Verification Worksheet - Independent Student

YOU NEED TO:
Complete this form and submit any additional documentation as soon as possible so that the processing of your aid will not be delayed. Please note that students are randomly selected for verification and that this process may occur at any time throughout the award year. If you have any questions about verification, please contact Student Financial Services.
                          
A. List people in household
List the people that you (and your spouse) will support between July 1, 2021 and June 30, 2022 in the chart below.
Include:

• yourself
• your spouse
• your dependent children if you provide more than half support and will continue to do so from July 1, 2021 through June 30, 2022.
• other people if they now live with you and will receive more than half of their support from you and/or your spouse and will continue to provide more than half of their support through June 30, 2022.

B. List the college they are attending
Also, write in the name of the college/university for any family members who will be attending college/university at least half-time between July 1, 2021 and June 30, 2022 and will be enrolled in a degree or certificate program in the chart below. If you need more space, attach a separate page.

Will the student be enrolled at least half-time at NSCC?

Yes

No

Will person 2 in household be enrolled at least half-time in college?

Yes

No

Will person 3 in household be enrolled at least half-time in college?

Yes

No

Will person 4 in household be enrolled at least half-time in college?

Yes

No

Will person 5 in household be enrolled at least half-time in college?

Yes

No

Will person 6 in household be enrolled at least half-time in college?

Yes

No

C. Tax information
You must check only ONE box that applies to your 2019 tax filing status. This status applies to BOTH you and your spouse if you indicated you were married on the FAFSA.
If you do not qualify to use DRT, instructions on how to obtain a transcript are listed at
www.northshore.edu/paying/aid/irs-transcripts.html

Student's Tax Information (select ONE)

Student has completed the IRS DRT through FAFSA.

Student filed an amended 2019 IRS tax return and will provide both a signed copy of my IRS 1040x and a 2019 Tax Transcript.

Student will provide a copy of my 2019 Tax Transcript.

Student will provide a signed copy of my 2019 Federal Tax Return.

Spouse's tax information (select ONE)

Spouse has completed the IRS DRT through FAFSA.

Spouse filed an amended 2019 IRS tax return and will provide both a signed copy of my IRS 1040x and a 2019 Tax Transcript.

Spouse will provide a copy of my 2019 Tax Transcript.

Spouse will provide a signed copy of my 2019 Federal Tax Return.

D. Non Tax Filer Information
Complete this section if you left the Tax Information box blank. This section is if you and/or your spouse will not file and are not required to file a 2019 federal income tax return with the IRS.  Check only ONE box that applies.

You (and your spouse, if applicable) must submit a Verification of Nonfiler letter from the IRS. Instructions on how to obtain the letter can be found at
www.northshore.edu/paying/aid/obtain-irs-verification.html

Student's non tax filer information (select ONE)

Student will not file a 2019 Federal Tax return, but worked in 2019. Submit a copy of all W2 forms issued by your employer(s).

Student did not earn any income in 2019 and did not file taxes.

Spouse's non tax filer information (select ONE)

Spouse will not file a 2019 Federal Tax return, but worked in 2019. Submit a copy of all W2 forms issued by your employer(s).

Spouse did not earn any income in 2019 and did not file taxes.

E. Certification and Signatures
Each person signing below certifies that all the information reported is complete and correct.

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