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Click ‘Get Form’ to open the Carson, California 90747 Independent Verification Form in the editor.
Begin by entering your name in the designated fields for Last, First, and Middle Initial. Ensure accuracy as this will be used for identification.
Input your Student ID number in the provided space. This is crucial for linking your form to your application.
In Section A, list all members of your household. Include yourself, spouse (if applicable), and children you support. Fill in their full names, ages, relationships to you, and college enrollment status.
For Section B, indicate whether you have used the IRS Data Retrieval Tool or attached a Tax Return Transcript. If applicable, provide details of any income sources and amounts earned in 2017.
Complete Section C if you amended your tax return. Attach necessary documents as specified.
Finally, sign and date the certification section at the end of the form to confirm that all information is accurate.
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Address: 1000 E. Victoria Street Carson, CA 90747 Main campus phone: (310) 243-3696. The entrance to campus is a right turn at Tamcliff Avenue. 90747 310-243-
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