Fillable 2020-2021 Verification of Non Filer (Mitchell Community College)

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2020-2021 Verification of Non Filer (Mitchell Community College)

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The 2020-2021 Verification of Non Filer (Mitchell Community College) form is 2 pages long and contains:

  • 2 signatures
  • 14 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

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2020-2021 Verification of Non Filer
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) has been selected for review in a process called
verification. In this process we will compare the information from your FAFSA application with the information provided
on this form and with any other required documents. By law, we have the right to ask you for this information before
awarding federal aid. If there are differences, corrections will be submitted to the federal processor. Complete this
process as soon as possible in order for your file to be ready to review for eligible awards.
A. Student’s Information Dependent Independent
Student’s Last Name Student’s First Name Student’s M.I. Mitchell Student ID
Student’s Street Address (include apt. no.) Student’s Date of Birth
City State Zip Code Student’s Email Address
Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number
B. INSTRUCTIONS FOR NON FILERS
Complete this section if you or your spouse, if married, will not file and are not required to file a 2018 income tax return
with the IRS.
STUDENT—Check the box that applies: SPOUSE—Check the box that applies:
I will not file a tax return and had no income from My spouse will not file a tax return and had no
work in 2018. income from work in 2018
I will not file a tax return and I have listed my 2018 My spouse will not file a tax return and has listed
income from work below. their 2018 income from work below.
STUDENT—List name of all employers in 2018, amount earned and attach copies of all 2018 W-2 forms.
Employer’s Name
2018 Amount Earned
W-2 Attached?
Suzy’s Auto Body Shop (example)
$2010.00 (example)
Yes (example)
SPOUSE—List name of all employers in 2018, amount earned and attach copies of all 2018 W-2 forms.
Employer’s Name
2018 Amount Earned
W-2 Attached?
Suzy’s Auto Body Shop (example)
$2010.00 (example)
Yes (example)
MCC-634 Equal Opportunity College Rev. 05/20
PARENT (If dependent)—check the box that applies)
My parent(s) will not file a tax return and had no income from work in 2018.
My parent(s) will not file a tax return and have listed their 2018 income from work below.
PARENT(S)—List name of all employers in 2018, amount earned and attach copies of all 2018 W-2 forms.
Employer’s Name
2018 Amount Earned
W-2 Attached?
Suzy’s Auto Body Shop (example)
$2010.00 (example)
Yes (example)
C. Certification and Signature
I certify that all of the information reported on this worksheet
WARNING: If you purposely give false or
is complete and correct. The student must sign this worksheet.
misleading information on this worksheet, you
A parent’s signature is required for dependent students.
may be fined, be sentenced to jail, or both.
Student Signature ___________________________________________________________________ Date_____________________________________
Parent’s Signature (if dependent) ___________________________________________________ Date_____________________________________
Mitchell Community College Financial Aid Office, 500 West Broad Street, Statesville, NC 28677
Phone (704) 978-5435 Fax (704) 978-1302
MCC-634 Equal Opportunity College Rev. 05/20
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2020-2021 Verification of Non Filer (Mitchell Community College)

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Completed 26 July 2020

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