ࡱ> e bjbjhh |ii2 77777KKK8tKI6~  (33355555559}<v5Q7]]]577336333]F737353]533l2\43@;<3560I6&36<O<,\4<7\4@0>"3556< Y :  PAINE COLLEGE Office of Financial Aid Telephone: 706-821-8262 1-800-476-7703 1235 Fifteenth Street Augusta, GA 30901-3182 Fax: 706-821-8691 2024-2025 - VERIFICATION WORKSHEET - INDEPENDENT STUDENT Your 20242025 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law requires that before finalizing your financial aid application, you must confirm the information you and your parents reported on your FAFSA. To verify that you provided correct information, you must complete this form and forward it to the С, Financial Aid Office so that we can compare your processed FAFSA results with the information on this worksheet, along with other required documents requested by our office. Please complete this form carefully. Missing or incomplete information will delay us from finalizing your financial aid application. If there are differences, your FAFSA information will be corrected by our office. You must complete and sign this worksheet and attach any required documents. A. Independent Students Information __________________________________________________________ _______________________________________ ____________ Students Last Name Students First Name Students M.I. __________________________________________________________ _______________________________________ ____________ Students Street Address (include apt. no.) Students Social Security Number Students ID # ___________________________ ___ _______ __________ ________________________________________________________ City State Zip Code Students Email Address __________________________________________________________ _______________________________________________________ Students С Phone Number (include area code) Students Alternate or Cell Phone Number B. Independent Student s Family Information List below the people in your household. Please include: Yourself Your spouse, if you are married Your children, if any, if you will provide more than one half of their support from July 1, 2024 and June 30, 2025, or if the child would be required to provide your information if they were completing a FAFSA for 2024-2025. Include children who meet either of these standards, even if they do not live with you. Other people they now live with you and you provide more than half of their support and will continue to provide more than half of their support through June 30, 2025. Include the name of the college for any household member who will be enrolled at least half time, in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2024, and June 30, 2025. If more space is needed, attach a separate page with your name and Social Security Number at the top. Full Name Age Date of Birth Relationship College # of Credits Enrolled Jane Doe (example) 28 01/01/87 Wife ABC College 6  Self С        Students Name: __________________________________________ ________________ ID#: ________________________ C. Independent Students Income Information Instructions: Complete this section if you, the student, filed or will file a 2022 income tax return with the IRS. The best way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If the student has not already used the tool, go to FAFSA.gov, log in to your FAFSA record, select Make FAFSA Corrections, and navigate to the Financial Information section of the form. From there, follow the instructions to determine if you are eligible to use the IRS Data Retrieval Tool to transfer 2022 IRS income tax information into your FAFSA. It takes 2-3 weeks for IRS income information to be available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and 8-11 weeks for paper IRS tax return filers. If you need more information about when, or how to use the IRS Data Retrieval Tool see your financial aid administrator. Complete Section 1 or 2 based on your tax filing status: 1. TAX RETURN FILERS - Complete this section if you, the student (and, if married, your spouse) are required to file a 2022 income tax return with the IRS. Check the circle that applies: O I, the student have used or planned to use the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer my (and, if married, my spouses) 2022 IRS income information into my FAFSA, either on the initial FAFSA or when making a correction to the FAFSA. С will use the IRS information that was transferred in the verification process. No tax transcript is necessary. O I, the student, am unable or chooses not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to the school a 2022 IRS tax return transcript(s)not a photocopy of the income tax return. To obtain an IRS tax return transcript, go to www.IRS.gov and click on the Order a Return or Account Transcript link, or call 1-800-908-9946. Make sure to request the IRS tax return transcript and not the IRS tax account transcript. You will need your Social Security Number, date of birth, and the address on file with the IRS (normally this will be the address used when the 2022 IRS tax return was filed). It takes 2-3 weeks for IRS income information to be available for electronic IRS tax return filers, and 8-11 weeks for paper IRS tax return filers. If you are married and you and your spouse filed separate 2022 tax returns, you must submit tax return transcripts for both you and your spouse. To view and obtain your transcript immediately, go to http://www.irs.gov/Individuals/Get-Transcript and click on Tax Return. 2. TAX RETURN NONFILERS - Complete this section if you, the student (and, if married, your spouse), will not file and are not required to file a 2022 income tax return with the IRS. Check the circle that applies: O The student, (and, if married, the students spouse) was not employed and had no income earned from work in 2022. O The student, (and, if married, the students spouse) was employed in 2022 and has listed below the names of all the students employers, the amount earned from each employer in 2022, and whether an IRS W-2 form is attached. Attach copies of all 2022 IRS W-2 forms issued to you (and, if married, the students spouse) by employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a separate page with the students name and Social Security Number at the top. Employers Name 2022 Amount Earned IRS W-2 Attached? Yes or No  John Doe Auto Parts (example) $3,000 (example) Yes        Note: We may require you to provide documentation from the IRS that indicates a 2022 IRS income tax return was not filed with the IRS. If required, go to http://www.irs.gov/Individuals/Get-Transcript and click on Verification of Nonfiling Letter. Students Name: _________________________________________________________ ID#: __________________________ F. Certification and Signatures `ft     ֬hQ:,h gh9x5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph/h ghAB5B*CJOJQJ\^JaJph,h gh9x5B*CJOJQJ^JaJph)h_5B*CJOJQJ\^JaJph/h gh9x5B*CJOJQJ\^JaJph#h gh>B5CJOJQJ^JaJ#h gh;'5CJOJQJ^JaJh;'CJOJQJaJh;'CJOJQJaJt  i j k  h i no89 $7$8$H$a$gde 7$8$H$gd9x $7$8$H$a$gd9x 0^`0 &dP   # #  i j k n q   # h i noսvՎ__H_,h gh>B5B*CJOJQJ^JaJph,h gh+q5B*CJOJQJ^JaJph/h gh+5B*CJOJQJ\^JaJph,h gh9x5B*CJOJQJ^JaJph/h gh9x5B*CJOJQJ\^JaJph/h gh9x5B*CJOJQJ\^JaJph,h gh9x5B*CJOJQJ^JaJph&h_5B*CJOJQJ^JaJph#89b024:@һһ黻t]]F,h gh9x5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph/h gh+5B*CJOJQJ\^JaJph/h gh9x5B*CJOJQJ\^JaJph,h gh+q5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph,h ghaHa5B*CJOJQJ^JaJph,h gh%H5B*CJOJQJ^JaJph024bd46$$7$8$H$Ifa$gdD $7$8$H$IfgdD $7$8$H$a$gdn 7$8$H$gdq 7$8$H$gd9x "bdh (DL&":zһҍv_v_vvKvK_K_K_vvvv_v&h_5B*CJOJQJ^JaJph,h gh+5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph,h ghq5B*CJOJQJ^JaJph,h ghq5B*CJOJQJ^JaJph,h ghq5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJphz&.46:quһҧҐһҧҧv\Bvv2h gh56B*CJOJQJ]^JaJph2h gh+56B*CJOJQJ]^JaJph2h gh9x56B*CJOJQJ]^JaJph,h gh9x5B*CJOJQJ^JaJph&h_5B*CJOJQJ^JaJph,h gh+5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph,h gh5B*CJOJQJ^JaJph ()?@AFTUWXY_abcghiuvwxyz{|}~ηcccc6 *h gh56B*CJOJPJQJ^JaJph6 *h gh+56B*CJOJPJQJ^JaJph6 *h gh9x56B*CJOJPJQJ^JaJph,h gh+q5B*CJOJQJ^JaJph0h gh9x5B*CJOJPJQJ^JaJph0h ghn5B*CJOJPJQJ^JaJph& ()?$$7$8$H$Ifa$gdD?@kd$$Iflֈ iy #(D q  t0644 la p<ytD@ATUXYbchiuvx$$7$8$H$Ifa$gd$$7$8$H$Ifa$gdD $7$8$H$IfgdD xykd$$Iflֈ iy #(D q  t0644 la p<ytDyz{|}~$$7$8$H$Ifa$gdD $7$8$H$IfgdD ззР,h gh9x5B*CJOJQJ^JaJph,h gh9x5B*CJOJQJ^JaJph0h ghn5B*CJOJPJQJ^JaJph,h gh+q5B*CJOJQJ^JaJph0h gh9x5B*CJOJPJQJ^JaJph6kd$$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd $$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd$$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd$$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd$$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd$$Iflֈ iy #(D q  t0644 la p<ytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd $$Iflֈ iy #(D q  t0644 la p<ytD $7$8$H$Ifgd/ 7$8$H$gd9x?@ADGno{:Az~ɻ{mdX{{d{h ghn5CJaJh_5CJaJh gh9x5>*CJaJh gh5CJaJh gh9x5CJaJh gh9x5CJ\aJh gh9x5CJaJh gh5CJ\aJh gh9x5CJ\aJh gh5CJ\aJ#h gh9x5CJOJQJ^JaJ,h gh9x5B*CJOJQJ^JaJph"?@An<77777gd9xkd$ $$Ifl~ֈ8 /%RRSRRS04 layt/noZ[q"r")#*#J#K###%%%%%$$7$8$H$Ifa$gdD$a$gd9x$a$gdngd9x*H~Jlp8:YZ[\^bl̩ڡqbh gh9x56CJ]aJh gh56CJ]aJh_5CJaJh gh5CJaJh gh9x5CJaJh gh9x5h ghe5CJ\aJh_5CJaJh gh5CJaJh gh9x5CJ\aJh gh9x5CJaJh gh9x5CJaJh gh9x5CJ\aJ&lp- `!!!!("U"p"q"r"u""""""##)#*#4#籠yky_y_yVyykh_5CJaJh gh5CJaJh gh9x5CJ\aJh gh9x5CJaJh gh56CJ]aJh_56CJ]aJ h gh9x56>*CJ]aJh gh9x56CJ]aJh gh5CJ\aJh gh9x5CJ\aJh_5CJ\aJh gh9x5CJaJh gh5CJaJ!4#:#J#K#L######### $$x$|$$$$%%%%%%%%%%%&&ĸиĸĸzzzdzzzz*h_5B*CJOJPJQJ^JaJph0h gh9x5B*CJOJPJQJ^JaJphh gh9x5B*phh gh9x56CJ]aJh_5CJaJh gh9x5CJaJh gh5CJaJh gh9x5h ghe5CJaJh gh9x5CJ\aJh ghe5CJ\aJ %%%&& &<kd $$IflF*xn(vN t06    44 la pytD$$7$8$H$Ifa$gdD$$7$8$H$Ifa$gdc & & &(&)&:&;&?&@&A&B&C&D&E&F&G&H&I&J&K&L&M&N&O&P&Q&R&S&T&U&V&W&X&Y&Z&[&\&]&^&_&`&a&b&c&d&e&f&g&&鴴鴴鴴鴴鴴鴴鴴靐{h gh9x5CJaJh?G5CJaJh gh9x5B*ph,h gh9x5B*CJOJQJ^JaJph0h gh9x5B*CJOJPJQJ^JaJph6 *h gh9x56B*CJOJPJQJ^JaJph,h gh+q5B*CJOJQJ^JaJph0 & &(&)&:&;&?&@&?kd $$IflF*xn(vN t06    44 la pytD$$7$8$H$Ifa$gdD $7$8$H$IfgdD@&A&B&C&D&E&F&G&?kdD $$IflF*xn(vN t06    44 la pytD$$7$8$H$Ifa$gdD $7$8$H$IfgdDG&H&I&J&K&L&M&N&M?? $7$8$H$IfgdDkd $$IflF*xn(vN t06    44 la pytD$$7$8$H$Ifa$gdDN&O&P&Q&R&S&^PP??$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd $$IflF*xn(vN t06    44 la pytDS&T&U&V&W&X&^PP??$$7$8$H$Ifa$gdD $7$8$H$IfgdDkdx $$IflF*xn(vN t06    44 la pytDX&Y&Z&[&\&]&^PP??$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd4$$IflF*xn(vN t06    44 la pytD]&^&_&`&a&b&^PP??$$7$8$H$Ifa$gdD $7$8$H$IfgdDkd$$IflF*xn(vN t06    44 la pytDb&c&d&e&f&g&b'c'd'e'^UPPPPPPPgd9x 7$8$H$gd9xkd$$IflF*xn(vN t06    44 la pytD &&'1'='a'b'c'd'e''''''q()CQf|ʼꯡyyk_]_k______kkkkkkkkkkyUh gh5CJaJh gh5CJ\aJh gh9x5CJaJh gh9x5CJ\aJh gh*!S5CJ\aJh gh0%5CJ\aJh gh9x5B*phh gh9x5CJ]aJh gh9x56CJ]aJ h gh9x56>*CJ]aJh gh9x5CJaJh_5CJaJ"e''''''()CQf|gdD$a$gd$a$gdgdgd9xThe person signing this worksheet certifies that all of the information reported on it is complete and correct. WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. The student must sign and date. _________________________________________________ ___________ _____________________________________ Students Signature Date Please do not mail this worksheet to the U.S. Department of Education. Be sure to save a copy of this worksheet for your records. Submit this worksheet to: С Financial Aid Office 1235 Fifteenth Street Augusta, GA 30901 706-821-8262 (Office) 706-821-8691 (Fax)     Page  PAGE 3 of  NUMPAGES 3 †ÆĆɆʆІц҆ӆ׆؆Źh gh9x5CJaJh,/:h/hDhg\5\mHnHu h5\jh5U\hhiPjhiPUÆĆgd9x$a$gdD z+p,p-p.p1h/R 4567:p/ =!"#h$% $$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If !vh#vD #vq#v#v #v#v:V l t065D 5q55 55a p<ytD$$If!vh#vR#vS#vR#vS:V l~05R5S5R5S4yt/$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytD$$If !vh#vv#vN#v :V l t065v5N5 a pytDx02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List HH  Balloon TextCJOJQJ^JaJDBD Body Text$a$CJOJQJ^Jfof 9xDefault 7$8$H$1B*CJOJPJQJ^J_HaJmH phsH tH # 9x Table Grid7:V0CJOJPJQJ^JaJ@2@ DHeader  H$ mHsHtH6/A6 D Header CharCJaJ@ @R@ D0Footer  H$ mHsHtH6/a6 D0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V (BO)MBT.$@0H!A>풠Uc-zD[&!rX=}zC0` ި%.]Ssd--7 +fOZեrŵVœ\lji2ZGwm-3˵j7\ Uk5FҨ-:xRkcr3Ϣ+9kji9OP Et-j|#p;E=Ɖ5Z2sgF=8 K}*7c<`*HJTcB<{Jc]\ Ҡk=ti"MGfIw&9ql> $>HmPd{(6%z:"'/f7w0qBcF6f Iöi1(\}B5ҹ~Bcr6I;}mY/lIz1!) ac 1fm ƪN^I77yrJ'd$s<{uC>== Ƌ(uX=WA NC2>GK<(C,ݖm: &-8j^N܀ݑ$4:/x vTu>*ٞn{M.Ǿ0v4<1>&ⶏVn.B>1CḑOk!#;Ҍ}$pQ˙y')fY?u \$/1d8*ZI$G#d\,{uk<$:lWV j^ZơSc*+ESa1똀 k3Ģxzjv3,jZU3@jWu;z \v5i?{8&==ϘNX1?  O4׹ӧCvHa01 %xz24ĥ=m X\(7Xjg !Ӆqd? cG7.`~w*?, 2 nN*"Fz_&n &\ F:l[+%f J 1114 zl4#&&!03457@D?@xyn% &@&G&N&S&X&]&b&e' "#$%&'()*+,-./12689:;<=>?AE+-4!8@0(  B S  ?X)Y)Z)=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace       [_-333333333 o )e#  " & M M = H q u z~lp x|^^egcdjU^6uo09J;aV0BC-h؆Yv-r|:r@xJ`l2yhM808^8`0o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJQJo(hHh^`.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.h^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJQJo(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJQJo(hHh^`.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.h^`5OJ QJ o(.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.^`OJPJQJ^Jo( ^`OJ QJ o(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJ QJ o(o ^`OJQJo( ^`OJQJo( ^`OJ QJ o(o PP^P`OJQJo(jU09JYv-rl2yr@xC-haV6bT8                                                     %|        ,        JIEbf>!n0%A ;; c e53zk^KS/ 2$r7,/:zF?|?AB%H?Je KiPS'R*!SvS(HTg\:]D`aHaBe5%k+q/w,bxTy.hyBF,@)\8~_;'| +?G>B g/qA'M_7tB+KD&9fYnk9x$_<=>@L @,@@UnknownG.[x Times New Roman5Symbol3. .[x Arial?. x@Arial BlackS.Arial Rounded MT BoldM Trajan ProCambria;Wingdings7..{$ Calibri5..[`)TahomaC. Aptos Display3. Aptos?= .Cx Courier NewABook AntiquaA$BCambria Math"h,,|{{ȇB599!h20 3Q@P?,/::! xx*Z=  2002-2003Gerri L. BoganQuinn, Consuelo,        Oh+'0  4 @ L Xdlt| 2002-2003Gerri L. Bogan Normal.dotmQuinn, Consuelo5Microsoft Office Word@F#@2G@P@ [< ՜.+,0 hp  The Bogan Family9  2002-2003 Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFHIJKLMNOQRSTUVWXYZ[\]^_`abcdefghijklmnpqrstuvxyz{|}~Root Entry FP<<Data Gh1TableP=WordDocument|SummaryInformation(oDocumentSummaryInformation8wCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q