2019–2020 Verification Worksheet Independent Student (continued)
C. Tax information
You must check only ONE box that applies to your 2017 tax filing status. This status applies to
BOTH you and your spouse if you indicated you were married on the FAFSA.
If you do not qualify to use DRT, instructions on how to obtain a transcript are listed at
www.northshore.edu/paying/aid/irs-transcripts.html
Student’s tax information (check ONE box)
I have completed I will provide a copy of
the IRS DRT through FAFSA. my 2017 Tax Transcript.
I filed an amended 2017 IRS tax return I will provide a signed copy of
and will provide both a signed copy of my 2017 Federal Tax Return.
my IRS 1040x and a 2017 Tax Transcript.
Spouse’s tax information (check ONE box)
I have completed I will provide a copy of
the IRS DRT through FAFSA. my 2017 Tax Transcript.
I filed an amended 2017 IRS tax return I will provide a signed copy of
and will provide both a signed copy of my 2017 Federal Tax Return.
my IRS 1040x and a 2017 Tax Transcript.
D. Non Tax Filer Information
Complete this section if you le the Tax Information box blank. This section is if you
and/or your spouse will not fi
le and are not required to file a 2017 federal income tax re-
turn with the IRS. Check only ONE box that applies.
You (and your spouse, if applicable) must submit a Verification of Nonfiler letter
from the IRS. Instructions on how to obtain the letter can be found at
www.northshore.edu/paying/aid/obtain-irsverification.html
Student’s Non Tax Filer Information (check ONE box)
I will not file a 2017 Federal Tax return, but worked in 2017.
Submit a copy of all W2 forms issued by your employer(s).
I did not earn any income in 2017 and did not file taxes.
Spouse’s Non Tax Filer Information (check ONE box)
I will not file a 2017 Federal Tax return, but worked in 2017.
Submit a copy of all W2 forms issued by your employer(s).
I did not earn any income in 2017 and did not file taxes.
E. Certification and Signatures
Each person signing below certifies that all the information reported is complete and correct.
We cannot accept digital signatures.
_____________________________________________________ ________________________________________________
STUDENT’S SIGNATURE DATE SPOUSE’S SIGNATURE DATE
WARNING: If you purposely give false or misleading information on this form, you may be fined, sentenced to prison, or both.
Student Financial Services
1 Ferncroft Road
Danvers, MA 01923-0840
978-762-4189
www.northshore.edu/paying/
financial-services
8/13/19