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
INDEPENDENT STUDENT
( ) -
STUDENT INFORMATION
________________________________________ ____ _______________________________________________
First Name M.I. Last Name
___________________ OR __________________ ______________________________________ FC19SPIW
Student ID Last 4 Digits of SSN Phone Number
SPOUSE INCOME FROM WORK
You indicated that your spouse will not file a 2017 Federal Income Tax Return. If this is correct, you must confirm that your
spouse has not filed and is not required to file a 2017 Federal Income Tax Return by checking the appropriate box below.
My spouse has not filed and is not required to file a 2017 Federal Income Tax Return. My spouse had no income
earned from work in 2017.
My spouse has not filed and is not required to file a 2017 Federal Income Tax Return. I have listed below the names
of all employers for my spouse 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 spouse.
EMPLOYER OR SOURCE OF INCOME STUDENT’S SPOUSE 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 spouse was not filed with the IRS. Please check the appropriate box below.
I will submit my spouse’s Verification of Nonfiling Letter when it has been received from the IRS.
I have included my spouse’s Verification of Nonfiling Letter with this worksheet.
CERTIFICATION AND SIGNATURE
By signing below, 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
* 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.
