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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
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Independent Non Taxfiler Verification Worksheet
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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.
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Must be 8 characters. Currently Entered: 0 characters.
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Check the box that applies:
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Section A:
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2021 Amount Earned #1
$
.
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IRS W-2 Provided?
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2021 Amount Earned #2
$
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IRS W-2 Provided?
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2021 Amount Earned #3
$
.
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IRS W-2 Provided?
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2021 Amount Earned #4
$
.
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IRS W-2 Provided?
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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.
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Please include all supporting documentation for additional student and parent income that could not be captured on this form.
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Did you indicate that you will not file taxes on your FAFSA, AND are not required to file taxes per IRS guidelines? If YES, you are required to submit a Verification of Non-filing Letter from the IRS.
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Instructions for obtaining IRS Verification of Nonfiling Letter
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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.
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I understand this is a legal representation of my signature.
Clear
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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.
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