Verification Worksheet Federal Student Aid Programs - Northwestern State University - 2017-2018
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2017-2018 Verification Worksheet
Federal Student Aid Programs
Your FAFSA application was selected for review by the U.S. Dept. of Education for a process called verification. In this process NSU must compare
information from your FAFSA with the documentation supplied to our office. We must collect all information before you can be awarded any type
of Title IV aid. If there are differences between your FAFSA and the other documents you supply, additional information may be requested and
corrections may need to be submitted. Your financial aid will not be processed until this form has been completed, returned, and verified.
1. If you and your parents used the IRS Tax Retrieval process when completing your FAFSA and did not make any changes to that information, a
2015 tax transcript is not necessary.
2. If you and your parents did not use the IRS Tax Retrieval process or you made changes after the IRS Retrieval, contact the IRS at
or call 1-800-908-9946 to obtain a 2015 tax transcript.
3. Complete all sections and sign the worksheet - you and your parents must sign the worksheet.
4. Submit all required documents to the Office of Financial Aid.
5. If you or your parents did not file or are not required to file an IRS 1040, you and your parents must affirm that you are not required to file an
IRS 1040 and include a copy of 2015 W-2 Forms from all employers. In all cases you or your spouse (and if married) must provide documentation
from the IRS or other relevant tax authority dated on or after October 1, 2016 that indicates a 2015 IRS Income Tax return was not filed with the
IRS or other relevant tax authority. The verification of non-filing can be requested by submitting a 4506-T form (option 7) to the IRS.
A. STUDENT INFORMATION (PLEASE PRINT OR TYPE)
Last Name
First Name
M.I.
Last 5 digits of SSN
NSU Student ID #
Address (include apt. #)
City
State
Zip Code
Date of Birth
E-mail Address
Phone Number (include area code)
B. FAMILY INFORMATION
List the people in your household, include:
You and your parents (including stepparent) even if you don’t live with your parents.
Your parents’ other children even if they don’t live with your parents if (1) your parents will provide more than half of their support from
July 1, 2017 through June 30, 2018, or (2) 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 provide more than half of their support and will continue to provide
more than half of their support from July 1, 2017 through June 30, 2018.
Write the names of ALL household members. Also write in the name of the college for any family member, excluding your parents, who will
be attending college at least half-time between July 1, 2017 - June 30, 2018 and will be enrolled in a degree, diploma, or certificate program.
If you need more space, attach a separate page.
Note: If NSU believes that the information regarding the household members and/or enrollment in a post-secondary educational
institution to be inaccurate, we may require additional documentation.
Full Name
Age
Relationship
College Attending in 2017-2018
Self
Northwestern State University
C. Student Tax Data - PLEASE CHECK ONE
I used the IRS Data Retrieval process when I completed the FAFSA.
I did not use the IRS Data Retrieval process when I completed the FAFSA and I have attached the 2015 IRS 1040 Tax Return Transcript.
I attest that I have not filed an IRS 1040 for 2015 and I am not required to file an IRS 1040 for 2015. I have attached all of the W2 forms I
received for 2015 and have attached the verification of non-filing stated from the IRS. You must also complete Section E.
D. Parent Tax Data – PLEASE CHECK ONE
I used the IRS Data Retrieval process when I completed the FAFSA.
I did not use the IRS Data Retrieval process when I completed the FAFSA and I have attached the 2015 IRS 1040 Tax Return Transcript.
I attest that I have not filed an IRS 1040 for 2015 and I am not required to file an IRS 1040 for 2015. I have attached all of the W2 forms I
received for 2015 and have attached the verification of non-filing stated from the IRS. You must also complete Section E.
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