2020-2021 Parent Income Verification
20PIVER
To request a copy of a *Federal IRS Tax Return Transcript, Wage Statement, OR Verification of Non-Filing Letter
call the IRS at 1-800-908-9946, go to http://www.irs.gov/individuals/Order-a-Transcript
2018 Income Information for Tax FilersCheck the box that applies
Parent(s)/Step-parent* (if applicable)
Documentation Required
I/we filed a 2018 Federal Tax Return
Attach a copy of parent(s)* 2018 IRS Tax Return Transcript**
Parents* married/remarried after the 2018 tax year
or
Parents (biological) are unmarried but living together
Attach a copy of the 2018 IRS Tax Return Transcript** for the parent(s)* who FILED
and complete the Non-Tax Filers section below for the parent(s) who did not file a tax
return
Parent(s)* filed an amended 2018 IRS tax return
Attach a copy of both a 2018 IRS Tax Return Transcript** and a signed copy of the
2018 IRS Form 1040X “Amended US Individual Tax Return” that was filed with the IRS
2018 Income Information for Non-Tax FilersCheck the box that applies
Parent(s)/Step-parent* (if applicable)
Documentation Required
One or both parents* were employed in 2018 but not
required to file a tax return. (Complete the chart below)
Attach copies of all W-2s** and a 2018 IRS Verification of Non-filing** status letter
dated on or after October 1, 2019 for non-filer(s)
Neither parent* was employed and neither had income
earned from work in 2018
Attach a 2018 IRS Verification of Non-filing** status letter dated on or after October 1,
2019 for non-filer(s)
Employer’s Name
2018 Amount Earned
IRS W-2 Attached?
Susy’s Auto Body Shop (example)
$2000.00
Yes
$
$
$
Parent(s)* received the following benefits in 2018 as part of their financial support:
Supplemental Security Income (SSI)
Social Security Benefits
TANF
Other ________________________________________________
Asset Information
Complete this chart about the parents’ asset information as of the date you signed the FAFSA or CA Dream Act Application.
1. Cash/checking/saving balances as of the date you signed the FAFSA or CA Dream Act Application $
2. Investment value (rental real estate, stocks) as of the date you signed the FAFSA or CA Dream Act Application $
3. Business Value as of the date you signed the FAFSA or CA Dream Act Application $
CERTIFICATION
I/WE HEREBY CERTIFY THAT ALL INFORMATION REPORTED ON THIS FORM
AND ANY ATTACHMENTS HERETO ARE TRUE, COMPLETE AND ACCURATE.
FALSE INFORMATION OR MISREPRESENTATION WILL BE CAUSE FOR DENIAL, REDUCTION, WITHDRAWAL, AND/OR REPAYMENT OF FINANCIAL AID.
________________________________________ __________________________
Student’s Signature Date
________________________________________ ____________________________________________ __________________________
Parent’s Name (Please print) Parent’s Signature Date
2020
-2021 PARENT INCOME VERIFICATION
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
First Name
M.I
Student ID Number
Mt. San Jacinto College Financial Aid Office
Website: https://msjc.edu/financialaid/
Virtual Lobby: https://msjc.edu/hub/
Telephone: (951) 487-3245
Email: Finaid@msjc.edu
*Select Your Answer*
*Select Your Answer*
*Select Your Answer*
P R I N T
C L E A R
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