FORM SAMD16 - IDAHO STATE UNIVERSITY 19-20
AMENDED FEDERAL TAX RETURN
STUDENT/SPOUSE
The federal government requires colleges to check the accuracy of the information you
provided on your Free Application for Federal Student Aid (FAFSA
). This process is
called verification. You must complete the verification process before the Office of
Financial Aid can establish your eligibility for assistance. You must return the
information requested on this form or you will not be considered for federal financial
aid. Please return this completed form with applicable attachments to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem.isu.edu
Web: https://www.isu.edu/financialaid/forms
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
INSTRUCTIONS: The individual who filed an amended IRS tax return for tax year 2017 must
complete this form, attach the following documents, and return to the Office of Financial Aid.
1. A 2017 IRS tax return transcript (this includes the information from the original tax return only.
It does not need to be signed.
AND
2. A signed copy of the 2017 IRS Form 1040X “Amended US Individual Income Tax Return” that
was filed with the IRS.
CERTIFICATION: The person signing below certifies that all of the information reported is complete
and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/13/2018) (S:\19_Forms\formSAMD17.docx)
Please fill in blanks, print, sign, attach docs & return
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