FOR DEPENDENT STUDENTS
Parent(s): (Check one box only)
Check and attach signed 2016 federal tax transcript.
Check if you used the IRS Data Retrieval on the FAFSA
and have not made any changes.
Check if you will not file and are not required to file a
Student’ s Na
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FOR INDEPENDENT STUDENTS
Spouse: (if married) (Check one box only)
Check and attach signed 2016 federal tax transcript.
Check if you used the IRS Date Retrieval on the FAFSA and
have not made any changes.
Check if you will not file and are not required to file a 2016
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ction C.
B. TAX FORMS AND INCOME INFORMATION
Call the IRS at 1-800--908-9946 or at www.irs.gov and request 2016 IRS Tax Return Transcript(s)
Student: (Check one box only)
Check and attach 2016 tax transcript.
Check if you used the IRS Data Retrieval on the FAFSA and have not made any changes.
Check here if you will not file and are not required to file a 2016 U.S. Income Tax Return Complete Section C.
C. 2016 N on-Tax Filers to Be Verified
STUDENT:
1.
NON-TAX FILERS—Complete this section if the student, will not file and is not required to file a 2016 income tax return with the IRS.
The independent student (and spouses if applicable) must submit a “Confirmation of Non-filing Letter” from the IRS dated on or
after October 1, 2017.
This letter may be obtained by checking box 7 on IRS Form 4506-T. The form is located online at the following
link https://www.irs.gov/pub/irs-pdf/f4506t.pdf and must be submitted to the IRS for processing. (Instructions are noted on the form).
Check the box that applies:
The student and/or spouse were not employed and had no income earned from work in 2016 therefore W2’s or equivalent documents were not
issued. All applicable untaxed income was reported in section D of this form.
The student and/or spouse were employed in 2016 and has listed below the names of all employers, the amount earned from each employer
in 2016, and whether an IRS W-2 form is attached. Attach copies of all 2016 IRS W-2 forms issued to the student and spouse by their
employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a separate page with the
student’s name and Social Security Number at the top.
Suzy’s Auto Body Shop (example)
PARENT:
2.
NON-TAX FILERS—Complete this section if the student’s parent(s) will not file and is not required to file a 2016 income tax return with
the IRS. Parent(s) must submit a “Confirmation of Non-filing Letter” from the IRS dated on or after October 1, 2017. This letter may
be obtained by checking box 7 on IRS Form 4506-T. The form is located online at the following link https://www.irs.gov/pub/irs-
pdf/f4506t.pdf and must be submitted to the IRS for processing. (Instructions are noted on the form).
Check the box that applies:
The parent was not employed and had no income earned from work in 2016 therefore W2’s or equivalent documents were not issued. All
applicable untaxed income was reported in section D of this form.
The parent(s) were employed in 2016 and has listed below the names of all the parent’s employers, the amount earned from each employer
in 2016, and whether an IRS W-2 form is attached. Attach copies of all 2016 IRS W-2 forms issued to the parent(s) by employer(s). List
every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a separate page with the student’s name and
Social Security Number at the top.
Suzy’s Auto Body Shop (example)