Self Certification of MVA Tax Filing Requirements

Search Criteria
* indicates required field
Only English letters, hyphens, and spaces
Only fill out these fields if you are claimed as a dependent on an individual's return.
Only fill out these fields if you are claimed as a dependent on an individual's return.
Only fill out these fields if you are claimed as a dependent on an individual's return.
Federal Adjusted Gross Income (line 1 on 502 or 503; Line 17 on 505)
Enter $0 if no amount due.
Enter $0 if no refund claimed.