(Print this form , complete it and return with proper documentaion to the DACC Fin. Aid Office 2000 E Main, Danville, IL  61832 )

DANVILLE AREA COMMUNTIY COLLEGE OFFICE OF FINANCIAL AID
2007-2008 Legal Dependent (other than a spouse) Verification Form

Name_________________________________SSN__________________ Address_______________________________City/State/Zip_____________________

Financial aid processes during 2007-2008 require that you submit the following documentation to verify that you have sufficient income to support yourself and over 50% of your dependent(s) support.

Legal Dependent Guidelines

You (the student) must provide more than 50% of your dependent(s)' financial support during 2007-2008 to consider that person your legal dependent.  Complete the Worksheet that follows and submit documentation that you are providing over half of your dependent(s)’ financial support from July 1, 2007 through June 30, 2008.  Documentation should include (as applicable):

• A detailed, chronological statement which clearly explains your family situation and how you financially support your dependent(s). Attach statement to this form.
• Include in your statement an explanation of who claimed the dependent(s) on their 2006 tax return (if you did not).
• Legal birth certificate of your dependent(s)
• A signed statement from your child's other parent (not you the student) with his/her full name, address and social security number indicating:
• The amount of child support he/she paid in 2006 and whether he/she lived with and/or claimed the child on his/her 2006 tax return.
• Whether or not he/she plans on living with and/or will be claiming the child on his/her 2006 tax return.
•  If he/she is or will be enrolled in college for the 2007-2008 academic year and if so, the name of the college. Also, indicate if he/she applied for financial aid.
• Signed statements from all of your dependent child's grandparents indicating if they claimed you (the student) and/or your child on their 2006 tax returns and if they plan on claiming you (the student) and/or your child on their 2007 tax return.

I certify that this information is true and complete.  If I cannot provide the appropriate required documentation to support an independent status, I understand that I will be evaluated as a "dependent" student and required to provide my parent(s)' income and asset information when completing the Free Application for Federal Student Aid (FAFSA).

Student Signature___________________________________Date__________________
COMPLETE THE WORKSHEET THAT FOLLOWS, DO NOT LEAVE BLANKS


Worksheet for Determining Support
1.   Name of Person(s) you are supporting.  _______________________________________________
2.   Relationship to you, the student.  _________________________________________________
3.   Did the person you support live with you? _______________________________________________
      Total number of person's who lived in the household.   __________
Funds belonging to you for 2007
4.   Income earned from 1/1/07 to current date (submit last paycheck stub).  ____________________________
5.   Untaxed income to be received in 2007, child support, etc. (submit verification)._____________________
6.   Other Income received for 2007 (submit verification).
     a.  Public Assistance - TANF (monthly benefits)   _______________________________
     b.  WIC       _______________________________
     c.  Subsidized Housing (Section 8)    _______________________________
     d.  Medicaid       _______________________________
     e.  Childcare Subsidy (Title XX)     _______________________________
     f.  Social Security                                                                                  _______________________________
     g. Any other income/resources (list source and amounts)  ________________________________________
Your Monthly Household Expenses:
7.    Rent/Mortgage paid___________________________ to Who? __________________________________
8.    Food ______  9. Utilities (heat, water, etc.) ___________  10.Phone __________11. Internet  __________
12.  Transportation:  car payment __________ Insurance ______________  Maintenance/gas ______________
Other Monthly Expenses:
                    For You the Student                                       For your dependent(s)
13.  Clothing   ___________________________________    _______________________________
14.  Education ____________________________________  _______________________________
15.  Medical and Dental (out of pocket) ________________    _______________________________
16.  Insurance (medical/dental) _______________________    _______________________________
17. Childcare……………………………………………>>>  _______________________________
18. Child support Paid ______________________________
19. Other (specify) _________________________________  _______________________________
Office Use

Director's Decision:  Approved___________Denied_____________Date______Student Notified_________
Worksheet Summary:  Total Income (Verified)  $ ______________   Total Expenses (Verified) $ __________
Comments:__________________________________________________________________________________
____________________________________________________________________________________________
______________________________________ FAA Signature:______________________________