2017 - 2018 ACADEMIC YEAR To: EMPLID: Date: / / From:

Please submit photocopies of the required documentation for calendar year 2015.

DOCUMENTS MUST BE SUBMITTED AND ALL PROBLEMS WITH YOUR FAFSA MUST BE RESOLVED

BEFORE YOUR LAST DATE OF ATTENDANCE AT CITY TECH. PHOTOCOPIES OF DOCUMENTS ARE FOR

OFFICE FILES AND WILL NOT BE RETURNED.

Internal Revenue Service (IRS): CALL 1-800-908-9946 select “option 2” and then enter “2015” or go online @:

www.irs.gov; click “Get Transcript of Your Tax Records”; click “Get Transcript ONLINE”; or click “Get Transcript

by MAIL”; choose “Return Transcript”; choose “2015” or by Mail: Complete IRS form 4506T-EZ; complete lines 1-4,

line 5 gives you the option to have IRS mailed your transcript to the school; Line 6 enter “2015” (Must sign and date the

form and enter your number) Then mail or fax the completed IRS form 4506T-EZ

IRS Verification of non-filing letter for 2015 2015 IRS Tax Return Transcript or IRS Data Retrieval & return within 3-5 days

IRS W-2 forms for 2015 IRS 1099 forms for year 2015

Signed 1040X Amended Tax Return filed with the IRS 1040X Stamped by IRS

Parent(s) Student Spouse

Proof of Separation: i.e. utility bills, phones, leases for each parent and/or legal separation documents

Verification Worksheet (Form Enclosed) Clarification of Marital Status Form

Net worth of each property at the time of signing FAFSA (value minus debt x % rented out)

Answer asset questions (41 – 43 student) (90 – 92 parent) Sign & date attached correction worksheet (do not fill out)

IRS Form 1099 and bank statement for each account showing balance at the time of signing FAFSA ( )

Income information seems to be low &/or incomplete: “Explanation of year 2015 income and expenses” (form enclosed)

(provide a statement explaining 2015 support)

ISIR form signed by student and/or parent (form enclosed “Original or Wet Signature only)

Student claimed twice by parent and self/ Provide IRS Tax Return Transcripts and Signed 1040X/Amended filed with

the IRS from you or parent (stamped 1040X amendment from IRS might be requested upon return)

Complete parent Data information (Questions 59-79) Social Security Card Birth Certificate/Driver’s License

X Please provide all required signatures on the attached document

National Student Loan Database System (NSLDS) issue

Social Security Card (front only) and Birth Certificate/Driver License/Passport/

Mismatch Name Proof of name change including social security card showing new name

Proof of Eligible Non-Citizen status [original]

“Alien Registration Receipt Card” Form I-151 or “Permanent Resident Card” Form I-551 or “Arrival

Departure Record” Form I-94. Stamped “Processed for I-551”

International Passport if it has the endorsement “Processed for I-551”

Proof of Citizenship [original]

Certificate of Naturalization or Citizenship or Birth Certificate (INS edit only) or Certification of Birth Abroad

U.S. Passport U.S.Passport Card

DD214 form or VA statement showing engagement in active duty in the Armed Forces and other-than dishonorable release,

or a letter from the Veterans Administration Office stating that you are a Veteran and explaining why you are not in their

database

Proof of Selective Service Registration (WWW.SSS.GOV)

Certificate of Marriage Current Loan Default Clearance Letter

Copy of a court decision that you are or were in legal guardianship

Proof that you were in foster care or a dependent or ward of the court. Parent(s)’ Death Certificate(s)

Your 2017-2018 PELL Student Aid Report (Your DRN# is needed), go on www.FAFSA.gov

X Additional documents might be required upon return

Other(s):

If you are unable to provide any of the items above, please see a Financial Aid Counselor.

DRN#

2017 – 2018 ISIR CORRECTION WORKSHEET

Last Name: First Name: SS#: EMPLID: I authorize the Financial Aid Office at New York City College of Technology to make the changes below based on information I/we have provided. These changes represent information that is correct to the best of my/our knowledge.

Student’s Signature: Date:

Parent’s Signature: Date:

*All 2017-2018 documents must be submitted and all problems with your

FAFSA must be resolved before your last date of attendance at City Tech.

DO NOT WRITE BELOW – FINANCIAL AID OFFICE USE ONLY

Step One: Student Demographic Information

1. Student’s Last Name

2-3. First Name, Middle Initial

4. Street Address & Apt #:

5-7. City, State & Zip Code:

8. Social Security # (Attach copy of SS Card if correcting)

9. Date of Birth (MMDDYYYY)

10. Telephone #

13. Email Address

14. Is Student a US Citizen? US Citizen Elig. Non-citizen

15. Alien Registration Number A-

16. Marital Status on FAFSA Filing Date

17. Month & Year Student Married, remarried, Separated, Divorced. or Widowed

18. State of Legal Residence : 19. Before 1/1/12? Yes No

20. If No, give month and year:

22. Registered with Selective Service? (Males Only)

If not, register me

23. Drug Conviction while receivingfinancial aid? (Only if blank)

No Yes

27.High School Name , City, & State where the High school is located:

28. 1st Bachelor’s Degree before begin 2017-2018? Yes No

31. Interested in Work Study?

Yes No Don’t Know

32. Filed 2015 Tax Return? Yes No

33. Type of 2015 Tax Return Filed 1040 1040A/EZ Foreign/PR

34. Tax Filing Status

35. Eligible to File 1040A or 1040EZ? Yes No

36. Student/Spouse’s AGI

37.Student/Spouse’s Income Tax Paid

38.Student/Spouse ‘s Exemptions

39. Student’s Amt Earned From Work

40. Spouse’s Amt Earned From Work

41. Student/Spouse’s Cash, Savings, Checking Accounts on date of signing.

42. Student/Spouse’s Investments Net Worth on date of signing

43.Business/Farm Net Worth on date of signing

Step Three: Needs To Provide Parental Information?

46. Student Born Before 01/01/1994? Yes No

47. Married as of FAFSA Signing Date? Yes No

48. Working on Grad Program in 2017-2018? Yes No

49. Currently Serving on Active Duty? Yes No

50. Veteran of U.S Armed Forces? Yes No

51. Have Children whom Student supports > Half? Yes No

52. Does Student Support Other Dependents (not Children/Spouse) who live with him/her?

Yes No

53. Was Student an Orphan/dependent or Ward of Court or in Foster Care at any time since age 13?

Yes No

54. Is Student Emancipated Minor? Yes No

55. Was Student In Legal Guardianship other than parent?

Yes No

56. Is Student Homeless per School District Liaison? Yes No

57. Is Student Homeless per HUD Shelter Director? Yes No

58. Is Student Homeless or at risk per Youth Yes No

Center/Transitional Living Program Director?

59.Parent’s Marital Status on date of signing

60. Month & Year Parents Married, Separated, Divorced. or Widowed

61. Parent 1 SS#

62-63. Parent 1 Last Name & First Initial:

64. Parent 1 Date of Birth

65. Parent 2 SS#

66-67. Parent 2 Last Name & First Initial:

68. Parent 2 Date of Birth

69. Parent’s Email address:

70. Parent’s state of Legal Residence : 71. Before 1/1/12? Yes No

72. If No, give month and year:

73. Parent’s Household Size

74. Parent’s # in College

75. – 79. In 2015 or 2016 did anyone in parents’ household receive any of the following:

Medicaid or SSI SNAP Free/Reduced Price Lunch TANF WIC

95. Student’s Household Size

96. Student’s # in College

97. – 101. In 2015 or 2016 did Student/Spouse receive any of the following:

Medicaid or SSI SNAP Free/Reduced Price Lunch TANF WIC

102. Student/Spouse Dislocated Worker? Yes No

103. Housing Plans Off Campus With Parents

Date Trans. Operator Init. New ISIR Sequence: New EFC:

Date Retrans. Operator Init. Retrans. ISIR Sequence: Retrans EFC:

Step Two: Student Income & Assets

Step Four: About the Student’s Parents

Step Five: Student Household Size/Benefits

80. Filed 2015 Tax Return? Yes No

81. Type of 2015 Tax Return Filed 1040 1040A/EZ Foreign/PR

82. Parent’s Filing Status

83. Eligible to File 1040A or 1040EZ? Yes No

84. Is either Parent Dislocated Worker? Yes No

85. Parent’s AGI

86. Parent’s Tax Paid

87. Parent’s # Exemptions

88. Parent 1 Amt Earned From Work

89. Parent 2 Amt Earned From Work

90. Parent’s Cash, Savings, Checking Accounts on date of signing

91. Parent’s Investments Net Worth (market value on signing date minus debt)

92. Parent’s Business/Farm Net Worth

Business Name:

Does your family own and control more than 50 percent of the business? Yes No (Your family includes (1) persons directly related to you, such as a parent, sister or

cousin, or (2) persons who are or were related to you by marriage, such as a spouse,

step-parents or sister-in-law.)

If Yes, does the business have 100 or fewer full-time or full-time equivalent employees? Yes No If No, provide Net Worth of the Business.

Business value $ minus Business debt $ = Net Worth $ .

Parent/Student Real Estate Property Information

Rental Real Estate is a unit within a family home that has its own entrance, kitchen, and bath and that is rented to someone other than a family member.

Address:

As of the time of signing FAFSA

Current Market Value

Current Property Debt

Percentage of home that is rental property

Net Worth $ (Enter in question #42 or 91)

STUDENT Question 44 PARENT(S) Question 93

a. Education Credits (Hope and Lifetime Learning)

b. Child Support Paid because of divorce or separation or asa result of a legal requirement. (Do not include support forchildren in your household)

c. Taxable Earnings from Need-Based employmentprograms (i.e. FWS) reported on your AGI

d. Student Grants and Scholarship aid reported to the IRS inyour AGI

e. Taxable Combat Pay or Special Combat Pay Amountincluded in AGI

f. Earnings from work under a cooperative educationprogram

STUDENT Question 45 PARENT(S) Question 94

a. Payments to Tax Deferred Pension and Savings Plans. Codes: D, E, F, G, H and S.

b. IRA Deductions and Payments to self-employed SEP,SIMPLE, Keogh and other

c. Child Support Received for any of your Children (Do NotInclude Foster Care or Adoption Payments)

d. Tax Exempt Interest Income from IRS form

e. Untaxed Portions of IRA Distribution from IRS form

f. Untaxed Portions of Pensions from IRS form

g. Housing, Food, and Other Living Allowances Paid toMembers of the Military, Clergy and others

h. Veterans Noneducation Benefits such as Disability,Death Pension, etc.

i. Other Untaxed Income not reported such as Worker’sCompensation, etc.

j. Money Received or Paid on Your Behalf (e.g. bills) XXXXXXXXXXXXXXXXXXXXX

REDUCTION TRANS #

EFC

It is the policy of City Tech to recruit, employ, retain, promote, and provide benefits to employees and to admit and provide services for students without regard to

race, color, national or ethnic origin, religion, age, sex, sexual orientation, gender identity, marital status, disability, genetic predisposition or carrier status, alienage, citizenship, military or veteran status, unemployment status or status as a victim of domestic violence.

FA Signature + Initial _Date_ / _/_

Step Four (continued): Parent Income & Asset Information Parent/Student Business Information (Qs. 43 & 92)

Income Exclusions

Untaxed Income

1 | P a g e

April 25, 2017

2017-2018 STANDARD VERIFICATION WORKSHEET (V1)

Your 2017-2018 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 parents (if dependent) reported on your FAFSA. To verify that you provided correct information, we must compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. Your eligib ility for Federal Student Aid cannot be determined until you submit all the required documents. Submit all documents immediately. All

documents with the appropriate signature must be submitted within 120 days of your last date of attendance (fall or spring se mester) at City Tech. Submit all documents to the Financial Aid Office of City Tech.

What You Should Do:

1. Obtain a 2015 Federal IRS Tax Return Transcript/2015 signed paper copy of IRS tax return and IRS W-2 Form for yourself, your

spouse (if married) or your parents/step-parent (if dependent). You may order a TAX RETURN TRANSCRIPT from the Internal Revenue Service online at www.irs.gov/individuals/get-transcript or by phone at 1-800-908-9946. Make sure you select an IRS Tax Return Transcript and NOT the IRS Account Transcript. A signed paper copy of the 2015 tax return 1040, 1040A, 1040EZ is acceptable.

2. If you or spouse (married) or your parents (if dependent) had income earned from work in 2015, but did not and were not required to file a tax return, you may provide a 2015 Verification of Non-Filing letter, and all W-2 forms for tax year 2015 issued to you or spouse (if married) or parents (dependent) by your employers.

3. You and at least one parent (if dependent) must complete and sign this worksheet. Attach any required documents and submit the worksheet and other required documents to the Financial Aid Office. We may ask for additional information. If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.

4. We cannot make any federal financial aid payments to you or process a student loan request until all verification requirement s have been met and the necessary corrections have been made.

5. Submit the completed worksheet, IRS tax return transcripts, and any other documents to the Financial Aid Office.

6. When all the information has been reviewed and any necessary corrections made, you will be notified about your financial aid awards.

A. STUDENT AND FAMILY INFORMATION

Last name First name M.I. Social security number EMPLID#

Address (include apt. #) Date of birth

City State ZIP Phone number (include area code)

INDEPENDENT STUDENTS: List the people that you (and your spouse if married) will support between July 1, 2017 and

June 30, 2018. Include yourself, your spouse (if you are married), and your dependent children if you or (your spouse) provide more than half of their support, even if they don’t live with you. Include other people only if 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, 2018.

DEPENDENT STUDENTS: List the people that your parents will support between July 1, 2017 and June 30, 2018. Include

yourself, your parents, and your parents’ other children if (a) your parents provide more than half of their support or (b) t he children who would be required to provide parental information when applying for Federal Student Aid, even if they don’t live with parent(s). Include other people only if they now live with your parents and receive, and will continue to receive, more than half of their support from them through June 30, 2018.

Write the names of all family members who meet the definitions above including yourself. Also, write the name of the college for any

family member, excluding your parent(s) (if dependent), who will be attending college at least half-time between July 1, 2017 and June 30, 2018 and will be enrolled in a degree or certificate program at an eligible postsecondary educational institution. If you need more space, attach a separate page.

NAME AGE RELATIONSHIP COLLEGE

SELF New York City College of Technology

2 | P a g e

B. STUDENT’S (AND SPOUSE’S) INCOME & BENEFITS INFORMATION

Note: Notify the Office of Financial Aid if you and your parent (dependent) had a change in marital status after December 31, 2015 or filed (or will file) an amended 1040X 2015 IRS tax return.

Check the appropriate boxes below and provide the requested information and documents:

I/we used the IRS Data Retrieval Tool to transfer my/our 2015 income information to my FAFSA and made no further changes to the information.

I/we did not (or could not) use the IRS Data Retrieval Tool to transfer my/our 2015 income information to my FAFSA. I/we have attached a copy of my/our 2015 IRS Tax Return Transcript(s).

I/we did not (or could not) use the IRS Data Retrieval Tool to transfer my/our 2015 income information to my FAFSA. I/we have attached a copy of my/our 2015 IRS tax return (1040, 1040A, 1040EZ form)

I/we were not employed and had no income earned from work in 2015.

I/we were employed in 2015 and were not required to file a 2015 Federal Income Tax Return. Below, list the names of all employers and the amounts earned from work in 2015 even if you do not have IRS W-2 Form or IRS 1099 form.

Employer’s Name W-2 or 1099 Attached (YES OR NO) 2015 Amount Earned

$

C. PARENTS’ INCOME & BENEFITS INFORMATION

Check the appropriate boxes below and provide the requested information and documents:

I/we used the IRS Data Retrieval Tool to transfer my/our 2015 income information to the FAFSA and made no further changes to the information.

I/we did not (or could not) use the IRS Data Retrieval Tool to transfer my/our 2015 income information to the FAFSA. I/we have attached a copy of my/our 2015 IRS Tax Return Transcript(s).

I/we did not (or could not) use the IRS Data Retrieval Tool to transfer my/our 2015 income information to my FAFSA. I/we have attached a copy of my/our 2015 IRS tax return (1040, 1040A, 1040EZ form)

I/we were not employed and had no income earned from work in 2015.

I/we were employed in 2015 and were not required to file a 2015 Federal Income Tax Return. Below, list the names of all employers and the amounts earned from work in 2015 even if you do not have IRS W-2 Form or IRS 1099 form

Employer Name W-2 or 1099 Attached (YES OR NO) 2015 Amount Earned

$

D. CERTIFICATION

Each person signing this worksheet certifies that all the information reported on it is complete and correct. The student and

one parent must sign and date. If married, the spouse’s signature is optional. . I/we (if dependent) understand that if I/we

purposely give false or misleading information, I/we could be fined, jailed, or both.

Student’s Signature Date

Parent’s Signature Date

It is the policy of City Tech to recruit, employ, retain, promote, and provide benefits to employees and to admit and provide services for students without regard to

race, color, national or ethnic origin, religion, age, sex, sexual orientation, gender identity, marital status, disability, genetic predisposition or carrier status, alienage,

citizenship, military or veteran status, unemployment status or status as a victim of domestic violence.