Dependent Verification Worksheet Page 2

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NECC ID#: __________________________
C. INCOME INFORMATION:
STUDENT
PARENT
I am required to file a 2015 Federal Tax Return.
I am required to file a 2015 Federal Tax Return.
I did not/am not required to file a 2015 Federal Tax
I did not/am not required to file a 2015 Federal Tax
Return for the year 2015 (attach all 2015 W2s and 1099s).
Return for the year 2015 (attach all 2015 W2s and 1099s).
Income earned for 2015 was: $_____________
Income earned for 2015 was: $_____________
Untaxed income for 2015 was: $_____________
Untaxed income for 2015 was: $_____________
Source(s) of untaxed income: _______________
Source(s) of untaxed income: _______________
_______________________________________
_______________________________________
TAX RETURN FILERS:
If you filed 2015 taxes, make sure you use the IRS Data Retrieval Tool (DRT) to
directly update your FAFSA with your actual 2015 income information. If you cannot use or prefer not to
use the DRT you will need to obtain a 2015 IRS Tax Transcript and submit that to our office. To order an
IRS transcript you may go to
or call the IRS at 1-800-908-9946.
TAX RETURN NON-FILERS:
If you did not file a 2015 tax return, ALL non-filers, parents and
students, are required to obtain a 2015 Verification of Non-filing Letter from the IRS and submit that to our
office. To obtain a Verification of Non-filing Letter you can use the IRS Data Retrieval Tool (DRT) OR if
you prefer, you may go to
or call the IRS at 1-800-908-9946 to
order one.
TO DETERMINE
if you are required to file a 2015 Federal Tax Return please go to,
Need-to-File-a-Tax-Return%3F.
D. Certification and Signatures:
Each person signing this worksheet certifies that all of the information reported on it
is complete and correct. The student and one parent must sign and date. WARNING: IF YOU PURPOSELY GIVE
FALSE OR MISLEADING INFORMATION ON THIS WORKSHEET, YOU MAY BE FINED, SENTENCED
TO JAIL, OR BOTH.
_________________________________________________
_________________________________
Student’s Signature
Date
_________________________________________________
_________________________________
Parent’s Signature
Date
Revised 5/20/2015

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