2023-2024 Form 25/Form 45 V5-Aggregate Verification

2023-2024 Form 25/Form 45 V5-Aggregate Verification

Your Free Application for Federal Student Aid (FAFSA) was selected for review in a process called "verification". In this process, the Financial Aid Office compares the information provided on this form to the information you provided on your FAFSA. If there are differences, your FAFSA data may be corrected.
Campus Location*
Student Information
Name*

First NameLast Name
Student ID
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Dependency Status
Are you a Dependent or Independent student?*
If you are a dependent student, your parent is required to sign this worksheet. Please enter their contact information below. They will receive an email inviting them to complete their portion of this form and add their electronic signature. Please remind them to check their Junk email folder if the invitation does not arrive in their Inbox. This form cannot be processed without their signature.
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Family Information
List all the people in your Parent's household who will be supported by your parents between July 1, 2023 and June 30, 2024. Be sure to include:
- Yourself, even if you don't live with your parent(s)
- Your parent(s), including stepparent (if your biological or adoptive parents are divorced/separated, use the parent information for the custodial parent who completed the FAFSA)
- Your parent's other children or other people, if they now live with your parent and your parents provide more than half of their support and will continue to provide more than half of their support from 07/01/2023 to 06/30/2024.
- DO NOT INCLUDE CHILDREN FOR WHOM A LISTED PARENT PAYS CHILD SUPPORT. DO NOT INCLUDE FOSTER CHILDREN.
Include the name of the college for any household member, who wil lbe enrolled at least half-time in a degree, diploma, or certificate program at a postsecondary educational institution any time between 7/1/2023 and 6/30/2024.

Type a question

	Full Name	Age	Relationship to You	College	Will be Enrolled at Least Half Time?
1
2
3
4
5
6
7
8
9

Income Information

If you or your parent did not file a 2021 Federal Tax Return, please complete the W2 wages box below.

If you and your parent did file taxes, check the boxes below that apply:

	Student	Parent
I completed the IRS Data Retrieval Tool process on the FAFSA
I will upload a signed copy of my 2021 Tax Return
I will upload a Tax Return Transcript from the IRS
I filed an IRS Tax Extension. I have or will upload a copy of the IRS Tax Extension Form 4868, and IRS W2 forms provided by all my employers.
I filed an Amended Tax Return and uploaded both a signed copy of my 2021 Amended Tax Return (Form 1040X) and the original 2021 Tax Return.
I did not file a 2021 Tax Return and was not required to follow. You must complete the following section.

Non-Filers Statement and Income

Complete this section ONLY if you or your parent did not file a 2021 Federal Tax Return and were not required to file. List any wage or non-wage income received in 2021 and provide copies of all W-2 forms and/or supporting financial earning statements.

Student

	Student's Amount Earned Example: $2000	Source Example: Safeway
1
2
3

Parent

	Parent's Amount Earned Example: $2000	Source Example: Safeway
1
2
3

Non-Filing Statement: If you or your parent were not required to file taxes in 2021, please write a brief statement for each non-filer confirming you did not file taxes.
If the student is unable to obtain the documentation listed above, he or she must contact the Office of Financial Aid and Scholarships.
Identity/Statement of Educational Purpose
The student must appear in person at Heritage University to verify his or her identity by presenting valid government-issued 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.

If you cannot appear in person to submit this worksheet, you will need to provide a copy of your government issued ID and have the back side of this worksheet notarized by a public notary.

Statement of Educational Purpose
I certify that I, First Name Last Name , am the individual signing this Statement of Educational Purpose and that the Federal Student Aid I may receive will only be used for educational purposes and be used to pay for the cost of attending Heritage University for 2023-2024.
Signature*

Clear
Document Upload
Please upload a copy of your tax documents and government issued ID for the Statement of Identity Purpose.

If we have reason to believe any information on this worksheet is inaccurate, we may require additional documentation.
Cancelof
Certificate and Signature

Each person signing this worksheet below certifies that all of the information reported on it is complete and correct.
Student Signature*

Clear
Date

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
HAVE QUESTIONS ABOUT YOUR FINANCIAL AID?

Financial Aid Office Contact Information

Address: ATTN: Financial Aid Office 3240 Fort Rd., Toppenish, WA 98948 | Phone: (509) 865-8502 | Email: financial_aid@heritage.edu
Should be Empty:

2023-2024 Form 25/Form 45 V5-Aggregate Verification

Student Information

Dependency Status

Family Information

Income Information

Non-Filers Statement and Income

Identity/Statement of Educational Purpose

Document Upload

Certificate and Signature