2012-13
Student Non-Tax Filer Form
Arcadia University

Please complete this form if you are a student who will not file a 2011 federal tax return and you were randomly selected for verification upon filing your 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 tax returns have been submitted to the IRS; otherwise, they will be required to request a Tax Transcript directly from the IRS if selected for federal verification upon filing the FAFSA.
 
* Required Fields
 
* Student First Name:   * Last Name:
* Social Security #:
* Email Address:  
* Are you a:
 
A. PLEASE COMPLETE ALL SECTIONS
Please check one:
*
 
B. ATTACH ALL 2011 W-2'S FROM EACH EMPLOYER
Please list each employer and amounts earned and mail all W-2 forms to the Financial Aid Office. It is imperative that all W-2 forms be mailed to Financial Aid.
 
Employer Name
  Amount Earned
$
$
 
C. Check off 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, as well as federal, state and internal financial aid auditors for the University.
    
 
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