2018-2019 Verification Form – Dependent Student

Your application was selected for review in a process called “Verification.” In this process, JCCC will be comparing information from your Free Application for Federal Student Aid (FAFSA) with information from this worksheet. By law, we have the right to ask you for this information before awarding federal aid. If there are any discrepancies, JCCC may request further clarification and/or documentation. If corrections are needed, JCCC will make them on your behalf. Once you submit the requested documents, please do not make any corrections to your FAFSA unless you are instructed to do so by JCCC. Please complete and return this form as soon as possible.

A. Student Information Please print. Please use black ink.

Last Name First Name M.I.

JCCC ID # Birthdate Daytime Phone No. (mm/dd/yyyy) (xxx-xxx-xxxx)

B. Family Information1. List the people in your parent’s household, including:

• Yourself • Your parent(s)/step-parent you live with or last lived with. • Your parents’ children if they will receive more than half of their support* from your parents from July 1, 2018, through

June 30, 2019, or they would be required to provide parental information when applying for federal student aid. • Other people if they now live with your parents and they receive more than half of their support* from your parents,

and they will continue to do so from July 1, 2018, through June 30, 2019. *Support includes money, gifts, loans, housing, food, clothes, car, medical/dental care, etc.

2. Write in the name of the college for any household member who will be attending college at least half-time between July 1, 2018, and June 30, 2019, and will be enrolled in a degree or certificate program.

List yourself first. Do not list a college for a parent.

Full Name Age Relationship In college between July 1, 2018 and June 30, 2019

Self JCCC

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Financial Aid Office

IVFD19 (11/17)

JCCC ID # Dependent

C. Student’s Income Information to Be Verified

Check one box only.

1. TAX RETURN FILERS: ***Important Note: If you filed, or will file, an amended 2016 IRS tax return or a filing extension for 2016, see page 4 of this form for further information.

o I filed taxes in 2016 • When completing the FAFSA, if you imported your tax information directly from the IRS and did not alter that information, you will

not need to submit an IRS Tax Return Transcript, unless requested. • If you did not import your tax information directly from the IRS, it is preferred that you make FAFSA corrections to import this

information. If unable to do so, you must submit an IRS Tax Return Transcript. See page 4 of this form for further information. • If you altered or corrected tax information that you previously reported on the FAFSA, you must provide an IRS Tax Return

Transcript. See page 4 of this form for further information. • Please check the Financial Aid requirements on your MyJCCC account to determine what is required.

2. TAX RETURN NONFILERS: Complete this section if you did not file, and are not required to file, a 2016 income tax return with the IRS.

o I did not work in 2016, so I did not file and am not required to file a 2016 tax return.

o I did work in 2016, but I did not file taxes and am not required to file a 2016 tax return. List all of your employers and the amount earned from each even if you did not receive a W-2. ***You must complete the boxes below and provide the following documents:

o 2016 W-2s

2016 Employer 2016 Amount Earned

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JCCC ID # Dependent

E. Sign This Form

By signing this worksheet, I certify that all the information reported on this worksheet is complete and correct. Please use black ink.

Student _______________________________________ Date _________________________________

*Electronic signatures will not be accepted. (mm/dd/yyyy)

Parent ________________________________________ Date _________________________________

*Electronic signatures will not be accepted. (mm/dd/yyyy) page 3 of 4

Please return this form to:

Johnson County Community CollegeFinancial Aid Office, Box 5012345 College Blvd. Overland Park, KS 66210-1299913-469-3840Fax 913-469-2310finaid@jccc.edu

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.

D. Parents’ Income Information to Be Verified

Check one box only.

1. TAX RETURN FILERS: ***Important Note: If your parent(s) filed, or will file, an amended 2016 IRS tax return or a filing extension for 2016, see page 4 of this form for further information.

o My parent(s) filed taxes in 2016 • When completing the FAFSA, if your parents imported their tax information directly from the IRS and did not alter that

information, they will not need to submit an IRS Tax Return Transcript, unless requested. • If your parents did not import their tax information directly from the IRS, it is preferred that they make FAFSA corrections to

import this information. If unable to do so, they must submit an IRS Tax Return Transcript. See page 4 of this form for further information.

• If your parents altered or corrected tax information that they previously reported on the FAFSA, they must provide an IRS Tax Return Transcript. See page 4 of this form for further information.

• Please check the Financial Aid requirements on your MyJCCC account to determine what is required.

2. TAX RETURN NONFILERS: Complete this section if your parent(s) did not file, and are not required to file, a 2016 income tax return with the IRS.

o My parent(s) did not work in 2016, so they did not file and are not required to file a 2016 tax return. Your parent(s) must provide the following documents:

o 2016 Verification of Nonfiling letter from IRS dated after October 1, 2017 o 2016 Wage and Income Transcripts from IRS

If you submit IRS Form 4506-T to the IRS and they send you an IRS Form 13873 document, we may be able to accept that document as long as it includes the correct nonfiler status statements.

o My parent(s) did work in 2016, but they did not file taxes and are not required to file a 2016 tax return. List all of your parent(s)’ employers and the amount earned from each, even if W-2s were not received. ***Your parent(s) must complete the boxes below and provide the following documents:

o 2016 Verification of Nonfiling letter from IRS dated after October 1, 2017 o 2016 Wage and Income Transcripts from IRS

If you submit IRS Form 4506-T to the IRS and they send you an IRS Form 13873 document, we may be able to accept that document as long as it includes the correct nonfiler status statements.

2016 Employer 2016 Amount Earned

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Dependent

Tax Information Required for Verification

Follow These Steps to Utilize the IRS Data Retrieval Tool (DRT) to Transfer IRS Tax Data into the FAFSA 1. Go to www.fafsa.gov and Login. 2. Enter student information and click Next. Review and Accept Disclaimer. 3. Click Make FAFSA Corrections if the FAFSA has previously been submitted. 4. Enter FSA ID, create Save Key, and click Next. 5. Click on Financial Information (located in the top menu navigation bar). • For students who provide parent financial information on the FAFSA, the Parent Financial Information is displayed. 6. Select Already Completed if the parent 2016 IRS income tax return has already been completed and submitted. 7. Answer the remaining questions. 8. Click the LINK TO IRS button. On the “Leaving FAFSA on the Web” page, enter the parent FSA ID, then click PROCEED TO IRS SITE. 9. Click OK to enter the IRS system. 10. Once on the IRS website, enter the requested information. 11. Click Submit when requested information has been entered exactly how it appears on the IRS income tax return. • If the IRS is able to validate your identification, the confirmation of 2016 Federal Income Tax Information displays. 12. Select the Transfer My Tax Information into the FAFSA check box and click Transfer Now. 13. Once you return to the FAFSA, you will see a confirmation that You have successfully transferred your 2016 IRS tax information. Then

complete the Parent Financial Information sections. 14. If the student has already completed and submitted a 2016 IRS Income Tax Return, proceed to the Student Tax Information section under

Financial Information (located in the top menu navigation bar). • Repeat steps 6-13 to retrieve the student tax information. 15. Click on Sign & Submit in the top menu navigation bar after the student tax information is transferred into the FAFSA. 16. Proceed with signing and submitting the FAFSA. 17. Click on SUBMIT MY FAFSA NOW. A confirmation number displays to verify submission.If you have any issues, contact the Federal Student Aid Information Center at 1-800-433-3243.

Can’t Utilize IRS DRT through FAFSA?If you are unable to successfully utilize the IRS DRT through the initial FAFSA filing or through the FAFSA Web Correction process, you MUST submit an IRS Tax Return Transcript. This option will slow down the verification process.For detailed information on obtaining the following documents from the IRS: • Tax Return Transcripts • Verification of Nonfiling • Wage and Income TranscriptsPlease refer to: www.jccc.edu/admissions/financial-aid/obtain-tax.html.

Individuals Who Filed an Amended IRS Income Tax ReturnAn individual who filed an amended IRS income tax return for tax year 2016 must provide: • A 2016 IRS Tax Return Transcript (that will only include information from the original tax return and does not have to be signed), or any other

IRS tax transcript(s) that includes all of the income and tax information required to be verified; and • A signed copy of the 2016 IRS Form 1040X, “Amended U.S. Individual Income Tax Return,” that was filed with the IRS.You may be required to have the documents stamped by the IRS.

Individuals Granted a Filing Extension by the IRSAn individual who is required to file a 2016 IRS income tax return and has been granted a filing extension by the IRS beyond the automatic six-month extension for tax year 2016, must provide: • A copy of IRS Form 4868, ‘‘Application for Automatic Extension of Time to File U.S. Individual Income Tax Return,’’ that was filed with the IRS

for tax year 2016. • A copy of the IRS’s approval of an extension beyond the automatic six-month extension for tax year 2016. • Verification of Nonfiling Letter (confirmation that the tax return has not yet been filed) from the IRS or other relevant tax authority dated on or

after October 1, 2017. • A copy of IRS Form W–2 for each source of employment income received or an equivalent document for tax year 2016 and, • If self-employed, a signed statement certifying the amount of the individual’s Adjusted Gross Income (AGI) and the U.S. income tax paid for tax

year 2016. • When your taxes are filed, you must then provide copies of your original IRS Tax Return Transcript.

Individuals Who Were Victims of IRS Identify TheftAn individual who was the victim of IRS tax-related identity theft must provide: • A Tax Return DataBase View (TRDBV) transcript obtained from the IRS, or any other IRS tax transcript(s) that includes all of the income and tax

information required to be verified; and • A statement signed and dated by the tax filer indicating that he or she was a victim of IRS tax-related identity theft and that the IRS is aware of

the tax-related identity theft.Contact the IRS at 1-800-908-4490 for specialized assistance with IRS tax-related identity theft.