FINANCIAL AID OFFICE
2020-2021 Income Verification
185 Freedlander Drive | Clyde, NC 28721 | 828.627.4756 or 1.866.GoToHCC | fax: 828.627.4513 | hccaid@haywood.edu
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. Federal guidelines
dictate that, before awarding federal student aid, we may ask you to confirm the information reported on your FAFSA. To verify that you
provided correct information, we will compare your FAFSA with the information on this institutional verification document and with any
other required documents. If there are differences, your FAFSA may be corrected. The student and the parent whose information was
reported on the FAFSA (if dependent) must complete and sign this form, attach any required documents, and submit the information to the
Financial Aid Office (FAO). If you have questions, please contact the FAO promptly to avoid delays in the processing of your financial aid.
____________________________________________________ ____________________________
Last Name First Name M.I. HCC ID # or SSN (last 4 digits)
____________________________________________________ ____________________________
Street Address (include apt. no.) Date of Birth
____________________________________________________ ____________________________
City State Zip Code Email Address
____________________________________________________ ____________________________
Home Phone Number (include area code) Alternate or Cell Phone Number
DEPENDENT STUDENT- Answer each question as it applies to student and to each parent included in the household. Notify
the FAO if your parents filed separately or had a change in marital status after Dec. 31, 2018.
INDEPENDENT STUDENT - Answer each question as it applies to student and/or student’s spouse (if married). Notify the FAO
if student or spouse filed separately or had a change in marital status after Dec. 31, 2018.
1. Complete and verify this section if student, student’s parent (if dependent), &/or student’s spouse (if married)
FILED or WILL FILE a 2018 IRS income tax return(s).
Student & Spouse (if married)
Both Parents in Household
Were you required to
file taxes in 2018?
YES, I or my spouse (if married) were required
to file taxes in 2018.
NO, neither I nor my spouse (if married) were
required to file taxes in 2018. Please go to
www.IRS.gov
and request a Verification of Non
filing letter. **Not required for dependent
students
I attempted to obtain the VNF from the IRS or
other tax authorities and was unable to obtain
the required documentation.
YES, the parents were required to file taxes in
2018.
NO, the parents were not required to file
taxes in 2018. Please go to www.IRS.gov
and
request a Verification of Non filing letter.
I attempted to obtain the VNF from the IRS or
other tax authorities and was unable to obtain
the required documentation.
Please check the box
that applies:
I/We have used the IRS Data Retrieval Tool
(IRSDRT) to transfer 2018 IRS income tax return
information into the student’s FAFSA.*
I/We are unable to use DRT, and have
attached a 2018 IRS Tax Return Transcript
(IRSTRT), instead. If student & spouse filed
separately, 2018 IRSTRTs must be provided for
each. **
Skip to #2 for signatures
The parents have used the IRS Data Retrieval
Tool (IRSDRT) to transfer 2018 IRS income tax
return information into the student’s FAFSA.*
The parents are unable to use IRSDRT, and
have attached a 2018 IRS Tax Return Transcript,
instead. If parents filed separately, 2018 IRS
transcripts must be provided for each. **
Skip to #2 for signatures
FINANCIAL AID OFFICE
2020-2021 Income Verification
185 Freedlander Drive | Clyde, NC 28721 | 828.627.4756 or 1.866.GoToHCC | fax: 828.627.4513 | hccaid@haywood.edu
A. Complete and verify this section if student, student’s parent (if dependent), &/or student’s spouse (if married)
WILL NOT FILE or was NOT REQUIRED TO FILE a 2017 Federal Tax Return:
Student & Spouse (if married)
Both Parents in Household
Did you have any income
from working in 2018?
YES, the student and/or spouse were
employed in 2018 and have listed all
employers and amounts earned, below.
NO, the student and spouse were not
employed and had no income earned from
work in 2018.
YES, one or both of my parent(s) were
employed in 2018 and have listed all
employers and amounts earned, below.
NO, neither parent was employed nor
neither had income earned from work in
2018.
If YES, list the name of all
employers and the amount
earned from each employer in
2018.
Provide copies of all IRS W-2
Forms.
List every employer, even if
no IRS W-2 Form was issued.
Employer__________________________
2018 Income $_______________________
W-2 attached YES NO
Employer__________________________
2018 Income $_______________________
W-2 attached YES NO
Employer__________________________
2018 Income $_______________________
W-2 attached YES NO
Employer__________________________
2018 Income $_______________________
W-2 attached YES NO
Total Amount of Income
Earned from Work
$ $
If more space is needed, attach a separate page with student’s name & HCC ID # at the top.
Provide documentation from the IRS or other relevant tax authority dated on or after October 1, 2019 that indicates a 2018 IRS
income tax return was not filed with the IRS or other relevant tax authority, or a signed statement certifying that the individual
attempted to obtain confirmation of nonfiling from the IRS or other relevant tax authority and was unable to obtain the required
documentation.
**IRS Tax Return Transcript (IRSTRT): If the student or parent is unable to use the IRSDRT in FAFSA on the Web, the student will
submit to the school a 2018 IRS Tax RETURN Transcript. The transcript may be obtained online at www.irs.gov
, on the IRS
homepage, click "Get your Tax Record." Click either “Request Online or Request by Mailor by calling 1.800.908.9946.
In most cases, for electronic tax return filers, 2018 IRS income tax return information is available within 23 weeks after the return
has been accepted by the IRS. Generally, paper filers’ tax return information is available within 6-8 weeks after the return has
been received by the IRS. If you need more information, contact the FAO.
2. CERTIFICATION & SIGNATURES:
If student is classified as dependent, the student and parent whose information was reported on the FAFSA must sign and date.
Each person signing below certifies that all of the information reported is complete and correct.
_______________________________________________ ______________________
Print Student Name HCC ID # or SSN (last 4 digits)
_______________________________________________ ______________________
Student Signature Date
_______________________________________________ ______________________
Parent Signature (if dependent) Date
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