The instructions and certifications below apply to the 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 2018 income tax return with the IRS.
  • The student and spouse were not employed and had no income earned from work in 2018.
  • The student and/or spouse were employed in 2018 and have listed below the names of all employers, the amount earned from each employer in 2018, and whether an IRS W-2 form or an equivalent document is provided.
    [Provide copies of all 2018 IRS W-2 forms issued to the student and spouse by their employers]. List every employer even if the employer did not issue an IRS W-2 form.

Student's Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Total Student Income $
Spouse’s Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Spouse’s Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Spouse’s Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Spouse’s Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Spouse’s Employer Name
2018 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Total Spouse Income $

NOTE:

If more space is needed, complete a second form and notify Financial Aid of second form at 919-209-2036.

Request the verification of non-filing letter by accessing www.irs.gov and clicking on “Get Your Tax Record” or complete the IRS form 4506-T. The 4506-T is available at https://www.irs.gov/pub/irs-pdf/f4506t.pdf. North Carolina residents may mail the form to Ogden, UT or fax to 855-800-8015. Residents of other states should review page 2 of the form to determine where to mail or fax the form.

Provide documentation from the IRS or other relevant tax authority dated on or after October 1, 2019 that indicates a 2018 IRS income tax return was not filed with the IRS or other relevant tax authority.

  • Select here if confirmation of nonfiling is provided
  • Select here if confirmation of nonfiling will be provided later.

WARNING:

If you purposely give false or misleading information, you may be fined, sent to prison, or both.
Student Signature
Student ID Number
Date
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