2019-2020 Verification of 2017 Income Information for Student Nontax Filers
Please return this completed form to Indian Hills Community College along with any other requested materials:
Fax: 641.683.5741│ Mail: IHCC Financial Aid Office, 525 Grandview Ave, Ottumwa, IA 52501
or bring to One Stop/Bennett Student Services Building
You can check your financial aid document status, print required forms, and view your financial aid award information (once available) on WebAdvisor.
Student’s Name
Student’s ID Number
The instructions and certifications below apply to the student and spouse, if the student is married. Complete this section
if the student and spouse will not file and are not required
to file a 2017 income tax return with the IRS.
Check the box/es that applies:
The student was not employed and had no income earned from work in 2017.
The student was employed in 2017 and has listed below the names of all employers, the amount earned from each
employer in 2017, and whether an IRS W-2 form or an equivalent document is provided. [Provide copies of all 2017
IRS W-2 forms issued to the student and spouse by their employers]. List every employer even if the employer did
not issue an IRS W-2 form.
The spouse was not employed and had no income earned from work in 2017.
The spouse was not employed in 2017 and has listed below the names of all employers, the amount earned from
each employer in 2017, and whether an IRS W-2 form or an equivalent document is provided. [Provide copies of all
2017 IRS W-2 forms issued to the student and spouse by their employers]. List every employer even if the
employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
List Student or Spouse’s
Name
Employer’s Name
Check if self-
employed income
i.e. babysitting,
mowing, etc.
(Example) John Smith
(Example) ABCs Auto Body Shop
If you are an independent student, submit an IRS Verification of Nonfiling Letter. You can order a Verification of
Nonfiling Letter on the IRS Web site or by submitting Form 4506-T to the IRS and checking box 7. Specify which tax
year(s) you need, and mail or fax the completed form to the IRS at the address or fax number provided in the
instructions. Dependent students who did not file a 2017 tax return do NOT have to submit an IRS Verification of
Nonfiling Letter.
____ Check here if confirmation of nonfiling is provided.
____ Check here if confirmation of nonfiling will be provided later.
Certification and Signature
Each person signing below certifies that all of the
information reported is complete and correct.
A hand written signature, not typed, is required.
________________________________________ ________________________
Student’s Signature (Required) Date
________________________________________ ________________________
Spouse’s Signature (Required if a nonfiler) Date
________________________________________ ________________________
Parent’s Signature (Required for dependent students) Date
WARNING: If you purposely give false or
misleading information, you may be fined,
sent to prison, or both.
If you're unable to provide your 2017 Form W-2
The quickest way to obtain a copy of your current year Form W-2 is through your employer. If you can't get your Form W-2
from your employer, you can get a wage and income transcript by using Get Transcript Online at
www.irs.gov/Individuals/Get-Transcript. You can also use Form 4506-T
, Request for Transcript of Tax Return. Check the
box for Form W-2, specify which tax year(s) you need, and mail or fax the completed form to the IRS at the address or fax
number provided in the instructions. Allow 5 to 10 days from the IRS received date to receive the transcript.
2017 Filing Requirements Chart for Most Taxpayers
Note. You must file a return if your gross income was at least the amount shown in the last column.
IF your filing status is. . .
AND at the end of 2017 you
were*. . .
THEN file a return if your gross
income** was at least. . .
Single
under 65
$10,400
65 or older
$11,950
Head of household
under 65
$13,400
65 or older
$14,950
Married filing jointly***
under 65 (both spouses)
$20,800
65 or older (one spouse)
$22,050
65 or older (both spouses)
$23,300
Married filing separately
any age (if your spouse itemizes
deductions)
$ 4,050
Qualifying widow(er)
under 65
$16,750
65 or older
$18,000
*
If you were born before January 2, 1953, you are considered to be 65 or older at the end of 2017. (If
your spouse died in 2017 or if you are preparing a return for someone who died in 2017, see Pub. 501.)
**
Gross income means all income you receive in the form of money, goods, property, and services that
isn't exempt from tax, including any income from sources outside the United States or from the sale of
your main home (even if you can exclude part or all of it). It also includes gains, but not losses, reported
on Form 8949 or Schedule D. Gross income from a business means, for example, the amount on
Schedule C, line 7, or Schedule F, line 9. But, in figuring gross income, don't reduce your income by
any losses, including any loss on Schedule C, line 7, or Schedule F, line 9. Don't include any social
security benefits unless (a) you are married filing separately and you lived with your spouse at any time
in 2017 or (b) one-half of your social security benefits plus your other gross income and any tax-exempt
interest is more than $25,000 ($32,000 if married filing jointly). If (a) or (b) applies, see the Instructions
for Form 1040 or Pub. 915, Social Security and Equivalent Railroad Retirement Benefits, to figure the
taxable part of social security benefits you must include in gross income.
***
If you didn't live with your spouse at the end of 2017 (or on the date your spouse died) and your gross
income was at least $4,050, you must file a return regardless of your age.