Lorain County Community College Financial Services 1005 N. Abbe Rd, Elyria, OH 44035 Phone: 440-366-4034
Spouse Non-Filing Form
2020-21 Financial Aid Year
Section 1. Student Information
Last Name First Name Middle Initial
LCCC Student ID #
Section 2. Statement of Tax-Filing Status (Spouse)
Check the appropriate box below:
My spouse did not/was not required to file a 2018 federal tax return with the IRS AND did not work in 2018. My spouse’s “verification of non-filing letter” from the
IRS is attached.
My spouse did not/was not required to file a 2018 federal tax return with the IRS AND earned income in 2018 from one or more employer. I have listed the source
of income and the amount of income earned from each source. My spouse’s W-2 statement(s) from all employers are attached as required. Do not submit this
form without completing the table below and attaching W2s! Be sure to also include a copy of your spouse’s "verification of non-filing letter from the IRS.
Source of Income (Employers only do not include SSI, SSD, etc.) Amount Earned from Source
My spouse reported on the FAFSA that he or she was not planning to file a 2018 federal tax return with the IRS, but filed.
As a tax filer, you must submit a signed copy of your spouse’s tax return before we can complete this process and send you a financial aid offer. You can submit a
copy of your spouse’s actual 2018 federal tax return (1040 + Schedule 1/2/3 if applicable). If your spouse doesn’t have his or her tax return, her or she can order a
copy of the tax return transcript from the IRS for free (start at www.irs.gov/individuals/get-transcript and choose “Get transcript by mail”).
Section 3. Additional Requirements
Do not submit this form until you have gathered all other required documents/forms to avoid processing delays.
**Independent students: your spouse is required to submit a copy of your “verification of non-filing letter” from the IRS. Start at
www.irs.gov/individuals/get-transcript and choose “Get transcript by mail.” Be sure to select “verification of non-filing letter.”
All other required documents/forms are listed on your To Do list in MyCampus. To view your To Do list, log in to MyCampus and click on "Student Center." LCCC
form(s) listed can be found on our website, www.lorainccc.edu/finaidforms.
Section 4. Certification.
My signature below certifies that the information I provided on this form is true. I understand that I must include the Verification of Non-Filing Letter for my spouse
from the IRS (if I am an independent student) and all copies of my spouse’s 2018 W-2 forms for any income earned from work in 2018 (or my tax return transcript/use
of the IRS Data Retrieval Tool if I filed).
Student Signature Date
Electronic signatures will not be accepted. Please print this form to sign before submitting.
Section 5. Submission
Do not submit this form until you have gathered all other required documents/forms to avoid delays in processing. When all required documents have been
gathered, you may submit your information by: a) mail to the address below; b) fax to 440-366-4634 or; c) deliver to Financial Services, First Floor, Bass Library.
Watch for two-sided documents. Be sure to include both sides when faxing. Do not email any documents with personally identifiable information.
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