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Office of Financial Aid
In-Person locations: Service EMU 268 Student Center
Email:
financial_aid@emich.edu | Fax: (734) 487-4281
Mailing Address: 403 Pierce Hall, Ypsilanti, MI 48197
www.emich.edu/finaid
D.
Student Federal Tax Information
Check the box that applies below. Be sure to complete and submit any additional requirements indicated with a
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Name of Employer Amount Earned in 201
201 W-2 Form received from
employer?
$
Yes
No
$
Yes
No
$
Yes
No
E.
Asset Information
Student’s Signature Date
As of the date you filed the 201-20 FAFSA, what is your total current balance of cash, savings and checking accounts?
Do not include student financial aid.
$ __________________
As of the date you filed the 201-20 FAFSA, what is the net worth of your investments, including real estate? Net worth
means current value minus
debt.Investments include: real estate (do not include the home in which you live), rental property, trust
funds, UGMA/UTMA accounts, money market funds, mutual funds, certificates of deposit, stocks, stock options, bonds, other
securities, Coverdell savings accounts, 529 college savings plans. Do not include the value of life insurance; retirement plans (pension
funds, annuities, non-educational IRAs, Keogh plans, etc).
$ __________________
As of the date you filed the 201-20 FAFSA, what is the net worth of your current businesses and/orinvestmentfarms?
Business or farm value includes the current market value of land, buildings, machinery, equipment,inventory, etc. Do
not include the net worth of a family owned and controlled small business with no more than 100 full-time orfull-time
equivalent employees.
$ __________________
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
Student ID E ___________________
Signing below certifies that all of the information reported is
complete and correct. The student must sign and date.
܆
Student (and spouse, if married) filed a 201 Federal Tax Return, Puerto Rican, or Foreign Income Tax Return.
܆
Student (and spouse, if married) was employed and had income, but did not file and was not required to file a
201Federal IRS Tax Return.
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List all employers and amount that was earned in 201 in the chart below.
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Submit copies of ALL student (and spouse) 201 W-2 statements.
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You must also submit a Verification of Non-Filing Letter from the IRS. (Please see page for instructions on
ordering a Non-Filing Letter)
܆
Student (and spouse, if married) was not employed, did not have income and was not required to file a 201 Federal
IRS Tax Return.
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You must also submit a Verification of Non-Filing Letter from the IRS. (Please see page for instructions on
ordering a Non-Filing Letter)
*Do not leave blank. Indicate zero or Not Applicable (N/A) if appropriate.*