2019-2020 Number in Household and College for Dependent Students
Financial Aid Office, 1637 Lawson Street, Durham NC 27703
Phone 919-536-7209, Fax 919-536-7260, financialaid@durhamtech.edu
All information must be completed in full.
A. Student Information (Required)
Name
Date of Birth
Student ID
Phone Number
Street Address
State and Zip
B. Number in Household and College (Required)
Write your name in the first box beneath the example (Section A). To the right of that, list your age in years
(Section B).
Beneath your name, list your parent(s) name (Section A) that was provided on the FAFSA and their age
(section B) If your birth parents are married, you should list the other parent next in section A and their age
in Section B. If you birth parent is married to someone other than your parent, you should list them in
Section A and their age in Section B.
You should also list, if applicable the following:
Your parents’ other children if the parents will provide more than half of the children’s support fro
m
J
uly 1, 2019, through June 30, 2020, or if the other children would be required to provide parenta
l
i
nformation if they were completing a FAFSA for 20192020. Include children who meet either of thes
e
s
tandards, even if a child does not live with the parents. List their name in Section A, age in Section B
,
relationship to you in Section C. If they are in college, list their school name in Section D and if they are
e
nrolled half time or not in Section E. Further proof of this support may be requested by the Financia
l
A
id Office
.
Other people if they now live with the parents listed and the parents provide more than half of the
o
ther person’s support, and will continue to provide more than half of that person’s support throug
h
J
une 30, 2020. List their name in Section A, age in Section B, relationship to you in Section C. If they ar
e
in
college, list their school name in Section D and if they are enrolled half time or not in Section E
.
F
urther proof of this support may be requested by the Financial Aid Office
.
Name (Section A)
Age
(B)
Relationship
to Student
(C)
College Attending
Name, if applicable (D)
time? (Yes or No) (E)
Self
Durham Tech
Parent
Not Applicable
If there are more than 6 members of the household, please submit a separate sheet with your name, ID,
signature and all information requested in sections A E for the 7
th
and any additional members of the
household.
Revised Spring 2018
Income Information (Required)
Choose the correction option for both yourself and your parent(s). Follow the instructions within
the box you select.
Student
Parent(s)
1.
I, the student, filed taxes for 2017 and
imported/transferred my taxes with the IRS Data
Retrieval Tool into my 2019-2020 FAFSA.
5.
I/we, the parent(s), filed taxes for 2017 and
imported/transferred them with the Data Retrieval
Tool into the student’s 2019-2020 FAFSA.
2. I, the student, filed taxes for 2017 but did not
import/transfer them with the IRS Data Retrieval
Tool on the 2019-2020 FAFSA.
Required: Attach your 2017 Tax Return
You may order online at the IRS website
(www.irs.gov/), clickget tax record”, select 2017
tax RETURN transcript, or order by calling
1-800-908-9946. OR
Submit a signed copy of your tax return.
6. I/we, the parent(s), filed taxes for 2017 but did
not import/transfer them with Data Retrieval Tool
on the 2019-2020 FAFSA.
Required: Attach your 2017 Tax Return(s)
You may order online at the IRS website
(www.irs.gov/), clickget tax record”, select 2017
tax RETURN transcript, or order by calling
1-800-908-9946. OR
Submit a signed copy of your tax return(s)
3.
I was employed in 2017 but was not required
to file taxes and did not file taxes.
Required: Complete Section D
7.
I/we, the parent(s) were employed in 2017 but
was not required to file taxes and did not file taxes.
Required: Complete Section E
4.
I was not employed and had no earned income
in 2017 and did not file taxes.
8.
I/we, the parent(s), were not employed and
had no earned income in 2017 and did not file taxes.
Required: Complete Section E
D. Student Income Information for Non-Tax Filers (only required if box 3 was checked in
Section C)
Write all your employers from 2017 below under “Employer’s Name”. In the next column, write in the
total amount of income earned. If more space is needed, provide a signed separate page with your
name, ID Number at the top
Employer’s Name
Annual Amount
Earned in 2017
(Example) ABC’s Auto Body Shop
$4,500.00
$
$
$
Total Amount Earned from Working
$
REQUIRED: Submit a W2, IRS Wage and Income Transcript OR 1099 for each employer listed. If you
supply a 1099, you must include a signed a statement that includes why you cannot provide a W2.
Revised Spring 2018
E. Parent(s) Income Information for Non-Tax Filers (only required if box 7 or 8 was
checked in Section C)
Check the box below that applies and complete all three required pieces below.
N
either parent was employed, neither had income earned from work in 2017 and did not file taxes
.
O
ne or both parents were employed in 2017 and were not required to file taxes. List every employ
er
e
ven if the employer did not issue an IRS W-2 form
.
Employer’s Name
Annual Amount
Earned in 2017
(Example) ABC’s Auto Body Shop
$4,500.00
$
$
$
Total Earned from Work in 2017
$
REQUIRED: Submit a W2, IRS Wage and Income Transcript OR 1099 for each employer listed. If you
supply a 1099, you must include a signed a statement that includes why you cannot provide a W2.
REQUIRED: Submit Verification of Non-Filing from the IRS website (www.irs.gov/).
REQUIRED: Please provide a detailed explanation of how household and living expenses were paid for.
Any assistance from government programs or other sources must be explained below.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
F. Certification and Signatures (Required)
NOTE: This must be hand-signed. Electronic signatures of any form is not permissible.
E
ach person signing below certifies that all of the information reported is complete and correct
.
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or
b
oth
.
Student Signature
Date
Parent Signature
Date
Revised Spring 2018