2020-2021 STUDENT INCOME & EXPENSE SHEET
Student Name: _________________________________________Student ID: _________________
Please complete the section below to inform us of the Annual Income that you incurred for 2018:
Non Tax Filer Income Information for 2018:
Annual Income Earned: Annual Income from Assistance Programs:
Earnings from work: 2018 2018
Student (Provide W-2s) $_______________ Social Security Benefits $________________
Spouse (Provide W-2s) $_______________ Disability Social Security Benefits $________________
Odd Jobs Student $_______________ Other Disability Benefits $_______________
Odd Jobs Spouse $_______________ Child Support Received $________________
Other: (please list) $_______________ Food Stamps $________________
_____________________________________________ TANF/Welfare Benefits $________________
Other: (please list) $________________
_____________________________________________
TOTAL INCOME FOR 2018 $________________________
If you shared expenses with a roommate list only your portion of the income and expenses. If you had no
source of income, please provide a complete explanation below of how you maintained living expenses.
Please give a DETAILED explanation of low or no income and address how you paid for housing in
2018 and the current year:
2018:
CURRENT:
Please give a DETAILED explanation of low or no income and address how you paid for food in
2018 and the current year:
2018:
CURRENT:
_______________________________
_________________
Student Signature
Date
click to sign
signature
click to edit
2020-2021 Student Tax Non-Filer Statement Form
The U.S. Department of Education selected your application for “Verification” and SFCC is required to obtain this information before awarding you Federal financial aid. Please complete this
form and submit the appropriate documentation to the Financial Aid Office as soon as possible. If you have any questions, please contact the financial aid office.
Student Name _______________________________________________ Student ID #___________________________________
Student Statement of Non-Filing
Check all boxes that apply:
Student was not employed, did not have income, and was not required to file a 2018
Federal Tax Return.
Student’s Spouse was not employed, did not have income, and was not required to
file a 2018 Federal Tax Return.
Student was employed, had income, but was not required to file a 2018 Federal Tax
Return.
If you checked this box, you need to submit copies of all 2018 W2s and 1099s
(Misc. Income Forms).
Student’s Spouse was employed, had income, but was not required to file a 2018
Federal Tax Return.
If you checked this box, you need to submit copies of all student ‘s spouse 2018
W2s and 1099s (Misc. Income Forms).
By signing this form, I certify that I was unable to obtain an IRS Proof of Non-filing Status
Letter and that all the information reported above is complete and correct.
Student Signature _______________________________________________________________ Date_________________
Spouse Signature________________________________________________________________ Date_________________
Spouse Printed Name___________________________________________________________
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome