2023-2024 Independent Non-Filer Tax Statement

2023-2024 Independent Non-Filer Tax Statement

Financial Aid Office | 309.341.5283 | finaid@sandburg.edu
Student Name*

First NameLast Name
Student ID#*
Last 4 Digits of Student SSN xxx-xx-*
Student Email*
example@example.com
Check the appropriate box below:*

I have attempted to obtain an IRS Verification of Non-Filing, but am unable to do so. I have not filed, and am not required to file a 1040 U.S. Federal Income Tax Return for 2021.I did file, or will file, a 1040 U.S. Federal Income Tax Return for 2021.
If student (and/or spouse) worked in 2021, please upload a copy of 2021 W-2 form(s).
Source of Income:
Amount Earned in 2021:
Please upload copy of 2021 W-2 form(s)

Cancelof
I certify the information provided above is true and complete.
Student Signature*

Clear
Date*

MonthDayYear
Should be Empty: