2020-2021 Verif. of 2018 Parent Income Revised Date: 06/08/2020/FAO
2020-2021 Verification of 2018 Income Information for Parent Nontax Filers
Financial Aid Office, P.O. Box 917, Henderson, NC 27536
Telephone: (252) 738-3280, Fax: (252) 738-3388, Email: firstname.lastname@example.org
The instructions and certifications below apply to each parent included in the household. Complete
this form if the parents will not file and are not required to file a 2018 income tax return with the IRS.
Step 1: Check the box that applies
Neither parent was employed and neither had income earned from work in 2018.
One or both parents were employed in 2018 and have listed below the names of all employers, the
amount earned from each employer in 2018, and whether an IRS W-2 form is provided. [Provide
copies of all 2018 IRS W-2 forms issued to the parents by their employers] List every employer
even if the employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Earned in 2018
Total Amount of Income Earned from Work in 2018
Provide documentation from the IRS or other relevant tax authority dated on or after October 1, 2019 that
indicates a 2018 IRS income tax return was not filed with the IRS or other relevant tax authority.
Check here if confirmation of nonfiling is provided.
Check here if confirmation of nonfiling will be provided later.
F. Certification (Please print and sign.)
Before signing, please check for accuracy and completeness. There should be no blank or unanswered
questions. Incomplete forms will be returned and will delay processing of your financial aid.
I certify that all information reported on this form is complete and correct. I understand that if I purposely
give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.