IMPORTANT: Your application was selected for review in a process called "Verification". We will be comparing information from your FAFSA with the documentation we have requested. If there are differences, we may need to make corrections electronically. We also may require additional documentation if we have reason to believe that the information provided on this form is inaccurate. Your financial aid application cannot be processed until all of the requested information is received. STUDENT INFO NAME: DOB:. PPID or SSN: PHONE: ( ). HOUSEHOLD INFO List the people in your parent s household including: Yourself, and your parent(s) (including step-parents) Your parents other children, even if they don t live with your parents as long as: o Your parents will provide more than half of their support between July 1, 2018 and June 30, 2019, or o Children would be required to provide parental information when applying for Federal student Aid. Other people if they live with your parent(s), and: o Your parent(s) provide more than half of their support. o Your parent(s) will continue to provide more than half of their support between July 1, 2018 and June 30, 2019. Full Name Age Relation (To Student) SELF Attending College in 2018-2019? Please list the college you will attend from: July 1 st, 2018-June 30 th, 2019 at least half time PURCHASE COLLEGE, SUNY PARENT(S) Did you pay or receive child support during 2016? YES - Please complete the table below: Name of parent who paid child support? Name of parent who received funds? Name of child? Child s age? Amount paid/received in 2016? PAGE 1 OF 5
PER FEDERAL REGULATIONS, WE CANT ACCEPT COPIES OF YOUR TAX RETURN. WE ARE REQUIRED TO COLLECT YOUR IRS TAX RETURN TRANSCRIPT: 1. MAKE CORRECTIONS to the 2018-2019 FAFSA and Select the IRS DATA RETRIEVAL OPTION (this is the easiest and quickest way to get this transcript information to our office) OR 2. DOWNLOAD your 2016 IRS TAX RETURN TRANSCRIPT online* Be sure to get the TAX RETURN TRANSCRIPT AND T THE ACCOUNT TRANSCRIPT OR 3. ORDER your 2016 IRS TAX RETURN TRANSCRIPT by mail* or by phone You can do so online or by mailing in IRS Form 4506-T. You can request it by phone at 1-800-908-9946 Be sure to get the TAX RETURN TRANSCRIPT AND T THE ACCOUNT TRANSCRIPT * Please go to www.irs.gov/individuals/get-transcript. If the parent did not file taxes, you must submit a Verification of Non-filing Letter from the IRS. This can be obtained online by going to the website above. You can also request a copy of this letter by completing IRS Form 4506-T. This letter is required for each parent that is not filing taxes. PARENT TAX INFO Did you or will you file taxes in 2016? YES Please indicate how you are providing your tax information: If you did not file & are not required to file a 2016 tax return please indicate your income, attach all 2016 W2 forms & an IRS Verification of Nonfiling Letter Completed IRS Data Retrieval on the FAFSA Attach 2016 Tax Return Transcript ordered from IRS Employer Amount earned in 2016 IRS W2 Provided? STUDENT TAX INFO Did you or will you file taxes in 2016? YES Please indicate how you are providing your tax information: If you did not file, and are not required to file a 2016 tax return, please indicate your income and attach all 2016 W2 forms: Completed IRS Data Retrieval on the FAFSA Attach 2016 Tax Return Transcript ordered from IRS Employer Amount earned in 2016 IRS W2 provided? PAGE 2 OF 5
HIGH SCHOOL COMPLETION STATUS Please provide one of the following documents that indicates the student s high school completion status upon entering college in 2018-2019: HIGH SCHOOL DIPLOMA Provide a copy of your high school diploma SECONDARY SCHOOL LEAVING CERTIFICATE For students who completed secondary education in a foreign country, a copy of the secondary school leaving certificate or other similar document. FINAL OFFICIAL HIGH SCHOOL TRANSCRIPT Provide a copy that shows the date your high school diploma was awarded. If you completed secondary education in a foreign country, please submit the secondary school leaving certificate or other similar document. STATE-AUTHORIZED EXAMINATION A State certificate or transcript received by a student after the student passed a State-authorized examination that the State recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized examination). ACADEMIC TRANSCRIPT Provide an academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit towards a bachelor s degree. HOMESCHOOLED CREDENTIAL If state law does require a homeschooled student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a copy of that credential. HOMESCHOOLED STATEMENT If state law does not require a homeschooled student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student s parent or guardian, that lists the secondary school courses the student completed and documents the successful completion of secondary school education in a home-school setting. If the student is unable to obtain the documentation listed above, he or she must contact our office. PAGE 3 OF 5
Instructions: This page is to be completed by the student. This section must be completed in person at Purchase College and the student must bring proof of his or her identity. If the student cannot come to complete this section in person, the student must INSTEAD complete the Notary section on page 5. Upon completion of the applicable Identity/Statement of Education Purpose selection, please continue to the final page to complete the signature section. IDENTITY/STATEMENT OF EDUCATIONAL PURPOSE The student must appear in person at Purchase College to verify his or her identity by presenting a valid governmentissued photo identification (ID), such as, but not limited to, a driver s license, other state-issued ID, or passport. The institution will maintain a copy of the student s photo ID that is annotated with the date it was received and the name of the official at the institution authorized to collect the student s ID. In addition, the student must sign, in presence of the institutional official, the following: Statement of Educational Purpose I certify that I,, am the individual signing this (Print student s name) Statement of Educational Purpose and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending Purchase College, SUNY for 2018-2019. Student s signature Student s ID number PAGE 4 OF 5
Instructions: This section is to be completed by the student. This section is only to be completed, notarized, and submitted to Student Financial Services along with the requested documentation if the student is unable to come in person to our office. A copy of the ID that was used to have this page notarized is required to be submitted. Both student and parent must sign the signature section. IDENTITY/STATEMENT OF EDUCATIONAL PURPOSE- Via Notary Statement of Educational Purpose I certify that I,, am the individual signing this Statement of Educational Purpose and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending Purchase College, SUNY for 2018-2019. Notary s Certificate of Acknowledgement State of County of On before me,, personally appeared and provided to me on basis of satisfactory evidence of identification to be the above named person who signed the foregoing instrument. (Print student s name) Student s signature Student s ID number Printed name of signer Type of government-issued photo ID provided Notary s name Witness my hand and official seal My commission expires on Notary Signature SIGNATURES Each person signing this form certifies that the information reported on it is complete and correct. The student and at least one parent must sign and date. If you purposely give false or misleading information on this form, you may be fined, be sentenced to jail, or both. STUDENT: PARENT: Printed Name Signature Printed Name Signature PAGE 5 OF 5