Massachusetts Maritime Academy
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2Massachusetts Maritime Academy
VERIFICATION DOCUMENTATION 15-16
A. STUDENT INFORMATION
_______________________________________________________
______________________________
_______________________
Last name
First Name
MI
MMA ID/Social Security #
Date of Birth
_______________________________________________________________________________________________________________________
Street
City
State
Zip Code
B. STUDENT FEDERAL TAX INFORMATION
Please complete the following regarding the student’s income. Do not leave any section blank.
I will not file and am not required to file a 2014 Federal Income Tax Return. The following information reflects my total
(check one)
earnings in 2014:
Employer/Source of Income
Total amount received in 2014
___________________________________
$______________________
___________________________________
$______________________
I have filed a 2014 Federal Income Tax Return and used the IRS Data Retrieval Tool on the FAFSA
I have filed a 2014 Federal Income Tax Return and have attached a Tax Return Transcript that I obtained directly from the
IRS.
I received SNAP (food stamps) in 2014. I have attached documentation from the agency that administers the SNAP program
(check one)
I did not receive any SNAP (food stamps) benefits in 2014
C. PARENT FEDERAL TAX INFORMATION
Please complete the following regarding the parents’ income. Do not leave any section blank.
I will not file and am not required to file a 2014 Federal Income Tax Return. The following information reflects my total
(check one)
earnings in 2014:
Employer/Source of Income
Total amount received in 2014
___________________________________
$______________________
___________________________________
$______________________
I have filed a 2014 Federal Income Tax Return and used the IRS Data Retrieval Tool on the FAFSA
I have filed a 2014 Federal Income Tax Return and have attached a Tax Return Transcript that I obtained directly from the
IRS.
I received SNAP (food stamps) in 2014. I have attached documentation from the agency that administers the SNAP program
(check one)
I did not receive any SNAP (food stamps) benefits in 2014
D. ADDITIONAL INCOME INFORMATION
STUDENT
PARENT
2014 Pre-tax retirement/pension contribution
$__________
$__________
2014 Child Support Received for all children
$__________
$__________
2014 Military or Clergy Housing Allowances
$__________
$__________
2014 Non-Education Veteran Benefits
$__________
$__________
2014 other untaxed income not reported elsewhere*
$__________
$__________
*Source of other untaxed income listed above
______________________________________________
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