WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
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OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Tax Filing Status
Form
(Student)
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
The U.S. Department of Education has indicated that your 2020-2021 Free Application for Federal Student Aid (FAFSA)
may contain conflicting information with regards to your current marital status and your 2018 federal tax filing status.
Please review the table below.
You must check one item in the left column and then one box in the column directly across from that category.
Please indicate your marital status as of the date the original
2020-2021 FAFSA was completed
Please indicate your tax filing status as reported
on your 2018 Federal Income Tax Return
☐ Single
☐ Head of Household
☐ Married or Re-Married
Date of Marriage/Re-Marriage: _________/________
(MONTH) (YEAR)
☐ Single
☐ Married Filing Jointly
☐ Married Filing Separate Return
☐ Head of Household
☐ Divorced
Date of Divorce: _________/_________
(MONTH) (YEAR)
☐ Single
☐ Married Filing Jointly
☐ Married Filing Separate Return
☐ Head of Household
☐ Separated
Date of Separation: _________/_________
(MONTH) (YEAR)
☐ Single
☐ Married Filing Jointly
☐ Married Filing Separate Return
☐ Head of Household
☐ Widowed
Date of Spouse’s Death: __________/_________
(MONTH) (YEAR)
☐ Single
☐ Married Filing Jointly
☐ Married Filing Separate Return
☐ Head of Household
☐ Qualifying Widower
☐ Please check this box if your FAFSA was originally completed with the wrong filing status. You will need to
make a correction to the FAFSA to reflect the correct 2018 filing status before we are able to continue processing
aid for 2020-2021 academic year.
Certification: I certify that the information is true and correct to the best of my knowledge and belief. I understand that
RCC has the right to require additional proof of the information provided on this form. I agree to submitting further
documentation if requested.
_______________________________________________ ___________________
Student Signature Date
click to sign
signature
click to edit
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