ZN ‘An equal opportunity university Wi ESTERN 2017 - 2018 Non Tay-Filer Income Verification - Student aor sane franco wcatraeat si Mensa ol an 265 oneee ti Wa Malcolm Smitin wolS851Fe Student Name ‘Student ID. Number You indicated on your 2017-2018 FAFSA that you were a non-filer for tax year 2015. If you are married and your spouse was a non-filer for 2015, you will aso need to complete page 2. STUDENT INCOME INFORMATION: Indicate which one of the following options apply to you (the student): ‘O By checking this box, | certify that | am not required to file and did not file a 2015 tax return, but did have earnings in 2015. '¢ Provide copies of all 2015 W-2s. ‘© Ust the income you received from all employers below, even if they did not issue a W-2 form. Include an explanation for any employers who did not provide a W-2 (for exompl, if tis from seemployment or the company no longer exits) [Student Non-Filer Employer or Source of Income Peal Yt |2015 Income $ $ s is 6 By checking this box, | certify that I did not have any earnings or receive any taxable income in 2015. ‘O by checking this box, | certify that | indicated Non-Filer status for 2015 In error. ‘© Submit a 2015 Tax Return Transcript, Request «copy at rs.gov or eal 1-800-908-8946. We cannot ‘accept copies of your 1040 to satisfy this requirement - see our IRS Tox Data (TXD} Instructions for more details. ‘Those who are required tofilea tax return must do so before the application for financial ald will be processed. ‘if you are unsure whether you should have fled 2015 taxes, please review the guidelines at hi wluacido- Continue to next page Page 1of22017 - 2018 Non Tax-Filer Income Verification - Student Malcolm Smith wo: 12 Student Name Student LD. Number STUDENT'S SPOUSE INCOME INFORMATION (if applicabl Indicate which one of the following options applies to your spou: © By checking this box, | certify that my spouse is not required to file and did not file a 2015 ‘ax return, but did have earnings in 2015. + Provide copies of all our spouse's 2015 W-2s, ‘© List the income your spouse received from all employers below, even if they did not issue a W-2 form. Include an explanation for any employers who did not provide a W-2 (for example, itis ‘rom seempleyment or the company no longer exists) Student's Spouse Non-Filer Nar Employer or Source of ncome RRA oss ncome $ $ $ O By checking this box, I certify that my spouse did not have any earnings or receive any taxable income in 2035, © By checking this box, | certify that my spouse indicated Non-Filer status for 2015 in error. ‘© Submit a 2015 Tax Return Transcript. Request a copy at is.gavor call 1-800-908-9846. We connot ‘accept copies of your 1040 to satisfy ths requirement - se our IS Tox Data (PXD) structions for more etait “Those who are required to file a tax return must do s0 before the application for financial ald wil be processed. If you are unsure whether you should have fled 2015 taxes, please review the guidelines at CERTIFICATION I you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both. Unsigned forms will be returned, understand that submitting this form electronically as an email attachment using my WWU email ‘account constitutes my signature and my certification thatthe information provided herein is complete ‘and correct. S- I$- 2017 Student Senatre I ifraure requ sabmited rom yourwwUenailecount) ‘Date FOR OFFICE USE ONLY Operations: twries__} Page 2012