2012-13
Parent Non-Tax Filer Form
Arcadia University

Please complete this form if you are a parent who will not file a 2011 federal tax return and your student has been selected for verification upon filing the 2012-13 FAFSA by Federal Student Aid Programs. Tax filers must have selected the IRS Data Retrieval option at www.fafsa.gov once 2011 federal taxes have been filed with the IRS or they will be required to request a Tax Transcript directly from the IRS if selected for verification upon filing the FAFSA.
 
* Required Fields
 
Student's First Name*
Student's Last Name*
Parent1's First Name*
Parent1's Last Name*
Parent2's First Name
Parent2's Last Name
Student's SSN
Mother's SSN
Father's SSN
Parent's Email Address*
* Is the Student:
 
A. Please check one:*

 
B. Please list each employer and amount earned and mail all 2011 W-2 forms to the Financial Aid Office. It is imperative that all W-2 forms be received, marked with the student's name.
 
Employer Name
  Amount Earned
$
$
 
C. Please check any untaxed income received and provide verification.
 



 
Please provide verification for all non-taxed income received
from January 1, 2011 to December 31, 2011.
 
By submitting this form I understand that all information submitted as part of my financial aid application is subject to verification. I agree to notify the Financial Aid Office of any changes in my income status, housing status, enrollment status, or address. I authorize release of my financial aid information to the U.S. Department of Education and PHEAA/AES.
    
 
OFFICE OF FINANCIAL AID
ARCADIA UNIVERSITY • 450 S. EASTON ROAD • GLENSIDE, PA 19038-3295
(215) 572-2980 • FAX: (215) 572-4049 • finaid@arcadia.edu • TITLE IV Code: 003235