2019-2020 Verification of 2017 Income Information for Parent Nontax Filers
Please return this completed form to Indian Hills Community College along with any other requested materials:
Fax: 641.683.5741│ Mail: IHCC Financial Aid Office, 525 Grandview Ave, Ottumwa, IA 52501
or bring to One Stop/Bennett Student Services Building
You can check your financial aid document status, print required forms, and view your financial aid award information (once available) on WebAdvisor.
Student’s Name
Student’s ID Number
The instructions and certifications below apply to each parent included in the household. Complete this section
if the parents will not file and are not required
to file a 2017 income tax return with the IRS.
Check the box that applies:
Neither parent was employed, and neither had income earned from work in 2017.
One or both parents were employed in 2017 and have listed below the names of all employers, the
amount earned from each employer in 2017, and whether an IRS W-2 form or an equivalent document is
provided. [Provide copies of all 2017 IRS W-2 forms issued to the parents by their employers]. List every
employer even if the employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Parent Name
Employer’s Name
Check if self-
employed income
i.e. babysitting,
mowing, etc.
(Example) John Smith
(Example) ABCs Auto Body Shop
Submit an IRS Verification of Nonfiling Letter. You can order a Verification of Nonfiling Letter on the IRS Web site or
by submitting Form 4506-T to the IRS and checking box 7. Specify which tax year(s) you need, and mail or fax the
completed form to the IRS at the address or fax number provided in the instructions.
____ Check here if confirmation of nonfiling is provided.
____ Check here if confirmation of nonfiling will be provided later.
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
A hand written signature, not typed, is required.
________________________________________ ________________________
Student’s Signature (Required) Date
________________________________________ ________________________
Parent’s Signature (Required) Date
WARNING: If you purposely give false or
misleading information, you may be
fined, sent to prison, or both.
If you're unable to provide your 2017 Form W-2
The quickest way to obtain a copy of your current year Form W-2 is through your employer. If you can't get your Form W-2
from your employer, you can get a wage and income transcript by using Get Transcript Online at
www.irs.gov/Individuals/Get-Transcript. You can also use Form 4506-T
, Request for Transcript of Tax Return. Check the
box for Form W-2, specify which tax year(s) you need, and mail or fax the completed form to the IRS at the address or fax
number provided in the instructions. Allow 5 to 10 days from the IRS received date to receive the transcript.
2017 Filing Requirements Chart for Most Taxpayers
Note. You must file a return if your gross income was at least the amount shown in the last column.
IF your filing status is. . .
AND at the end of 2017 you
were*. . .
THEN file a return if your gross
income** was at least. . .
under 65
65 or older
Head of household
under 65
65 or older
Married filing jointly***
under 65 (both spouses)
65 or older (one spouse)
65 or older (both spouses)
Married filing separately
any age (if your spouse itemizes
$ 4,050
Qualifying widow(er)
under 65
65 or older
If you were born before January 2, 1953, you are considered to be 65 or older at the end of 2017. (If
your spouse died in 2017 or if you are preparing a return for someone who died in 2017, see Pub. 501.)
Gross income means all income you receive in the form of money, goods, property, and services that
isn't exempt from tax, including any income from sources outside the United States or from the sale of
your main home (even if you can exclude part or all of it). It also includes gains, but not losses, reported
on Form 8949 or Schedule D. Gross income from a business means, for example, the amount on
Schedule C, line 7, or Schedule F, line 9. But, in figuring gross income, don't reduce your income by
any losses, including any loss on Schedule C, line 7, or Schedule F, line 9. Don't include any social
security benefits unless (a) you are married filing separately and you lived with your spouse at any time
in 2017 or (b) one-half of your social security benefits plus your other gross income and any tax-exempt
interest is more than $25,000 ($32,000 if married filing jointly). If (a) or (b) applies, see the Instructions
for Form 1040 or Pub. 915, Social Security and Equivalent Railroad Retirement Benefits, to figure the
taxable part of social security benefits you must include in gross income.
If you didn't live with your spouse at the end of 2017 (or on the date your spouse died) and your gross
income was at least $4,050, you must file a return regardless of your age.