Form - 6
Mail to: NCC Financial Aid
P.O. Box 7488
Rocky Mount, NC 27804
Verification of 2018 Income Information for Student Nontax Filers
The instructions and certifications below apply to the student and spouse, if the student is married. Complete this section if the
student and spouse will not file and are not required
to file a 2018 income tax return with the IRS.
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
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Employer’s Name
2018 Amount
IRS W-2 Provided?
Suzy’s Auto Body Shop (example)
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 a verification of nonfiling letter is provided.
Check here if you have attempted but are unable to obtain a
verification of nonfiling letter.
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
________________________________________ ________________________
Print Student’s Name NCC Student ID Number
________________________________________ ________________________
Student’s Signature Date
________________________________________ ________________________
Spouse’s Signature if Independent and married Date
________________________________________ ________________________
Parent’s Signature if Dependent Date
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.