Financial Aid Office
1355 West Highway 10, Anoka, MN 55303
Phone: 763.576.7730 Fax: 763.576.7721
finaid@anokatech.edu
Your application was selected for review in a process called verification. In this process, Anoka Technical College (ATC)
compares information from your FAFSA application with the information requested below. The federal law says we have the
right to ask you for this information before awarding federal aid. If there are differences between your application information
and your verification documents, ATC may send corrections electronically to have your information reprocessed. You should
complete verification as soon as possible, so that your financial aid will not be delayed.
______________
________________________________________ ______________________________________
Last Name First Name MI ATC Student ID
Complete this section if the student will not file and is not required to file a 2018 income tax return with the IRS.
Check t
he box that applies:
St
udent and/or spouse was not employed and had no income earned from work in 2018.
Student and/or spouse was employed in 2018 and has listed below the names of all employers, the amount earned
from each employer in 2018, and whether and IRS W-2 form was issued. Attach copies of all W-2 forms
issued to you. List every employer below even if the employer did not issue a W-2.
*Impor
tant* Provide documentation from the IRS or other tax related authority dated on or after October 1, 2019
that indicates a 2018 IRS income tax return was not filed with the IRS or other tax related authority.
________ Check
here if confirmation of non-filing is provided. (only if you are independent)
Student/Spouse Name Employer / Income Source
2018 Amount
Earned
IRS W-2 Issued?
Please Attach
Example: Jane Doe
John Doe Construction Inc.
$1,000
Person signing this worksheet certifies that all the information reported
on it is complete and correct.
______________
__________________________________
Student Date
Rev 10/18 ATC is an affirmative action, equal opportunity educator/employer. To receive this information in an alternate format, 763-576-7730
2020-2021 Student Non-Tax Filer Worksheet NF - Stu
A. Student Information
B. 2018 Student Income InformationTax Return Non-filers
C. Sign this Worksheet
WARNING: If you purposely give false or
misleading information on this worksheet, you
may be fined, sentenced to jail, or both.