Student’s Name: _____________________________________ Student ID#__________________
B. STUDENT’S INCOME INFORMATION (Check the box that applies)
I have filed and used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my (and my spouse’s, if
married) 2018 IRS tax return information into my FAFSA.
I have filed and attached a copy of my (and my spouse’s, if married) 2018 Tax Return Transcript(s).
A FREE of charge 2018 Tax Return Transcript may be obtained from the IRS by going online to: www.irs.gov – Click on
“Get Your Tax Record” then select “Get Transcript ONLINE” or “Get Transcript by MAIL.” Make sure to request the
“Return Transcript.”
I (and/or my spouse, if married) was not required by federal law to file a 2018 income tax return with the IRS. I
have attached to this form a copy of my (and my spouse’s, if married) IRS Verification of Non-Filing Letter
dated on or after October 1, 2019.
You may request the letter(s) FREE of charge from the IRS by going online to: www.irs.gov – Click on “Get Your Tax
Record” then select “Get Transcript ONLINE” or “Get Transcript by MAIL.” Make sure to request the “Verification of Non-
Filing Letter.”
Listed below are all sources, types, and amounts of income either earned, received, or paid on my behalf in 2018.
If earnings are from work, I have attached copies of all 2018 W-2 forms issued to me by employer(s). Only
complete if you (and/or spouse, if married) were not required to file a 2018 tax return.
(Name of Employer, Person, agency, etc.)
(work, benefits, family
assistance, financial aid, etc.)
Total Amount of Income Earned From Work
Total Amount of Assistance Received
If more space is needed, attach a separate page with your name and Student ID Number at the top.
C. If you (and/or your spouse, if married) changed or corrected your original 2018 federal income tax return filed with
the IRS, you must submit both items listed below:
Signed copy of the 2018 Amended U.S. Individual Income Tax Return (1040X) with all schedules attached
that was filed with the IRS AND
A copy of your 2018 IRS Tax Return or Transcript 2018 Record of Account Transcript.
D. CERTIFICATION AND SIGNATURE
Each person signing below certifies that all of the information
reported is complete and correct.
____________________________________________ ____________________________
Student’s Signature (Required) Date
____________________________________________ ____________________________
Spouse’s Signature (Optional) Date
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
