additional Requirement for parents who did not work: Attach a Verification of Non-fiing Letter from the IRS
(or other foreign government).

*The Verification of Non-filing Letter must be dated later than October 1, 2017 and can be requested on line at www.irs.gov by selecting ‘Get a
Tax Transcript’ and following the prompts to obtain the letter. Alternately, it may be obtained using the paper IRS Form 4506-T and checking
box 7. DO NOT request the IRA send the letter directly to UMBC.

Signatures
Warning: If you purposefully give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. Signing this
document certifies the information reported is correct and accurate.

Student Signature: _________________________________________________ Date: _____________

Parent Signature: __________________________________________________ Date: _____________


UMBC Office of Financial Aid and Scholarships · 1000 Hilltop Circle · Baltimore, MD 21250
Phone: 410-455-2387 · Fax: 410-455-3322 · Contact Us at financialaid.umbc.edu/contact

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