2020-2021 Forms
PARENT TWO NAME:
I earned income in 2018 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
I have been granted a 2018 income tax filing extension beyond the standard six months extension. As required:
• I have attached an approved copy of the extension granted by the U.S. Internal Revenue Service (IRS);
• 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 2018 AGI and taxes paid.
Income Source/Employer Name
I was not employed in 2018 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 Signature Required Date
______________________________________________________________________ _______________
Parent Signature Required (If due to the current national situation your parent cannot Date
sign the form, complete section below)
My parent is not able to sign because____________________________________________________________________
________________________________________________________________________________ ___________________
Student Initials Required
WAYS TO SUBMIT THIS FORM
(1) 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 19/20 Dependent # in Coll’ from the ‘To Do List’ list to attach and upload the
form. (2) 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. (3) Fax forms to 540-857-6208
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Phone: (855)874-6690 (Revised 04_2020)