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Financial Aid Office
2019 – 2020 Nontax Filer Worksheet for Dependent Students
Student Name
Student ID #
Phone Number
The instructions and certifications below apply to the dependent student. Complete this section if the student will
not file and is not required to file a 2017 income tax return with the IRS.
Check the box that applies:
I was not employed and had no income earned from work in 2017.
I was employed in 2017, but did not file taxes.
Provide all W-2s from 2017. This can be requested by submitting a Form 4506-T to the IRS. The Office
of Financial Aid is available to assist you with the completion of this form.
Certification and Signatures
Each person signing below certifies that all of the information reported is complete and correct. Warning: If you
purposely give false or misleading information you may be fined, be sentenced to jail, or both.
Student’s Signature Date
Parent’s Signature Date
Please return this completed form to:
Caldwell Campus
Watauga Campus
2855 Hickory Blvd.
P.O. Box 3318
Hudson, NC 28638
Boone, NC 28607
Fax: 828.726.2709
Fax: 828.297.1729
Email: finaid@cccti.edu
Email: finaid@cccti.edu
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