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 Verification
Worksheet- Independent
B. Student’s Tax Forms and Income Information (all applicants): Check only one box below.
☐ TAX RETURN FILERS: Yes, I have filed or will file a 2018 US Income Tax Return or the foreign equivalent. (Check one of
following):
☐ I used the Data Retrieval Tool (DRT) OR
☐ I will provide a signed 2018 IRS tax return or tax return transcript. If the return was amended, a signed 1040X is also
required.
NOT EMPLOYED: I was not employed and did not earn any income from work in 2018.
☐ NON TAX FILER: I did earn income but was not required to file for 2018.
If you are not required to file a 2018 Federal income tax return, you must submit a Verification of Non-Filing Letter from the IRS dated on or
after October 1, 2018. List below your employer(s) and any income received in 2018. Please submit copies of all W-2 forms. If you did not
keep a copy of your W-2 forms, call the IRS at 1-800-908-9946 to request a Wage and Income Transcript.
C. Spouse’s Tax Forms and Income Information (if student is married) Check only one box below.
☐ TAX RETURN FILERS: Yes, I have filed or will file a 2018 US Income Tax Return or the foreign equivalent. (Check one of
following):
☐ I used the Data Retrieval Tool (DRT) OR
☐ I will provide a signed 2018 IRS tax return or tax return transcript. If the return was amended, a signed 1040X is also
required.
NOT EMPLOYED: I was not employed and did not earn any income from work in 2018. If you did not file a 2018 Federal income
tax return, you must submit a Verification of Non-Filing Letter from the IRS dated on or after October 1, 2018.
☐ NON TAX FILER: I did earn income but was not required to file for 2018.
If you are not required to file a 2018 Federal income tax return, you must submit a Verification of Non-Filing Letter from the IRS dated on or
after October 1, 2018. List below your parent(s)’ employer(s) and any income received in 2018.Please submit copies of all W-2 forms. If your
parent(s) did not keep a copy of W-2 forms, call the IRS at 1-800-908-9946 to request a Wage and Income Transcript.
D. Certification and Signature(s)
Each person signing this form certifies that all the information reported on it is complete and correct. If any person providing information purposely
gives false or misleading information on this worksheet, they may face prosecution, which could result in a fine or jail sentence, or both.
__________________________________________________________ ___________________
Signature of Student Date
__________________________________________________________ ___________________
Signature of Spouse (if applicable) Date
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