2020 - 2021
Nontax Filer Worksheet for Independent Students
Student Name Student ID Phone Number
The instructions and certifications below apply to the student and spouse (if married) included in the
household. Complete this section if the student &/or spouse will not file and is not required to file a 2018
income tax return with the IRS.
Check the box that applies:
I was not employed and had no income earned from work in 2018. Provide the IRS Verification of
Non-filing Letter and all W-2s.
If married, my spouse was not employed and had no income earned from work in 2018. Provide the
IRS Verification of Non-filing Letter and all W-2s for your spouse.
The student and/or spouse was employed in 2018, but did not file taxes. Provide the IRS
Verification of Non-filing Letter and all W-2s for you and/or your spouse.
Provide the required documentation from the IRS dated on or after October 1, 2019 that
indicates a 2018 IRS income tax return was not filed. You can request this using Form 4506-T.
The Office of Financial Aid is available to assist you with the completion of this form.
Certification and Signatures:
I understand if I purposely give false or misleading information I may be fined, sentenced to jail, or both.
Student Signature Date
Spouse’s Signature (if applicable) Date
Return completed worksheet(s) to:
Caldwell Community College and Technical Institute
Office of Financial Aid
E-mail – finaid@cccti.edu
Caldwell Campus – 2855 Hickory Blvd., Hudson, NC 28638 Watauga Campus – PO Box 3318, Boone, NC 28607
Fax: 828.726.2709 Fax: 828.297.1729
click to sign
signature
click to edit
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click to sign
signature
click to edit
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