2015-2016 | Office of Student Financial Assistance PARENT TAX FILING STATEMENT FOR 2014 TAXES Student’s Name:______________________________ UCFID: ___________________________ Address:_____________________________________ Date: _____________________________ City:________________________________________ State/Zip:__________________________ Parent’s Name(s):_____________________________ Phone:____________________________ Please refer to Section I of the Verification Worksheet to determine which parent(s) should be reported for financial aid purposes. 1. A) Were your parent(s) required to file a 2014 tax return? Parent 1 (father, mother, stepparent) �Yes* �No Parent 2 (father, mother, stepparent) : �Yes* �No B) If your parent(s) answered no to question #1, does your parent(s) intend to file a 2014 tax return? Parent 1 (father, mother, stepparent) �Yes* �No Parent 2 (father, mother, stepparent) : �Yes* �No *If yes, you must provide Verification of Tax Information. Please refer to the 2015-2016 Verification of Tax Information Instruction Sheet under the 2015-2016 Forms Menu on our website. 2. Were your parent(s) granted a filing extension by the IRS for 2014? Parent 1 (father, mother, stepparent) �Yes* �No Parent 2 (father, mother, stepparent) : �Yes* �No **If yes, you must submit a signed copy of your parent(s) IRS Form 4868, and provide an estimated Adjusted Gross Income and Tax Liability. Please note that you will be required to submit a signed IRS tax transcript for your parent(s) th after October 15 and your eligibility will be re-evaluated at that time. a. Estimated Adjusted Gross Income b. Estimated Tax Liability 3. $_________________ $_________________ List all employers and amounts earned in 2014. If self-employed, list “Self-employed” as the employer and report the income earned. If your parent(s) did not work at all in 2014, write N/A for name of employer(s). Parent 1 (father, mother, stepparent) Name of Employer(s) in 2014 Amount Earned in 2014 Parent 2 (father, mother, stepparent) Name of Employer(s) in 2014 Amount Earned in 2014 $ $ $ $ $ $ $ $ You MUST submit copies of ALL 2014 W2 & 1099 Forms By signing this form, I certify that the information provided on this form is complete and correct to the best of my knowledge. ____________________________ __________________________ Parent 1 Signature Date ____________________________ __________________________ Parent 2 Signature Date Office of Student Financial Assistance Millican Hall, Room 120 Orlando, FL 32816-0113 Phone: (407) 823-2827 Fax:(407) 823-5241 www.finaid.ucf.edu An Equal Opportunity and Affirmative Action Institution Parent_TaxFiling1516-Rev.02/15
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