FinAid: Independent Student Non-tax Filer Verification Worksheet

Hidden Form Name
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
Independent Student Non-tax Filer Verification Worksheet
Instructions

Complete this section if the student and spouse (if applicable) will not file and are not required to file a 2024 income tax return with the IRS.
Instructions

The instructions and certifications below apply to each student and spouse, if the student is married.
Complete this section if the student and spouse will not file and are 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:

By completing this document, I certify that I have not filed and am not required to file a 2024 income tax return, and I have listed below all income earned from work, other income, and resources for the 2024 tax year.
Section A (select all that apply): *

Section A (select all that apply): My spouse and I were not employed and had no income earned from work in 2024. My spouse and/or I 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. My spouse and/or I 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.)
Check the box that applies:
Section A:

Section A: The student was not employed and had no income earned from work in 2023. The student 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 student by employers. List every employer or source of income, even if they did not issue an IRS W-2 form.
Source of Income #1
Source #1 - Amount Earned $ Dollars . Cents
IRS W-2 Provided?

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

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

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

IRS W-2 Provided? Yes No
If you 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 you 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.
Student and Spouse Income Documentation

If there is additional student or spouse income that could not be listed on this form, please record it on a separate sheet, scan, and upload ALL supporting income documentation in PDF format ONLY. If student and/or spouse were employed, W-2 statements MUST be provided.
Attach Files

Please include all supporting documentation for additional student and parent income that could not be captured on this form.
Section C:
Student: If no income was reported above I have indicated below how I supported myself 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
PLEASE ALLOW 3-4 WEEKS FOR PROCESSING AND REVIEW.

FinAid: Independent Student Non-tax Filer Verification Worksheet

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.

Student and Spouse Income Documentation

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.