2025-2026 Independent Non-Filer Tax Statement

2025-2026 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 2023.I did file, or will file, a 1040 U.S. Federal Income Tax Return for 2023.
If student (and/or spouse) worked in 2023, please upload a copy of 2023 W-2 form(s).
Source of Income:
Amount Earned in 2023:
Please upload copy of 2023 W-2 form(s)

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

Clear
Date*

MonthDayYear
Should be Empty: