721 Cliff Drive • Santa Barbara, California 93109-2394 • Phone (805) 965-0581 • Fax (805) 564-1893
C. STUDENT’S INCOME INFORMATION TO BE VERIFIED
If you did not file a 2017 Federal Tax Return, or if the income information reported on the financial aid application
appears low, please explain how living expenses were met in the space below.
D. ADDITIONAL FINANCIAL INFORMATION
In 2017 or 2018, did anyone in your household receive:
Medicaid SupplementalSocialSecurityIncome(SSI) SupplementalNutritionAssistanceProgram(SNAP)
Temporary Assistance for Needy Families (TANF)
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
I Filed a 2017 Federal Tax Return
Federal 2017 Tax Information – select one option:
I have used the IRS Data Retrieval Tool on the FAFSA. (This tool is unavailable for the CA Dream Act
I have attached a copy of my 2017 Tax Return Transcript.
The Tax Return Transcript is available at www.irs.gov or by calling 1-800-908-9946.
Click here for further instructions. If you filed an amended tax return, a tax extension or have any
other unusual circumstance, please click here.
- OR -
I Was Not Required to File 2017 Federal Tax Return
I worked, but will not file
o I have attached a copy of my 2017 Verification of Non-Filing Letter from the IRS and have listed all sources
of income below.
o I have attached copies of all W-2 statements OR a Wage and Income Transcript for 2017.
o I do not have W-2 statements for 2017, as I was self-employed.
I did not work
o I have attached a 2017 Verification of Non-Filing Letter from the IRS and have listed all sources of income
o Enter $0 or N/A if your parents' had no source of income.
Sources of Income and Employer Information for Non-filers Amount
1. Source/Employer’s Name: $
2. Source/Employer’s Name: $