New Income Verif Form with dependency status - 2017 taxes

Sep 19, 2026

Upload by Maeve

Income verification form for student aid applicants requiring completion and submission to Student Support Services. Captures applicant identity, FAFSA dependency status (independent or dependent), and 2017 income tax details for student or parents, including household size and taxable income. Provides instructions for cases where no tax return was filed, requiring a signed letter and submission timeline. Includes TRIO federal income guideline chart by family unit size and certification/signature section plus FAFSA dependency-status self-check questions to determine required documentation.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

Student Information and Submission Details

Dependency Status on FAFSA

Background and Financial Information

Federal Tax Return Requirements

TRIO Income Guidelines Chart

Certification and Signature(s)

FAFSA Dependency Status Self-Check Questions

All Applicants Must Complete This Form and Return To: Student Support Services 601 University Dr. 512.245.2275 (phone) Sterry Hall-Suite 127 512.245.1623 (fax) San Marcos, TX 78666 [sssoffice@txstate.edu](sssoffice@txstate.edu) Student Name: Student ID: A0 Dependency Status on FAFSA (Free Application for Federal Student Aid) Independent Dependent Not Applicable, did not complete FAFSA *If you are Independent, you do not need a parent/guardian signature. Background and Financial Information Check all that apply: For the 2017 Income Tax Year, I (self/and spouse) completed a tax return. My parents completed a tax return. I certify that my (my parents) household number (family size) is persons, and my (my family) taxable household income is . *This amount can be found on your 2017 tax form 1040EZ-line 6, 1040A-line 26, or 1040-line 43 I (my parents) were not required to file a tax return. If you/your family was not required tofile a federal tax return, attach a letter signed by yourself (if Independent) or by your parent/guardian (if Dependent) stating that no tax form was required. Your application will not be processed ifyou do not attach a letter. The chart below determines if you qualify within the current Federal TRIO Income guidelines. | Size of
Family Unit | 48 Contiguous States, D.C. and Outlying Jurisdictions | Alaska | Hawaii | | --- | --- | --- | --- | | 1 | $18,210 | $22,770 | $20,940 | | 2 | $24,690 | $30,870 | $28,395 | | 3 | $31,170 | $38,970 | $35,850 | | 4 | $37,650 | $47,070 | $43,305 | | 5 | $44,130 | $55,170 | $50,760 | | 6 | $50,610 | $63,270 | $58,215 | | 7 | $57,090 | $71,370 | $65,670 | | 8 | $63,570 | $79,470 | $73,125 | Certification and Signature(s) -I certify that the above information is true to the best of my knowledge. Student Signature Date Parent/Guardian Signature (if Dependent) Date INDEPENDENT OR DEPENDENT STUDENT? Not sure what your dependency status is/ would be on the FAFSA? When applying for FAFSA, all applicants are considered either “independent” or “dependent.” By answering the questions below, you can determine which category you fit into. 􀁸 Will you be 24 or older by Dec. 31 of the school year for which you are applying for financial aid? 􀁸 Will you be working toward a master’s or doctorate degree (such as M.A., M.B.A., M.D., J.D., Ph.D., Ed.D., etc.)? 􀁸 Are you married or separated but not divorced? 􀁸 Do you have children who receive more than half of their support from you? 􀁸 Do you have dependents (other than children or a spouse) who live with you and receive more than half of their support from you? 􀁸 At any time since you turned age 13, were both of your parents deceased, were you in foster care, or were you a ward or dependent of the court? 􀁸 Are you an emancipated minor or are you in a legal guardianship as determined by a court? 􀁸 Are you an unaccompanied youth who is homeless or self-supporting and at risk of being homeless? 􀁸 Are you currently serving on active duty in the U.S. armed forces for purposes other than training? 􀁸 Are you a veteran of the U.S. armed forces? Source: [https://studentaid.ed.gov/sa/fafsa/infographic-accessible](https://studentaid.ed.gov/sa/fafsa/infographic-accessible) If your answer is ‘no’ to every question, you are considered a dependent student and are required to provide your parents’ financial information on the SSS Income Verification form. If you answered yes to any of these questions, then you are considered an independent student and you are NOT required to provide parental income information on the form.

FAQs

What dependency status options are included in the form, and what do they mean?

The form lists “Independent” and “Dependent.” Independent applicants do not need a parent/guardian signature, while dependent applicants do require it.

What tax information is requested for the 2017 income tax year?

Applicants indicate whether they (and spouse) completed a tax return, whether their parents completed a tax return, the household size, and taxable household income.

What should you do if you (or your parents) were not required to file a federal tax return?

Attach a signed letter stating that no tax form was required—signed by the student if Independent, or by the parent/guardian if Dependent—because the application will not be processed without the letter.

Sep 19, 2026

Upload by Maeve