Transcription of 2018-2019 Independent Verification Worksheet
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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 . Include everyone in the household. First and Last Name of Household Member Date of Birth Relationship to Student Will this person live in your household through June 30, 2019 ?
SECTION 3: UNTAXED INCOME INFORMATION Student Untaxed Income Information for Calendar Year 2016 Found On 2016 Federal Income Tax Return Spouse
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