Revised April 16, 2020 Page 2 of 2
C. Verification of 2018 Student and Spouse Income Information
Important Note: The questions below apply to you and your spouse, if you are married. Notify the Financial Assistance Office if you or your spouse
filed separate IRS income tax returns for 2018 or had a change in marital status after December 31, 2018.
1. Check the box that applies:
You (student) have used the IRS DRT in FAFSA on the Web to transfer 2018 IRS income tax return information into your FAFSA.
You (student) have not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2018 IRS income tax return information
into the your FAFSA.
You (student) are unable to use the IRS DRT in FAFSA on the Web, and instead will provide the school with a 2018 IRS Tax Return
Transcript(s). Please refer to the “Verification of 2018 Income Information for Individuals with Unusual Circumstances” form online at
icc.edu/admissions/financial-aid/forms.
IRS Tax Return Transcript provided
IRS Tax Return Transcript will be provided at a later date
You (student) DID NOT FILE a 2018 IRS Tax Return and are not required to file a 2018 IRS Tax Return. Please provide a 2018 non-filing
status letter from the IRS dated on or after October 1, 2019 that indicates a 2018 IRS income tax return was not filed with the IRS.
Please refer to the “Verification of 2018 Income Information for Individuals with Unusual Circumstances” form online at
icc.edu/admissions/financial-aid/forms.
Verification of Non-Filing Letter provided
Verification of Non-Filing Letter will be provided at a later date.
Check the box that applies: Income Earned from Work
You(student) and/or spouse were not employed and had no income earned from work in 2018.
You(student) and/or spouse were employed in 2018 and has listed below the names of all employers and the amount earned from each
employer in 2018. PLEASE PROVIDE COPIES OF ALL 2018 IRS W-2 FORMS ISSUED TO YOU BY YOUR EMPLOYERS if you did not
use the IRS Data Retrieval Tool on the FAFSA. If you do not have the W-2(s) you can request an IRS Income and Wage Statement.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Employer’s Name Annual Amount Earned in 2018
$
Total Amount of Income Earned From Work
D. Certifications and Signatures
Each person signing below certifies that all of the information reported is complete and correct.
FEDERAL WARNING: If you purposely give false or misleading information on this form; you may be fined, be sentenced to jail, or both.
Student Signature (Required)
Spouse’s Signature (Optional)
It is the policy of this College that no person, on the basis of race, color, religion, gender, national origin, age, disability,
sexual orientation, or veteran’s status, shall be discriminated against in employment, in educational programs and activities,
or in admission. Inquiries and complaints may be addressed to the Compliance Officer, Diversity Department.
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