Fillable 2019-2020 Parent Verification of Non-Filing Status for Tax (Virginia Western Community College)

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2019-2020 Parent Verification of Non-Filing Status for Tax (Virginia Western Community College)

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The 2019-2020 Parent Verification of Non-Filing Status for Tax (Virginia Western Community College) form is 2 pages long and contains:

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  • 7 check-boxes
  • 50 other fields

Country of origin: US
File type: PDF

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2019-2020 Forms
2019-2020 Parent Verification of Non-Filing Status for Tax Year 2017
The U.S. Department of Education selected your student’s 2019-2020 FAFSA for verification. 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. If additional space is
needed attach a sheet with the required information, and include your student’s Name and VWCC ID at the top of the page.
Instructions for submission are at the bottom of the form.
A. Student Information
B. Parent(s) 2017 IRS Income Tax Return Filing Status
Select ONE option from the three provided below for parent one and parent two. If you are single, divorced, or never married and not living with
your student’s other biological parent, only enter information in the Parent One section of this form.
PARENT ONE NAME:
I earned income in 2017 but did not file, nor was I required to file, an income tax return. I have listed my sources of income and amounts
below.
Income Source/Employer Name
Amount Earned in 2017
Example: Dan’s Autobody
$2500.00
I have been granted a 2017 income tax filing extension beyond the standard six months extension. As required:
• I have attached a copy of the extension granted by the U.S. Internal Revenue Service (IRS);
• I have attached a copy of a completed IRS Form 4868;
• I have listed my sources of income in the box below; and
• If I am self-employed, I have attached a signed statement estimating my 2017 AGI and taxes paid.
Income Source/Employer Name
Amount Earned in 2017
Example: Dan’s Autobody
$2500.00
I was not employed in 2017 and earned no income from work.
First Name
MI
Last Name
VWCC Student ID - REQUIRED
First Name
MI
2019-2020 Forms
PARENT TWO NAME:
I earned income in 2017 but did not file, nor was I required to file, an income tax return. I have listed my sources of income and amounts
below.
Income Source/Employer Name
Amount Earned in 2017
Example: Dan’s Autobody
$2500.00
I have been granted a 2017 income tax filing extension beyond the standard six months extension. As required:
• I have attached a copy of the extension granted by the U.S. Internal Revenue Service (IRS);
• I have attached a copy of a completed IRS Form 4868;
• I have listed my sources of income in the box below; and
• If I am self-employed, I have attached a signed statement estimating my 2017 AGI and taxes paid.
Income Source/Employer Name
Amount Earned in 2017
Example: Dan’s Autobody
$2500.00
I was not employed in 2017 and earned no income from work.
C. Certification and Signatures
Each person signing below certifies that all the information reported on this worksheet is complete, correct, and any additional information is
attached. The student and one parent MUST sign and date this section.
WARNING: If you purposely give false or misleading information on this worksheet you may be fined, sentenced to jail, or both.
______________________________________________________________________ _____________________
Student Signature Required Date
_______________________________________________________________________________________ __________________________
Parent Signature Required (If due to the current national situation your parent cannot Date
sign the form, complete section below)
My parent is not able to sign because: _______________________________________________________________________________
_______________________________________________________________________________________________ ________________
Student Initials Required
WAYS TO SUBMIT THIS FORM
(1) 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 19/20 Dependent # in Coll’ from the ‘To Do List’ list to attach and upload the form. (2) Upload the form at
www.virginiawestern.com
by clicking ‘Contact Us,’ and then clicking the 24/7 Student Support icon. Once you log in you can submit
documents. (3) Fax forms to 540-857-6208
♦
Phone: (855)874-6690 (Revised 04_2020)
Student First Name
MI
Student Last Name
VWCC Student ID
First Name
MI
Last Name
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2019-2020 Parent Verification of Non-Filing Status for Tax (Virginia Western Community College)

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Completed 27 July 2020

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