2020-2021 Verification of 2018 Income Information for Student 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 the student and spouse (if the student is married).
Complete this form if the student and spouse will not file and are not required to file a 2018 income
tax return with the IRS.
Step 1: Check the box that applies
The student and spouse were not employed and had no income earned from work in 2018.
The student and/or spouse 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 student and spouse 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
Step 2: (If Independent)
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.
2020-2021 Verif. of 2018 Student Income Revised Date: 06/08/2020/FAO