Indian River State College
Office of Financial Aid
3209 Virginia Avenue Fort Pierce FL 34981
Phone: (772) 462-7450
Fax: (772) 462-4606
STUDENT CONFLICTING TAX DATA FORM
Student Name: Last: First: Middle:
IRSC Student ID:
As stated in your Student Aid Report (SAR), FAFSA determined there is a conflict in your tax filing
status and the information that you reported on the Free Application for Federal Student Aid
(FAFSA).
In compliance with federal guidelines, Indian River State College must verify the conflicting data by
obtaining documentation to clarify the data you reported on the FAFSA.
You must upload (in your MyPioneer Portal) this signed form along with the applicable documents
necessary to clear the conflict. Applicable documents may include (but are not limited to) proof of
separation (for example, utility bill or lease agreement showing separate addresses for the tax
return year); proof of divorce (provide copy of divorce decree), etc… You must also upload all
other forms requested in your “WorkDay” Inbox.
YOU MUST SUBMIT A COPY OF YOUR TAX RETURN TRANSCRIPT IN AN ATTEMPT TO
CLEAR THE CONFLICTING DATA, EVEN IF YOU LINKED TO THE IRS WHEN COMPLETING
YOUR FAFSA.
IF YOU DID NOT FILE, YOU MUST PROVIDE PROOF OF NON-FILING FROM THE IRS.
However, providing a non-filing form may not necessarily clear this status.
By signing below, I understand that I must submit all requested documents indicated in my
WorkDay” Inbox along with this form.
Student’s Signature: Date:
Rev. 8/2019
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