*NTF*
115 South Street Middletown, NY 10940 (845)341-4190 fax (845)341-4194
1 Washington Center Newburgh, NY 12550 (845) 562-245 fax (845)220-4062
www.sunyorange.edu
2015-2016 Non-Filing/Income Worksheet
Name________________________________________________ Social Security #:______________________________
Your application was selected by the U.S. Department of Education and/or Orange County Community College for review in a process called
“verification”. In this process, we are required by federal law (34 CFR, Part 668) to compare the information from your application with the information
provided on this form. Complete this verification form and submit it to the financial aid office.
ONLY complete all sections that are requested (refer to your “Outstanding Documents” via Banner)
STUDENT INFORMATION SECTION: (NTF)
STUDENT SPOUSE INFORMATION SECTION: (NTFSP)
FATHER/STEP-FATHER INFORMATION SECTION: (NTFF)
MOTHER/STEP-MOTHER INFORMATION SECTION: (NTFM)
NOTE: You can obtain a copy of your IRS Wage and Income Transcript at http://www.irs.gov/Individuals/Get-Transcript
Electronic Certification Agreement. By providing your “electronic” student signature, student ID # and by selecting the “Accept" button, you
consent that all of the information reported is complete and correct.
Student: Accept ____
Signature:_______________________________________ Date:__________
Spouse: Accept ____
Signature:_______________________________________ Date:__________
Father: Accept ____ Signature:_______________________________________ Date:__________
Mother: Accept ____ Signature:_______________________________________ Date:__________
*1516* WARNING: If you purposely give false or misleading information on the worksheet, you may be
fined, be sentenced to jail, or both.
_____The student did not file a federal tax return in 2014 and was not employed.
_____The student did not file a federal tax return in 2014 but was employed - MUST supply IRS Wage and Income
Transcript. (SW2T) Name of Employer: ____________________________________Amount Earned in 2014: $_____________
_____The student’s spouse did not file a federal tax return in 2014 and was not employed.
_____The student’s spouse did not file a federal tax return in 2014 but was employed - MUST supply IRS Wage and Income
Transcript. (SPW2T) Name of Employer: ____________________________________Amount Earned in 2014: ____________
_____The student’s father/step-father did not file a federal tax return in 2014 and was not employed.
_____The student’s father/step-father did not file a federal tax return in 2014 but was employed - MUST supply IRS Wage and Income
Transcript. (FW2T) Name of Employer: ____________________________________Amount Earned in 2014: $_____________
_____The student’s mother/step-mother did not file a federal tax return in 2014 and was not employed.
_____The student’s mother/step-mother did not file a federal tax return in 2014 but was employed - MUST supply IRS Wage and Income
Transcript. (MW2T) Name of Employer: ____________________________________Amount Earned in 2014: _____________
