Financial Aid Office
1200 16th Street
Golden CO 80401
Verification of 2015 Income Information for Parent Nontax Filers
Student: ____________________________________ CWID: ____________________
One or both parents will not file a federal tax return, are not required by the IRS to file, and were not
employed in 2015/had no income earned from work.
One or both parents will not file a federal tax return, are not required by the IRS to file, and were
employed in 2015, submit:
Completed table (below) listing all employers and amount earned
W-2s or 1099s for every employer listed. If no document is available, please explain. You
must list all employers even if they did not provide a document.
Note: If you were issued a 1099 or were not issued any income documentation from your employer, you may be
required to file a 2015 Federal Income Tax Return. If you earned more than $400 in untaxed income, please
complete an IRS form Schedule C. If net profit from line 31 of the schedule C is more than $400, you will be required
to file taxes. If you are not required to file taxes, submit a completed IRS form Schedule C and sign and date the
bottom of the form.
IRS W-2 Provided? If not, please explain.
Al’s Auto Body Shop (example)
By signing below, I (we) certify that all the information reported on this worksheet is complete and correct. WARNING:
If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or