Student’s Name _______________________________ Student’s ACC ID Number ________________ V5 – I
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Updated 3/9/18
Student Income Information
Did you (or your spouse if applicable) file a 2016 tax return?
YES -- Please check a box below.
The student (and spouse) filed a 2016 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The student (and spouse) filed a 2016 tax return and did not use, or were unable to use, the IRS Data Retrieval Tool to
complete the FAFSA. Please submit 2016 IRS Tax Transcript(s). All W2s, 1099s, worksheets, and schedules must be
included. Please see “How to Provide Tax Information for Financial Aid” (available on our website) for assistance.
NO -- Please check a box below. Please submit a 2016 Verification of Non-filing from the IRS. Please see “How to Provide Tax
Information for Financial Aid” (available on our website) for assistance.
The student (and spouse) did not work and had no income for 2016.
The student (and spouse) worked or had other income in 2016, but did not and were not required to file a tax return. List
below the names of all employers, the amount earned from each employer in 2016, and submit a 2016 W2/1099 for
each employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
Employer’s Name 2016 Amount Earned IRS W-2 Provided?
Suzy’s Auto Body Shop (example) $2,000.00 Yes
High School Completion Status
Provide one of the following documents that indicate the student’s high school completion status when the student will begin college
in 2018-2019:
A copy of the student’s final official high school transcript that shows the date when the diploma was awarded (PREFERRED –
to satisfy Financial Aid and ACC Admissions requirements).
A State certificate or transcript received by a student after the student passed a State-authorized examination that the State
recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized examination).
For students who completed secondary education in a foreign country, a copy of the “secondary school leaving certificate” or
other similar document. It is recommended that students submit an official high school evaluation to expedite the verification
process.
An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
For a student who was homeschooled in a State where State law requires the student to obtain a secondary school completion
credential for homeschooling (other than a high school diploma or its recognized equivalent), a copy of that credential.
A copy of the student’s high school diploma (will not satisfy ACC some program requirements).
For a student who was homeschooled in a State where State law does not require the student to obtain a secondary school
completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a transcript, or the
equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and includes a
statement that the student successfully completed a secondary school education in a homeschool setting.
A student who is unable to obtain the documentation listed above must contact the financial aid office.
Only
complete
this box if
you did NOT
file taxes.