20CAMENS 2/1/18
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Name: _____________________________________________________________
Last Name First Name MI
HCC Student ID: ______________________________
For an individual who filed an amended Internal Revenue Service (IRS) income tax return for 2018, please
submit the following:
A 2018 IRS Tax Return Transcript (that will only include information from the original tax return), or a
2018 signed IRS Tax Return and all applicable schedules, or any other IRS tax transcript(s) that
include all of the income and tax information required to be verified; and
A signed copy of the 2018 IRS Form 1040X, “Amended U.S. Individual Income Tax Return,” that was
filed with the IRS along with all applicable schedules.
Please check who amended their tax return:
Student
Spouse
Both (Joint Return)
Student Signature: _______________________________________ Date: _______________
Office Use Only: IRS DRT CODE SHOWS “07”? Yes ___ or No ___ Initials ______
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
finaid@hagerstowncc.edu
FAX: 301-791-9165
Amended Tax Return
Form for
Student/Spouse
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
Phone: 240-500-2473
finaid@hagerstowncc.edu
FAX: 301-791-9165
