Fillable LOW INCOME STATEMENT/with UNTAXABLE INCOME (J Sargeant Reynolds Community College)

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LOW INCOME STATEMENT/with UNTAXABLE INCOME (J Sargeant Reynolds Community College)

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______________________________________ __________________
2020-2021
LOW INCOME STATEMENT/with UNTAXABLE INCOME
I/We will not file a 2018 IRS form 1040/1040A or 1040EZ. I/We did not
receive any taxable income during 2018
I earned $_____________ in 2018 from ______________________ and
I’m unable to provide a 2018 W-2.
I certify that all the financial aid information reported on my 2020-2021
FAFSA/Student Aid Report is true and complete to the best of my
knowledge.
Student I.D.# ___________________________
St
udent
Signature
Da
te
P
lease
n
ote:
Further
documentation
may be
required,
i.e.
proof
of se
parate
domiciles;
order
of c
hild
support
and/or
spousal
support,
etc.
As pe
r
the
United
States De
partment
of E
ducation, “
If y
ou pur
posely
give
false
or
misleading i
nformation,
you m
ay be
fined
$20,000, se
nt
to
prison,
or
both.”
02/09/18
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LOW INCOME STATEMENTwith UNTAXABLE INCOME (J Sargeant Reynolds Community College)

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Completed 27 July 2020

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