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2018-2019 Independent Verification Worksheet

2018 - 2019 Independent Student Verification Worksheet Student Name: _____ Kent State ID Number: _____Permanent Address: _____ Phone Number: _____ Preferred Email: _____ Submit all requested information to the Kent State University One Stop for Student Services using one of the following options: Mail: One Stop for Student Services, Kent State University, Box 5190, Kent, Ohio 44242-0001 Fax: 330-672-6001 Contact Us: In Person: One Stop for Student Services, 1st floor, University Library (Kent Campus)SECTION 1: HOUSEHOLD INFORMATION Independent STUDENT: List the people in your household. Include yourself; your spouse; your children if you will provide more than half their support through June 30, 2019 ; and any other people that now live with you if you will continue to provide more than half their support through June 30, 2019 .

SECTION 2: TAX FILING STATUS AND REQUIRED DOCUMENTATION Select the student (and spouse if applicable) federal tax filing status: (All students must complete this section) (SELECT ONE)

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