Fillable 2019-2020 Income Statement Parent(s) 11400 Robinwood Drive Hagerstown, (Hagerstown Community College)

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2019-2020 Income Statement Parent(s) 11400 Robinwood Drive Hagerstown, (Hagerstown Community College)

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19CINCMP 1/11/2019
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Name ___________________________________________ HCC ID# _____________
Last First MI
Select the ONE option that describes your Parent’s 2017 income as stated on the 2019-2020
FAFSA:
1. Your parent(s)/step-parent did not work and did not receive unemployment in 2017. If you
check this option, a Verification of Non-Filing letter from the IRS is required. Please follow
the directions below to order the letter.
DIRECTIONS: To order a verification of non-filing letter
Get Transcript by MAIL – Can be obtained by from the IRS using Form 4506-T and checking Box 7. Be sure to list
Year or period requested as 12/31/2017. This takes 5 to 10 days. If this option does not work, please contact
our office and we will assist you.
If your parent(s) attempted to obtain a Verification of Non-Filing Letter from the IRS but they were unable
to obtain the required documentation, check here
2.
Your parent(s)/step-parent worked or received unemployment in 2017, BUT did not receive
income over the IRS filing limits AND DID NOT/WILL NOT FILE. List all earned income in the
boxes below. Submit all W2s/1099’s for 2017 WITH THIS FORM. A Verification of Non-Filing
letter from the IRS is required. Go to Section Four once this option is completed. Please follow the
directions below to order the letter.
DIRECTIONS: To order a verification of non-filing letter
Get Transcript by MAIL – Can be obtained by from the IRS using Form 4506-T and checking Box 7. Be sure to list
Year or period requested as 12/31/2017. This takes 5 to 10 days.
If your parent(s) attempted to obtain a Verification of Non-Filing Letter from the IRS but they were unable
to obtain the required documentation, check here
Did you (and/or your spouse) receive income NOT reported on a W2? Yes No
If yes, also list that income below with the sources and amounts of income earned. Use
separate sheet if needed.
Source of income or Employer Name on W2
2017 Earned Income
$
$
$
3. Your parent(s)/step-parent imported tax information directly into the FAFSA by using the IRS
Data. Retrieval. If you have not yet used this option and would like to, please follow the
directions below:
CONTINUED ON NEXT PAGE
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
finaid@hagerstowncc.edu
FAX: 301-791-9165
2019-2020
Income Statement –
Parent(s)
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
Phone: 240-500-2473
finaid@hagerstowncc.edu
FAX: 301-791-9165
19CINCMP 1/11/2019
DIRECTIONS: To use the Data Retrieval:
1. Go to https://fafsa.ed.gov and select “Make a correction”; Log-in using FSA ID and password
2. Under “Financial Information” tab select that you have already filed
3. Use Link to IRS and transfer tax information into your FAFSA.
4. Sign & Submit your FAFSA
Wait one week
, then sign the bottom of this form and submit to HCC Financial Aid Office. This will
allow time for the correction to come to us.
4. Your parent(s)/step-parent are submitting IRS Tax Return Transcripts OR Signed IRS Tax
Returns for the 2017. If your parents are married but filed separately, both transcripts/returns
are required. Go to Section Four once this option is checked.
DIRECTIONS: To order a tax return transcript
Get Transcript by MAIL – Go to www.irs.gov, under the Tools heading, click "Get a tax transcript.” Click
“Get Transcript by MAIL.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax
Account Transcript.” This takes 5 to 10 days
Get Transcript ONLINE – Go to www.irs.gov, under the Tools heading, click "Get a tax transcript." Click
“Get Transcript ONLINE.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax
Account Transcript.”
By signing this form, you are certifying that all the information reported on it is complete and correct.
_______________________________________________________ _______________________
Parent Signature Date
Office Use Only: IRS DRT CODE Initials Income listed? Yes No
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2019-2020 Income Statement Parent(s) 11400 Robinwood Drive Hagerstown, (Hagerstown Community College)

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Completed 20 August 2020

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