Fillable 2018 2019 Parent Untaxed Income Formfor Tax Year2016 (Virginia Western Community College)

Fill Online, Printable, Fillable, Blank 2018 2019 Parent Untaxed Income Formfor Tax Year2016 (Virginia Western Community College) Form

Use Fill to complete blank online VIRGINIA WESTERN COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

2018 2019 Parent Untaxed Income Formfor Tax Year2016 (Virginia Western Community College)

On average this form takes 11 minutes to complete

The 2018 2019 Parent Untaxed Income Formfor Tax Year2016 (Virginia Western Community College) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 43 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Virginia Western Community College

BROWSE VIRGINIA WESTERN COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
2018–2019 Parent Untaxed Income Form
The U.S. Department of Education selected your student’s 2018-2019 FAFSA for review after comparing your 2016 Adjusted
Gross Income and other untaxed income. You and your spouse, if you are married, must complete form. You and your
student must print, sign, and submit the form. Instructions for submission are at the end of the form.
You and your spouse, if you are married, must complete this form. One parent and the student must sign and submit this
form to the Financial Aid Office to continue the verification review process.
A. Student Information
B. Untaxed Income Information
Report total annual amounts for 2016. If an item does not apply, enter “0” or “N/A.” Boxes left blank will result in additional information requested.
Additional requests to clarify conflicting information may delay the determination of your student’s financial aid eligibility. If more space is needed
provide a separate page with your student’s name and student ID number at the top.
First Name
MI
Last Name
VWCC Student ID - Required
Untaxed Income Item to Verify:
Parent Name(s) for whom the information below is being reported (first and last
name(s)
Parent One:
Total 2016 Amount:
Parent Two:
(if Parent is married)
Total 2016 Amount:
Parent One Name:
Parent Two Name:
(If parent is married)
Payments made to tax-deferred pension and retirement savings plans. List any
payments (direct or withheld from earnings) to tax-deferred pension and retirement savings
plans (e.g., 401(k) or 403(b) plans), including, but not limited to, amounts reported on W-2
forms in Boxes 12a through 12d with codes D, E, F, G, H, and S.
$
$
IRA Deductions & payments to self-employed SEP, SIMPLE, Keough, and other
qualified plans. List the total amounts from IRS 1040 – line 28 and line 32 or IRS 1040A –
line 17.
$
$
piece of paper with required information. Do not include foster care payments, adoption payments, or court-order amounts not actually paid.
LIST NAME OF CHILD(REN):
Child’s Name:
$
$
Child’s Name:
$
$
Adult Receiving
Payment:
Untaxed Portions of IRA distribution. List amount from IRS 1040 – line 15a minus 15b or
IRS 1040A – line 11a minus 11b. Exclude Rollovers. If the value is negative enter ‘0’.
$
$
Tax exempt interest income. List amounts from IRS 1040 – line 8b or IRS 1040A – line
8b.
$
$
Untaxed Portions of Pension distribution. List amount from IRS 1040 – line 16a minus
16b or IRS 1040A – line 12a minus 12b. Exclude Rollovers. If the value is negative
enter ‘0’.
$
$
Marie
C. Certification and Signatures
The student and one parent for whom information is provided above MUST sign and date this section. Each person signing below
certifies that all the information reported on this form is complete, correct, and any additional information is attached, if necessary.
WARNING: If you purposely give false or misleading information on this worksheet you may be fined, sentenced to jail, or both.
__________________________________________
____________________________ _______________
Student Signature Date
______________________________________________________________________
_______________
Parent Signature Date
HOW TO SUBMIT THIS FORM
The student can upload this form directly into
the Student Information System (SIS) by logging into MY VWCC. Once
logged in go to the Student Center, and select the ‘VWCC Parent Untaxed Income 2016’ on the ‘To Do List’ list to attach and
upload the form.
Untaxed Income Item to Verify - CONTINUED: Parent One:
Total 2016 Amount:
Parent Two:
(if Parent is married)
Total 2016 Amount:
Housing, food, and other living allowances paid to members of the military, clergy,
and others. Include cash payments and cash value of benefits. Do not include the value of
on-base military housing or the value of a basic military housing allowance (BAH).
$
$
(DIC), and/or VA Educational Work-Study allowances. Do not include federal veterans’ educational benefits like the Montgomery GI Bill,
Dependents Education Assistance Program, VEAP Benefits, or the Post 9/11 GI Bill.
TYPE OF BENEFIT:
$
$
TYPE OF BENEFIT:
$
$
savings accounts from IRS 1040, Line 25, Railroad Retirement Benefits, etc. Do not include student aid, earn income credit, additional child tax
credit, TANF, SNAP, SSI, WIA, Educational benefits, combat pay, benefits from flexible spending arrangements (e.g., cafeteria plans), foreign
income exclusion, or credit for federal tax on special fuels.
SOURCE:
$
$
SOURCE:
$
$
First Name
MI
Last Name
VWCC Student ID - Required
For questions, please contact us: Phone: (855) 874-6690• Email: Finaid@virginiawestern.edu• Fax: 540-857-6208
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

2018 2019 Parent Untaxed Income Formfor Tax Year2016 (Virginia Western Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 27 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document