Verification of Untaxed Income Form

Wheaton College Student Financial Services
Verification Worksheet for Dependent Students
Your Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that, before awarding federal student aid, we may ask you to confirm the information you and your parent reported on your FAFSA. To verify that you provided correct information, Student Financial Services will compare your FAFSA information with the information on this worksheet and any other required documents. If there are differences, your FAFSA information may need to be corrected. You and one parent must complete, print and sign this worksheet and submit it and other required documents to our office. We may ask you for additional information upon receipt of this form.
Aid year for which this form has been requested*
Starting year
Ending year
Tax year
A. Dependent Student's Information
Student's Name*

First NameLast Name
Student's ID Number*
Student's Permanent Address*
Street address cannot be Wheaton College or CPO Box
Student's Date of Birth*

MonthDayYear
B. Dependent Student's Family Information
In the spaces below, list the people in your parent(s)' household as described in each section.
Yourself and your parent(s). If your parents are divorced, list the custodial parent (and stepparent if applicable) as listed on the FAFSA. List college for a parent only if s/he will be enrolled at least half-time during the {aidYear} school year.
Your parent(s)' other children if your parent(s) will provide more than half of their support from July 1, {StartingYear}, through June 30, {EndingYear}, or if the other children would be required to provide parental information if they were completing a FAFSA for {aidYear}. Include children who meet either of these standards even if the children do not live with the parent(s). List college for a child only if s/he will be enrolled at least half-time during the {aidYear} school year.
Other people if they now live with your parent(s) and the parent(s) provide more than half of their support and will continue to provide more than half of their support through June 30, {EndingYear}. List college for an individual only if s/he will be enrolled at least half-time during the {aidYear} school year.

Student's Name

First Name
Student's ID Number
E. Certifications and Signatures
For timely disbursement of your financial aid, verification documentation must be received by June 1, {StartingYear}. If your financial aid disburses after your semester payment is due, you will be subject to late fees and interest charges. However, you must provide verification documentation prior to the last day of your enrollment for campus-based, Direct Loan and institutional need-based aid. Verification documentation must be provided for Federal Pell Grant applicants prior to 120 days after the last day of your enrollment.
Each person signing below certifies that all of the information reported is complete and correct. The student and one parent whose information was reported on the FAFSA must sign and date.
WARNING: If you purposely give false or misleading information, you may be fined, be sentenced to jail, or both.
Please click the "Print Form" button below, then sign and date the printed form. Once you have signed and dated it, you may scan it and email it back to us (please send as an email attachment, do not paste into the body of the email), fax it to us at 630-752-5413 or mail it to us (Wheaton College Student Financial Services, 501 E College Avenue, Wheaton, IL 60187).

Please note: Signature must be handwritten ("wet" signature). Electronic signature, either typed or with a stylus, will not be accepted.
Student Signature ________________________________________ Date ____________________
Parent Signature _________________________________________ Date ____________________
Should be Empty: