Income Information For Parent Nontax Filers printable pdf download

2016-2017 Verification - 2015 Income Information for Parent Nontax Filers Form

Dependent Student

Office of Financial Aid – One University Avenue – Bourbonnais, IL 60914

Phone: (815) 939-5249 Fax: (815) 939-5074

Your Free Application for Federal Student Aid (FAFSA) was selected for review in a process called “Verification.” Complete this

verification form and submit it to the Office of Financial Aid as soon as possible so that your financial aid is not delayed. Please be

aware that your financial aid eligibility may change based on verification.

ONU ID # or SSN___________________________________________

Date of Birth_______________________________

Student Name_______________________________________________________________________________________________

Last

First

M.I.

Student Address_____________________________________________________________________________________________

Street (include apartment #)

City

State

ZIP Code

The instructions and certification below apply to each parent included in the household. Complete this form if the parents

will not file and are not required to file a 2015 income tax return with the IRS.

Check the box that applies:

Neither parent was employed and neither parent had income earned from work in 2015.

One or both parents were employed in 2015 and have listed below the names of all employers and the

amount earned from each employer in 2015. [Provide copies of all 2015 IRS W-2 and 1099 forms issued

to the parents by their employers]. List every employer even if the employer did not issue an IRS W-2 or

1099 form.

Note: We may require you to provide documentation from the IRS that indicates a 2015 IRS income tax return was not

filed with the IRS.

Total Amount

W-2 and/or 1099

Employer’s Name

Earned in 2015

Attached?

___Yes

___No

___Yes

___No

___Yes

___No

___Yes

___No

___Yes

___No

___Yes

___No

If more space is needed, attach a separate page with the student’s name and ID number at the top.

If you DID NOT receive a W-2 form or a 1099 form for an employer listed above, please explain how you were paid (if

you did receive a W-2 or 1099 but cannot locate it, you will need to request another copy from your employer):

__________________________________________________________________________________________________

I certify that ALL of the information on this form is complete and correct:

WARNING: If you purposely give false or

misleading information on this form, you may

_________________________________________________________________________

be fined, sentenced to jail, or both. If we have

Student Signature (Required)

Date

reason to believe that the information on this

form is not accurate, we may require

_________________________________________________________________________

Parent Signature (Required)

Date

additional documentation.

Rev 1/15

Income Information For Parent Nontax Filers

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