FinAid: Parent Non-tax Filer Verification Worksheet for Dependent Students

Office of Student Financial Aid
Division of Digital Transformation & Technology
2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● Fax: (757) 683-5920
Parent Non-tax Filer Verification Worksheet for Dependent Students
Instructions

The instructions and certifications below apply to each parent (or stepparent, if applicable) included in the household.
Complete this section if the parent(s) will not file and is not required to file a 2023 income tax return with the IRS.
Instructions

The instructions and certifications below apply to each parent (or stepparent, if applicable) included in the household.
Complete this section if the parent(s) will not file and is not required to file a 2024 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 2023. The parent was employed in 2023 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 2023 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.
Check the box that applies:

By completing this document, I certify that neither parent has filed nor is required to file a 2024 income tax return, and all their income earned from work, other income, and resources for the 2024 tax year are listed below
Section A: *

Section A: I certify that neither parent was employed, and neither had income earned from work in 2024. One or both parents were employed in 2024 and have listed below the names of all employers, the amount earned from each employer in 2024, and whether an IRS W-2 form, or an equivalent document is provided. List every employer even if the employer did not issue an IRS W-2 form. One or both of my parents had other income and resources that supported us for the 2024 tax year. (Examples: rental property income, investment income, self-employment or other buisness activities, etc.)
Source of Income #1
Source #1 - Amount Earned $ Dollars . Cents
IRS W-2 Report?

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

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

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

IRS W-2 Report? Yes No
If your parent(s) had more than 4 employers in 2024, please list any additional employers below - MUST include source of income, amount earned, and whether a W2 was provided.
Source of Other Income and/or Resources #1
Source #1 - Amount Earned $ Dollars . Cents
Source of Other Income and/or Resources #2
Source #2 - Amount Earned $ Dollars . Cents
Source of Other Income and/or Resources #3
Source #3 - Amount Earned $ Dollars . Cents
Source of Other Income and/or Resources #4
Source #4 - Amount Earned $ Dollars . Cents
If your parent(s) had more than 4 sources of additional income/resources in 2024, please list any additional below - MUST include source of income and amount earned.
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 2023. *
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 AND REVIEW.

FinAid: Parent Non-tax Filer Verification Worksheet for Dependent Students

Instructions

Instructions

Check the box that applies:

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 AND REVIEW.

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.