2019-2020 Verification Form – Independent 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 # (mm/dd/yyyy) (xxx-xxx-xxxx)

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

• Yourself • Your spouse • Your dependent children if you provide more than half of their support* from July 1, 2019, through June 30, 2020. • Other people if they now live with you and they receive more than half of their support* from you, and they will continue to do so from July 1, 2019, through June 30, 2020. *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, 2019, and June 30, 2020, and will be enrolled in a degree or certificate program.

List yourself first.

Full Name Age Relationship In college between July 1, 2019 and June 30, 2020

Self JCCC

IVFI20 (1/19)page 1 of 4

Financial Aid Office

JCCC ID # Independent

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 2017 IRS tax return or a filing extension for 2017, see page 4 of this form for further information. o I filed taxes in 2017 • When completing the FAFSA, if you imported your tax information directly from the IRS through the Data Retrieval

Tool and did not alter that information, you do not need to submit a copy of your taxes or 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 a SIGNED copy of your 2017 federal income taxes, including all schedules, or an IRS Tax Return Transcript.

• If you altered or corrected tax information that you previously reported on the FAFSA, you must provide a SIGNED copy of your 2017 federal income taxes, including all schedules, or an IRS Tax Return Transcript.

• See how to obtain tax info on page 4. 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 2017 income tax return with the IRS. o I did not work in 2017, so I did not file and am not required to file a 2017 tax return. You are required to provide the

following documents: o 2017 Verification of Nonfiling letter from IRS dated after October 1, 2018 o 2017 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 I did work in 2017, but I did not file taxes and am not required to file a 2017 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 2017 Verification of Nonfiling letter from IRS dated after October 1, 2018 o 2017 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.

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2017 Employer 2017 Amount Earned

JCCC ID # Independent

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)

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

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

D. Spouse’s Income Information to Be Verified

Check one box only.

1. TAX RETURN FILERS: ***Important Note: If your spouse filed, or will file, an amended 2017 IRS tax return or a filing extension for 2017, see page 4 of this form for further information. o My spouse and I filed a joint return. o My spouse and I filed separate returns in 2017. • Submit a SIGNED copy of your spouse’s 2017 federal income taxes, including all schedules, or your spouse’s

IRS Tax Return Transcript.

2. TAX RETURN NONFILERS: Complete this section if your spouse did not file, and is not required to file, a 2017 income tax return with the IRS. o My spouse did not work in 2017, so did not file and is not required to file a 2017 tax return. Your spouse is

required to provide the following documents: o 2017 Verification of Nonfiling letter from IRS dated after October 1, 2018 o 2017 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 spouse did work in 2017, but did not file taxes and is not required to file a 2017 tax return. List all of your spouse’s employers and the amount earned from each, even if W-2s were not received. ***Your spouse must complete the boxes below and provide the following documents:

o 2017 Verification of Nonfiling letter from IRS dated after October 1, 2018 o 2017 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.

2017 Employer 2017 Amount Earned

Independent

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. Log in to your current FAFSA form at fafsa.gov. 2. In the finances section of the online form, you will see a “Link to IRS” button if you are eligible to use the IRS DRT. 3. Click the “Link to IRS” button and log in with your FSA ID to be transferred to the IRS to retrieve your info. 4. Once at the IRS site, enter your information exactly as it appears on your federal income tax return and click the “Submit” button. 5. Check the “Transfer My Tax Information into the FAFSA form” box, and click the “Transfer Now” button. 6. You will know that your federal tax return information has been successfully transferred because the words “Transferred from the IRS” will

display in place of the IRS information in your FAFSA form. For your protection, your tax information will not be displayed on either the IRS site or fafsa.gov.

7. Once updates are complete, click the “Sign & Submit” section to sign and submit your corrected FAFSA.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 a SIGNED copy of your 2017 federal income taxes, including all schedules, or 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: 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 2017 must provide:

A signed copy of the 2017 IRS Form 1040X, “Amended U.S. Individual Income Tax Return,” that was filed with the IRS or documentation from the IRS that include the change(s) made by the IRS (you may be required to have this document stamped by the IRS); AND one of the following: • IRS DRT information on FAFSA record with all tax information from the original tax return; OR • A signed copy of the 2017 federal taxes that were filed with the IRS; OR • A 2017 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.

Individuals Granted a Filing Extension by the IRSAn individual who is required to file a 2017 IRS income tax return and has been granted a filing extension by the IRS beyond the automatic six-month extension for tax year 2017, 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 2017. • A copy of the IRS’s approval of an extension beyond the automatic six-month extension for tax year 2017. • 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, 2018. • A copy of IRS Form W–2 for each source of employment income received or an equivalent document for tax year 2017 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 2017. • 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.

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