FINANCIAL AID | 2020-2021
CERTIFICATION FORM FOR NON-TAX FILERS
Your application was selected for review in a processed called Verification. In this process, RCTC is required to verify income
information for any person(s) who indicated they did not file/are not required to file a 2018 tax return. (CFR Title 34, Part
668).
To
continue processing on your file, you must complete this Worksheet and submit it to the RCTC Financial Aid Office along
with the following documentation for each person who did not file a 2018 Tax Return:
Verification of Non-Filing
Students who reported parent information
Students (who did NOT report parent information) & spouse, if married
Parents. If parent information was required on the FAFSA
Request online at www.irs.gov, “Get Your Tax Record”
Request by mail using IRS Form 4506-TEZ. Download from the IRS website at: https://www.irs.gov/pub/irs-
pdf/f4506tez.pdf
If there are differences between your FAFSA, the IRS Verification and/or the amounts listed on this form, RCTC will send
corrections to your Financial Aid application for you, electronically, if possible. If the information provided appears to
indicate an individual (yourself, your parent(s), or your spouse, if married) was required to file a Federal tax return, processing
on your Financial Aid application will be stopped until that individual has filed the appropriate return and can provide an IRS
Tax Return Transcript or a SIGNED copy of their Federal Tax Return to document his/her filing.
You may contact the Welcome and One Stop Center at (507)285-7557 if you need assistance or have questions.
Student Name: ____________________________________________ Stinger ID: ______________________
Non-Filer Income Verification
Check the box(es) to indicate which person(s) in your family did NOT file a 2018 Federal Tax Return:
Student Parent(s)/Mother/Stepmother Parent(s)/Father/Stepfather Spouse
For each person identified above, complete the following chart, provide copies of 2018 W-2 Forms from each employer AND if
available, provide a 2018 IRS Verification of Non-filing (see instructions above). If you no longer have the 2018 W-2 Form(s), you
must contact the employer for a duplicate copy. If an individual did not work during 2018, please list this person’s name in the
chart below and list “DID NOT WORK” under Employer’s Name. If more room is needed, attach a separate page.
Non-Filer Name
Relationship to
Employer’s Name
Amount Earned
Was a W-2 provided to you?
Certification and Signatures:
By signing below, I certify that all information provided is true and complete to the best of my knowledge. If asked by an
authorized official, I agree to provide proof of the information I have given on this form.
Warning: If you purposely give false or misleading information on this form, you may be fined, sentenced to jail, or both.
______________________________________ ________ _____________________________ _________
Student Signature Date Spouse, if married Date
_______
________________________________ ________ ________________________________ ________
Parent Signature Date Parent Spouse Signature Date
(If parent information was required on FAFSA)
