2015-16 Institutional Verification Supplement For Tax Extension Filer (Fafsa) (Page 2 of 2) in pdf

2015-16 Institutional Verification Supplement For Tax Extension Filer (Fafsa) Page 2

SECTION II - Personal Statement:

Use the space below to provide certification of estimated AGI and income taxes

due (if you are self-employed), and additional information you feel is relevant to your circumstances. Attach additional

page(s) if necessary. Please write the student’s name and MSU Identification number on any attachments.

Student’s Signature: ________________________________________ Date: _______________________

(required regardless of who filed tax extension)

Student’s Spouse’s Signature: __________________________________ Date: ____________________

(required if a spouse is reported in student’s household and spouse filed an extension)

Parent(s)’ Signature: ________________________________________ Date: _______________________

(required if the parent(s) reported in student’s household filed tax extension)

Warning: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.

IVFD 15-16_Supplement

2015-16 Institutional Verification Supplement For Tax Extension Filer (Fafsa) Page 2