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It is designed for students or parents who have been granted an IRS tax filing extension beyond the standard six-month period for the 2021 tax year. The form requires detailed reporting of self-employment status, wages earned, estimated adjusted gross income, and U.S. income tax paid. Additionally, applicants must provide supporting documentation including IRS Form 4868, confirmation of non-filing, W-2 forms, and, where applicable, signed statements certifying financial data. By completing this form, the signatory attests to the accuracy and completeness of the provided financial information for federal student aid verification purposes.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/confirmation-of-federal-tax-extension-2023-2024/304233/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/confirmation-of-federal-tax-extension-2023-2024/304233.png","ImageObject",442,249,{"name":88,"@type":89},"Kurz","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-30","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who should complete this form?","Question",{"text":108,"@type":109},"Students or their parents who were required to file a 2021 IRS income tax return and were granted a filing extension beyond the automatic six-month extension.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What documentation must be submitted with this form?",{"text":113,"@type":109},"Applicants must submit a copy of IRS Form 4868, approval of extension beyond the automatic six months, IRS confirmation of non-filing, copies of all W-2 forms, and a signed statement for self-employed individuals.",{"name":115,"@type":106,"acceptedAnswer":116},"Where should the completed form be sent?",{"text":117,"@type":109},"The form should be submitted to the Assumption University Office of Financial Aid, located at 500 Salisbury Street, Worcester, MA 01609.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},304233,1790113215,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":135,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},2336478945635,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Office of Financial Aid 500 Salisbury Street Worcester, MA 01609 Email: [fa@assumption.edu](fa@assumption.edu)  \n[Phone:](Phone:) (508) 767-7158  \nFax: (508) 519-1286  \nCONFIRMATION OF FEDERAL TAX EXTENSION  \n2023-2024  \nStudent Name:   Student ID\\#:   \nYou were asked to submit this form because you (or your parents) were required to file a 2021 IRS income tax return and have been granted a filing extension by the IRS beyond the automatic sixmonth extension for tax year 2021.  \nName(s) of an individual(s) for whom the extension was filed:  \n1.   2    \nSelf-employed?  Yes  No Self-employed?  Yes  No  \nWages earned by the above individual(s) for tax year 2021:  \n1.   2.    \nEstimated Adjusted Gross Income for the above individual(s) for tax year 2021: $  Estimated U.S. income tax paid for the above individual(s) for tax year 2021: $  Along with this form, please submit:  \n• A copy of the IRS approval of an extension (IRS Form 4868) .  \n• A copy of IRS’s approval of an extension beyond the automatic six-month extension for tax year 2021.  \n• Confirmation of non-filing from the IRS dated on or after October 1, 2022.  \n• A copy of all W-2(s) for each source of 2021 employment income received.  \n• If self-employed, a signed statement certifying the Adjusted Gross Income and Federal Income Tax Paid for the 2021 tax year.  \nCertification  \nBy signing this form, I certify that I filed an IRS Form 4868, “Application for Automatic Extension of Time to File U.S. Individual Income Tax Return” and that all of the information reported on this form is complete and  \naccurate.  \nName (Please Print):  Signature  Date","cbCaimetHos9PFv7","https://ap.wps.com/l/cbCaimetHos9PFv7","pdf",222939,6,"English","# Required Information\n## Financial Data Reporting\n## Mandatory Supporting Documents\n## Certification and Sign-off","[{\"question\":\"Who should complete this form?\",\"answer\":\"Students or their parents who were required to file a 2021 IRS income tax return and were granted a filing extension beyond the automatic six-month extension.\"},{\"question\":\"What documentation must be submitted with this form?\",\"answer\":\"Applicants must submit a copy of IRS Form 4868, approval of extension beyond the automatic six months, IRS confirmation of non-filing, copies of all W-2 forms, and a signed statement for self-employed individuals.\"},{\"question\":\"Where should the completed form be sent?\",\"answer\":\"The form should be submitted to the Assumption University Office of Financial Aid, located at 500 Salisbury Street, Worcester, MA 01609.\"}]","Confirmation of Federal Tax Extension - 2023-2024 | PDF",1789811298]