Mail, fax, email, or deliver the completed worksheet to the financial aid office using the contact information listed below.
EMAILED FORMS MUST BE SENT FROM THE IWU STUDENT EMAIL ACCOUNT
Financial Aid Office, IWU National & Global 1900 West 50
th
Street Marion, IN 46953-9393 indwes.edu
800.621.8667 option 4 765.677.2516 765.677.2030 Fax IWUfinaid@indwes.edu
DEPENDENT STUDENT
( ) -
STUDENT INFORMATION
________________________________________ ____ _______________________________________________
First Name M.I. Last Name
___________________ OR __________________ ______________________________________
FC19PAIW
Student ID Last 4 Digits of SSN Phone Number
PARENT INCOME FROM WORK
You indicated that your parent(s) will not file a 2017 Federal Income Tax Return. If this is correct, you must confirm that
your parent(s) did not file and was/were not required to file a 2017 Federal Income Tax Return by checking the appropriate
box below.
My parent(s) did not file and was/were not required to file a 2017 Federal Income Tax Return. My parent(s) had no
income earned from work in 2017.
My parent(s) did not file and was/were not required to file a 2017 Federal Income Tax Return. I have listed below the
names of all employers for my parent(s) and the amount earned from each employer in 2017. I have listed every
employer even if the employer did not issue an IRS W-2 form.
Attach copies of all 2017 IRS W-2 Forms issued to your parent(s).
If one parent has filed or will file a 2017 Federal Income Tax Return and not the other, you must submit a signed copy of
that parent’s 2017 Federal Income Tax Return that was used for submission to the IRS. Your parent must sign the 1040,
1040A, 1040EZ, or foreign income tax return on the appropriate signature line. Do not include in the chart below income
received from work that is accounted for on a 2017 Federal Income Tax Return.
EMPLOYER OR SOURCE OF INCOME PARENT(S) AMOUNT EARNED IN 2017
A $0 value is assumed for all fields left blank.
$
$
$
$
If more space is needed, provide a separate page with the student name and ID number at the top.
Additionally, you must provide documentation from the IRS dated on or after October 1, 2018 that indicates a 2017
IRS income tax return for your parent(s) was not filed with the IRS. Please check the appropriate box below.
I will submit a Verification of Nonfiling Letter for my parent(s) when it has been received from the IRS.
I have included a Verification of Nonfiling Letter for my parent(s) with this worksheet.
CERTIFICATION AND SIGNATURES
By signing this worksheet, I certify that all the information reported on this worksheet is complete and correct.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to
jail, or both.
_____________________________________________________________________________ _________________
Student Signature* Date
_____________________________________________________________________________ _________________
Parent Signature* Date
* Must be an actual “wet” signature. A digital signature or typed font signature is not acceptable. This form may be completed and “wet” signed via a tablet
or smartphone with PDF signing capability using a stylus pen. You may need to download an app to access this feature.
