Independent Student Verification Worksheet
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Office of Scholarships and Financial Aid
2016-2017 Independent Federal Verification
First Name
Student’s Last Name
MI
Your 2016-2017 Free Application for Federal Student Aid (FAFSA) was randomly selected for a process
called verification. Federal statutes authorize the Office of Scholarships & Financial Aid to compare
information submitted on your FAFSA with signed copies of 2015 Federal Tax Transcripts or information
uploaded via the Internal Revenue Service (IRS) Data Retrieval tool, W2’s, and other financial
documentation submitted by you and your spouse (if applicable). If there are discrepancies between the
information submitted on your FAFSA and your financial documentation, corrections will be made and
your FAFSA will be reprocessed. We will not process your application for financial aid until we can
determine if we have accurate and complete information.
Step I: Federal Tax Filing Status
Student Federal Tax Filer
Single
Married filing jointly
Married filing separately
Head of household
Qualifying widow(er) w/dependent
I did not and was not required to file a 2015 Federal Income Tax Return (Complete Pg.2)
Utilized the IRS Data Retrieval Tool
Submitting student’s 2015 Federal Tax Transcript*, W2’s and 1099’s
Submitting Foreign Tax Returns/Earnings Statement converted into U.S. dollars and
notarized
*Note: In place of providing the Federal Tax Transcript, one option that may be available is the Internal Revenue
Service
'IRS Data Retrieval'
which allows you to download tax information directly to the
FAFSA
from the IRS. Using
this option may reduce the amount of documentation that the financial aid office request for students selected for
'Verification'. For more information please visit our website.
Spouse Federal Tax Filer
Single
Married filing jointly
*Married filing separately
Head of household
Qualifying widow(er) w/dependent
I did not and was not required to file a 2015 Federal Income Tax Return (Complete Pg.2)
Utilized the IRS Data Retrieval Tool
Submitting spouse’s 2015 Federal Tax Transcript*, W2’s and 1099’s
Submitting Foreign Tax Returns/Earnings Statement converted into U.S. dollars and
notarized
To request a copy of your 2015 Federal Tax Transcript, please go to
We cannot accept forms 8453 or 8879.
What is your marital status as of the date the FAFSA was completed?
Single
Separated
*Married/Remarried
Divorced/Widowed
*Date Married/Remarried_________________________
225 North Ave. Atlanta, GA 30332-0460
Phone: 404.894.4160 Fax: 404.894.7412
**Faxes are received by a secure server**
Via Email: finaid@gatech.edu
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