Fillable 2019 2020 Parent Verificationof Non Filing Statusfor Tax Year2017 (Virginia Western Community College)

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2019 2020 Parent Verificationof Non Filing Statusfor Tax Year2017 (Virginia Western Community College)

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The 2019 2020 Parent Verificationof Non Filing Statusfor Tax Year2017 (Virginia Western Community College) form is 2 pages long and contains:

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  • 48 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’s Signature Date
______________________________________________________________________ _______________
Parent Signature Date
HOW TO SUBMIT THIS FORM
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 NonFiler IRS 2017’ from the ‘To Do List’ list to attach and upload the form. You can also 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. Fax forms to 540-857-6208
♦
Phone: (855)874-6690
Student First Name
MI
Student Last Name
VWCC Student ID
First Name
MI
Last Name
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2019 2020 Parent Verificationof Non Filing Statusfor Tax Year2017 (Virginia Western Community College)

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Completed 27 July 2020

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