FinAid: Parent Non Taxfiler Verification Worksheet for Dependent Students

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Office of Student Financial Aid
Division of Student Engagement & Enrollment Services
2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● Fax: (757) 683-5920
Parent Non Taxfiler Verification Worksheet for Dependent Students
The instructions and certifications below apply to each student and parent included in the household.
Complete this section if the student and/or parent will not file and is not required to file a income tax return with the IRS.
Aid Year *
Student Name Student Name * First Middle Last
Student UIN *
Must be 8 characters. Currently Entered: 0 characters.
Student Email *
Check the box that applies:
Section A:

Section A: The parent was not employed and had no income earned from work in 2022. The parent was employed in 2022 and has listed below ALL sources of income, the amount earned from each source, and whether an IRS W-2 form is attached. Attach copies of all 2022 forms issued to the parent by employers. List every employer or source of income, even if they did not issue an IRS W-2 form.
Source of Income #1
2022 Amount Earned #1 $ Dollars . Cents
IRS W-2 Report?

IRS W-2 Report? Yes No
Source of Income #2
2022 Amount Earned #2 $ Dollars . Cents
IRS W-2 Report?

IRS W-2 Report? Yes No
Source of Income #3
2022 Amount Earned #3 $ Dollars . Cents
IRS W-2 Report?

IRS W-2 Report? Yes No
Source of Income #4
2022 Amount Earned #4 $ Dollars . Cents
IRS W-2 Report?

IRS W-2 Report? Yes No
Filers of non-IRS Tax Returns:

If a tax return was filed with another government of a foreign nation or a US territory or commonwealth, please submit a copy of the signed tax return or tax transcript.
Additional Student/Parent Income

If there is additional student or parent income that could not be provided on this form, please record it on a separate sheet. All supporting documentation should be uploaded in PDF format ONLY. If the student and/or the parent(s) were employed, W-2 statetments MUST be provided. Please add the student UIN to each page being uploaded.
Attach Files

Please include all supporting documentation for additional student and parent income that could not be captured on this form.
Section B:
Parent: Please indicate how you supported yourself and your dependent(s) in 2022. *
Certification and Signature

Each person signing below certifies that all information reported is complete and correct.
*WARNING: If you purposely give false or misleading information you may be fined, sentenced to jail, or both.
Student Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY
Print Parent Name Print Parent Name * First Last
Parent Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY
PLEASE ALLOW 3-4 WEEKS FOR PROCESSING/REVIEW.
Old Dominion University is an equal opportunity, affirmative action institution. Minorities, women, veterans and individuals with disabilities are strongly encouraged to apply.

FinAid: Parent Non Taxfiler Verification Worksheet for Dependent Students

Check the box that applies:

Filers of non-IRS Tax Returns: If a tax return was filed with another government of a foreign nation or a US territory or commonwealth, please submit a copy of the signed tax return or tax transcript.

Additional Student/Parent Income

Certification and Signature

PLEASE ALLOW 3-4 WEEKS FOR PROCESSING/REVIEW. Old Dominion University is an equal opportunity, affirmative action institution. Minorities, women, veterans and individuals with disabilities are strongly encouraged to apply.

Filers of non-IRS Tax Returns:

If a tax return was filed with another government of a foreign nation or a US territory or commonwealth, please submit a copy of the signed tax return or tax transcript.

PLEASE ALLOW 3-4 WEEKS FOR PROCESSING/REVIEW.
Old Dominion University is an equal opportunity, affirmative action institution. Minorities, women, veterans and individuals with disabilities are strongly encouraged to apply.