Office of Student Financial Aid 500 W. University Ave, Mike Loya Academic Services Building, Room #204 El Paso, Texas 79968 PH: (915) 747-5204 FAX: (915) 747-5631

V1 INDEPENDENT VERIFICATION WORKSHEET 2018-2019

Your Free Application for Federal Student Aid (FAFSA) was selected by the U.S. Department of Education for a review process called verification. Federal law

states that before awarding Federal Student Aid, the Office of Student Financial Aid (OSFA) may ask you to confirm the information you and, if applicable,

your spouse, reported on your FAFSA. Federal regulations require that we complete verification before processing federal financial aid. You and your spouse

(if applicable) must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the OSFA.

After a review of the information you submit, the OSFA may still ask for additional information. If there are differences between information on your FAFSA

and this worksheet, we will send corrections to the FAFSA processor. You will receive an acknowledgement reflecting these changes. If we do make corrections,

please do not make any subsequent changes to your FAFSA data. We are unable to process your application for financial aid until we can determine that we

have accurate information.

I. Student’s Information

Student’s Last Name Student’s First Name Middle Initial Student’s UTEP ID Number

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

City State Zip Code Student’s Primary /Cell Phone (include area code)

Student’s UTEP Email Address

II. Student and Spouse’s (if applicable) Family Information

List the members of your household below. If you are separated or divorced and are living together, you must list both you and your spouse below. Be sure to include:

• You, the student, on the first line below. • Your spouse (if applicable).

• Your children if you will provide more than half of their support from July 1, 2018 through June 30, 2019.

• Other people 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, 2019.

Also, please be sure to include in the space below information about any household member, excluding parents, who is, or will be, enrolled at least half-time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2018 and June 30, 2019 and include the name of the college. If more space is needed, attach a separate sheet of paper with the student’s name and UTEP ID number in the upper right-hand corner. The OSFA may need more documentation if the information listed below appears inaccurate.

First and last name of family member Relationship to student

Age

Name of COLLEGE the person will attend at least half-time between

07/01/18 - 06/30/19:

1. Self University of Texas at El Paso

2.

3.

4.

5.

DEADLINE: Must submit all unsatisfied

requirements within 45 days of the "As of Date" listed in

Goldmine.

III. Student and Spouse’s (if applicable) Tax Forms and Income Information:

A. I (we) worked in 2016. Please list below the names of all employers, the amount earned from each employer in 2016, and

attach all IRS W-2 forms, if applicable. List every employer, even if they did not issue an IRS W-2 form.

Check only one box below: Must submit the following:

I (we) filed a 2016 U.S. Federal Income Tax

Return. If you were able to upload your tax information when you

completed your FAFSA – nothing is required for you to do.

If you were NOT able to upload your tax information within the

FAFSA, submit all pages of your 2016 IRS Tax Return Transcript.

(See instructions below on how to obtain a Tax Return Transcript).

I (we) corrected my/our 2016 U.S. Federal

Income Tax Return using an Amended

Return (Form 1040X).

1. Submit a signed copy of the Form 1040X filed with the IRS.

2. Submit your original 2016 IRS Tax Return Transcript.

(See instructions below on how to obtain a Tax Return

Transcript).

I (we) worked, but I (we) am NOT REQUIRED to

file and will not file a 2016 U.S. Federal Income Tax

Return.

Complete Section A below and submit a Non-filing Letter.*

(See instructions below on how to obtain a Non-filing Letter).

* If you are unable to obtain a Non-filing Letter because you do not

have a Social Security Number and cannot obtain an Individual

Taxpayer Identification Number, please submit a signed, personal

statement explaining your non-filing tax status.

I (we) did NOT work in 2016 and will not file a 2016

U.S. Federal Income Tax Return.

Complete Section B below and submit a Non-filing Letter.*

(See instructions below on how to obtain a Non-filing Letter).

* If you are unable to obtain a Non-filing Letter because you do not

have a Social Security Number and cannot obtain an Individual

Taxpayer Identification Number, please submit a signed, personal

statement explaining your non-filing tax status.

I (we) worked, and am submitting a Foreign Tax

Return and converted all earnings into U.S. dollars

on the FAFSA.

1. If income was earned in Mexico, submit all pages of your 2016

Hacienda (Mexico’s recognized official tax return).

2. If income was earned in a foreign country, other than Mexico,

submit your 2016 income information for your specific

country/territory.

I (we) worked in Mexico, but I (we) did not and will

not file a Hacienda and therefore, I am considered a

Non-filer and any income earned from work will be

considered untaxed income for FAFSA filing

purposes.

Complete Section A and Initial Section C below.

I (we) did NOT work in 2016 in a foreign country

and did not earn any foreign income.

Complete Section B and Initial Section C below.

Source of Income/ Support/Employer’s Name:2016 Amount

EarnedCheck here if U.S IRS

W-2 is attached.

Total Amount of Income Earned:

B. I (we) was not employed and had no income earned from work in 2016. Please explain how you paid for everyday living

expenses such as food, rent and clothing and explain special circumstances concerning your financial situation on the lines

below:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

C. ___________ Your initial(s) here, confirms that I (we) do not have U.S. Social Security or ITI number and that the taxing

authority in my/our country does not provide documentation for non-filing or I (we) am unable to obtain this documentation

for free.

__________________________________________________________________________

To obtain a Tax Return Transcript from the IRS, go to www.IRS.gov and click on “Get your tax record,” then click

on “Get transcript online”, then log in or create an account, select reason for transcript: Higher

education/student aid, in the Return Transcript box select 2016, and it will generate your Tax Return Transcript.

To obtain a Verification of Non-filer Letter from the IRS, go to www.IRS.gov and click on “Get your tax record,”

then click on “Get transcript online”, then log in or create an account, select reason for transcript: Higher

education/student aid, in the Return Transcript box select 2016, and it will generate the Non-filer Letter. Then

print and submit this letter.

__________________________________________________________________________

IV. Certification and Signatures:

**WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. **

I (we) certify that all of the information reported on this form is complete and correct.

The student, and spouse (if applicable), must sign and date this worksheet.

Student’s Signature Date

Spouse’s Signature Date

Submit this worksheet to the Office of Student Financial Aid.

Please make a copy of this worksheet for your records.