2020-2021 Number in Household and College for Independent Students
Financial Aid Office, 1637 Lawson Street, Durham NC 27703
Phone 919-536-7209, Fax 919-536-7260, financialaid@durhamtech.edu
All information must be completed in full.
A. Student Information (Required)
Name
Date of Birth
Student ID
Phone Number
Street Address
State and Zip
B. Number in Household and College (Required)
Write your name in the first box beneath the example (Section A). To the right of that, list your age in years
(Section B).
You should also list, if applicable the following:
Your spouse, if applicable. List their name in Section A, age in Section B and relationship to you in
Section C. If they are in college, list their school name in Section D and if they are enrolled half time or
not in Section E. Further proof of this support may be requested by the Financial Aid Office.
Your children (if applicable), if you will provide more than half of their financial support from July 1,
2019 through June 30, 2020, even if they do not live with you. List their name in Section A, age in
Section B and relationship to you in Section C. If they are in college, list their school name in Section D
and if they are enrolled half time or not in Section E. Further proof of this support may be requested
by the Financial Aid Office.
Other people you provide more than half of their financial support and will continue to provide more
than half of their support from July 1, 2019 through June 30, 2020. List their name in Section A, age in
Section B and relationship to you in Section C. If they are in college, list their school name in Section D
and if they are enrolled half time or not in Section E. Further proof of this support may be requested
by the Financial Aid Office.
Name (Section A)
Age
(B)
Relationship
to Student (C)
College Attending
Name, if applicable (D)
Enrolled at least half
time? (Yes or No) (E)
(example) John Smith
21
Self
Durham Tech
Yes
Durham Tech
Yes
If there are more than 9 members of the household, please submit a separate sheet with your name, ID,
signature and all information requested in sections A E for the 10
th
and any additional members of the
household.
Revised Spring 2018
Self
C. Income Information (Required)
Choose the correction option for both yourself and your spouse (if applicable). Follow the
instructions within the box you select.
Spouse (if applicable)
1. I, the student, filed taxes for
2018 and imported/transferred my
taxes with the IRS Data Retrieval Tool
into my 2020-2021 FAFSA.
5. I, the spouse, filed taxes for
2018 and imported/transferred them
with the Data Retrieval Tool into the
student’s 2020-2021 FAFSA.
6. I, the spouse, filed taxes for
2018 but did not import/transfer
them with Data Retrieval Tool on the
2020-2021 FAFSA.
Required: Attach your 2018 Tax
Return
You may order online at the IRS
website, click “get tax record”, select
2018 tax RETURN transcript, or order
by calling 1-800-908-9946.
OR
Submit a signed copy of your tax
return
7. I, the spouse, was employed in
2018 but was not required to file
taxes and did not file taxes.
Required: Complete Section D and E
8. I, the spouse, was not employed
and had no earned income in 2018
and did not file taxes.
Required: Complete Section D and E
Revised Spring 2018
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D. Student Inc ome Information for Non-Tax Filers (only required if box 3, 4, 7, or 8
was checked in Section C). Check the box below that applies and complete the items within:
The student and/or spouse was not employed in 2018, but was not required to file taxes.
Required: Submit Verification of Non-Filing status from the IRS. You can request this by visiting the IRS
website
The student and/or spouse was employed in 2018, but was not required to file taxes. List every
employer in the chart below even if the employer did not issue an IRS W-2 form in the box below.
Provide a W2 or 1099 for each employer listed. If you supply a 1099, you must include a signed a
statement that includes why you cannot provide a W2.
Required: Submit Verification of Non-Filing status from the IRS. You can request this by visiting the IRS
website.
Required: Submit a W2, IRS Wage and Income Transcript OR 1099 for each employer listed. If you
supply a 1099, you must include a signed a statement that includes why you cannot provide a W2.
Employer’s Name
Annual Amount
Earned in 2018
Is it the student
or the spouse’s
W2?
(Example) ABC’s Auto Body Shop
$4,500.00
student
$
$
Total Amount Student Earned from Working
$
Total Amount Spouse Earned from Working
$
E. Student o r Spouse Income Information for Non-Tax Filers (only required if box 3,
4, 7, or 8 was checked in Section C)
Please provide a detailed explanation of how household and living expenses were paid for. Any
assistance from government programs or other sources must be explained below.
F. Certification and Signatures (Required)
NOTE: This must be hand-signed. Electronic signatures of any form is not permissible.
Each person signing below certifies that all of the information reported is complete and correct.
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or
both.
Student Signature
Date
Revised Spring 2018