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2017-18 DEPENDENT HOUSEHOLD VERIFICATION WORKSHEET

Please complete this form online, then print and sign using blue or black Student Financial Aid1903 W Michigan AveKalamazoo MI 49008-5337(269) NAME: _____WIN: _____DAYTIME PHONE: _____ADDRESS: _____CITY, STATE, ZIP: _____2017-18 DEPENDENT HOUSEHOLD VERIFICATION WORKSHEETYour application was selected for review in a process called Verifi cation . WMU will verify information from your Student Aid Report (SAR). If there are differences between your application and your fi nancial documents, we will make corrections that may result in an increase or decrease in your eligibility for fi nancial aid Family InformationList the people in the parent s HOUSEHOLD , including: Yourself and your parent(s) (including stepparent) even if you don t live with your parents, and Your parents other children, even if they don t live with your parent(s), ifa) your parents will provide more than half of the

PAGE 2 OF 4 STUDENT NAME:_____ WIN:_____ B. Income Verifi cation Complete this section if you, the student and/or your spouse fi led a 2015 income tax return with the IRS.

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