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UMGC Office of Financial Aid | 3501 University Boulevard East, Adelphi MD 20783 USA Instructions: This form must be completed if you are a U.S. citizen, eligible non-citizen, andoor U.S. resident and are not required to file a 2018 U.S. federal tax return. You must attach copies of all W-2 andoor 1099 forms you received for calendar year 2018. Select the appropriate option that pertains to you for the 2018 tax year. A) I, the Student, certify that I did not work during 2018 and did not receive a W-2 or 1099 for the 2018 tax year. OR B) I, the student, certify that I worked during 2018 and received a W-2 or 1099 for the 2018 tax year and will submit copies of all forms that I received to UMGC. List all sources and amounts of income received for this period. All of the informaon on this form is true and complete to the best of my knowledge. If requested, I agree to provide further documentaon to substanate the informaon provided. Student’s Signature __________________________________________________ Date __________________ (must be signed by hand, not typed) Parent’s Signature ___________________________________________________ Date __________________ (must be signed by hand, not typed) Income Source Amount W2 or 1099 Received & Aached $ Yes No $ Yes No $ Yes No $ Yes No $ Yes No $ Yes No Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for a process called “verification”, in which UMGC is required to confirm the informaon you reported on the FAFSA. Accurate completion of this form is required in order to verify and process your 2020-2021 financial aid application. F21DNF Form: Dependent Student Non-Tax Filer — 2018 Tax Year Academic Year: 2020-2021 Student’s ID #: _ Student’s Name: _________________________________________ Please scan and submit this completed form at www.umgc.edu/help/submit-case.cfm.
