Fillable Printable Child Support Paid Verification Worksheet - Colorado

Child Support Paid Verification Worksheet - Colorado

2015–2016 Child Support Paid Verification Worksheet

Dependent Student

Your 2015–2016 Free Application for Federal Student Aid (FAFSA) was selected for a process called

verification. The law states that colleges must verify the information you and your parent(s) report on the

FAFSA before federal student aid is disbursed. To verify that you provided correct information, financial aid

administrators will compare your FAFSA with the information on this worksheet and with any other required

documents. If there are differences, your FAFSA information may need corrections. You and at least one

parent who filed your FAFSA must submit this completed signed worksheet with any required documents to

the Colorado College Financial Aid Office. We may ask for additional information. If you have questions

about verification, contact the Colorado College Financial Aid Office at financialaid@coloradocollege.edu or

719.389.6651 as soon as possible so the disbursement of your financial aid will not be delayed.

Section A: Dependent Student’s Information

______________________________________________________________ __________________________

Student’s Last Name Student’s First Name Student’s M.I. Student’s CC ID number

______________________________________________________________ ______/________/____________

Student’s Home Street Address (include apt. no.) Student’s Date of Birth

__________________________________________________________________________________________

City State Zip Code Student’s Email Address

__________________________________________________________________________________________

Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number

Section B: Child Support Paid in 2014

Check the box which applies:

Check here if any of the student’s parents or step parents listed in household on the 2015-16

FASFA did not pay child support during the calendar year 2014 because of divorce or separation.

Check here if one (or both) of the student’s parents listed on the FAFSA paid child support in 2014

because of a divorce or separation. Indicate below the name of the person who paid the child

support, the name of the person to whom the child support was paid, the names of the children for

whom child support was paid, and the total annual amount of child support that was paid in 2014 for

each child. Documentation of the payment of child support will be provided to Colorado College if

requested. If more space is needed, attach a separate page that includes the student’s name and

Colorado College ID Number at the top.

Name of Person Who

Paid Child Support

Name of Person to

Whom Child Support

was Paid

Name of Child for Whom

Support Was Paid

Amount of Child Support

Paid in 2014

Lee Jones (example)

Chris Smith (example)

Terry Jones (example)

$6,000.00 (example)

Student’s Name: _________________________________________ CC ID#: _________________________

Section C: Dependent Student’s Income Information to Be Verified-To be completed by the

student.

Have you or will you be required to file a 2014 U.S. Federal Tax Return?

Yes: Skip to Section D and we will need to verify your income by you either using in the IRS Data Retrieval

Tool or submitting a copy of your 2014 IRS Tax Return Transcript to the Colorado College Financial Aid Office.

Specific instructions are included on the “Instructions for Tax Filers” form on the Colorado College Financial Aid

Office website.

No: Complete this section if the student will not file and is not required to file a 2014 income tax return

with the IRS.

Check the one box that applies:

The student was not employed and had no income earned from work in 2014.

The student was employed in 2014 and has listed below the names of all the student’s employers, the

amount earned from each employer in 2014, and whether an IRS W-2 form is attached. Attach copies

of all 2014 IRS W-2 forms issued to the student 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 student’s name and

Colorado College ID Number at the top.

Employer’s Name

2014 Amount Earned

IRS W-2 Attached?

Grandpa J’s Diner (example)

$2,000.00(example)

Yes(example)

Section D: Parent’s Income Information to Be Verified — To be completed by the parent. Note: If

two parents were reported in Section B of this worksheet, the instructions and certifications below refer and apply to both

parents.

Have you or will you be required to file a 2014 U.S. Federal Tax Return?

Yes: Skip to Section E and we will need verify your income by you either using in the IRS Data Retrieval Tool

or submitting a copy of the 2014 IRS tax return transcript to the Colorado College Financial Aid Office. Specific

instructions are included on the “Instructions for Tax Filers” form on the Colorado College Financial Aid Office

website.

No: Complete this section if the parent(s) will not file and is not required to file a 2014 income tax return

with the IRS.

Check the box that applies:

The parent(s) was not employed and had no income earned from work in 2014.

The parent(s) was employed in 2014 and has listed below the names of all the parent’s

employers, the amount earned from each employer in 2014, and whether an IRS W-2 form

is attached. Attach copies of all 2014 IRS W-2 forms issued to the parent(s) by employer(s).

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 student’s name and CC ID Number at the top.

Employer’s Name

2014 Amount Earned

IRS W-2 Attached?

MJ & CJ Ski Shop (example)

$2,000.00(example)

Yes(example)

Student’s Name: _________________________________________CC ID #:_______________________

Section E: Certification and Signatures

(the student and one parent must sign and date this form)

I certify that all of the information reported on all three pages of this verification worksheet is

complete, accurate and correct.

_________________________________________________

Student’s Signature Date

___________________________________________________________________________________________

Parent’ Signature Date

Submit this worksheet to:

Financial Aid Office, Colorado College,

14 E. Cache La Poudre, Colorado Springs,

CO 80903 after you make a copy for your

records.

Warning: If you purposely give false

misleading information on this

worksheet, you may be fined, be

sentenced to jail, or both.