Student Non-Tax Filer Form
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
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:
Social Security #:
Are you a:
A. PLEASE COMPLETE ALL SECTIONS
Please check one:
I was not required to file a federal tax return for 2011 because I was not employed.
I was not required to file a federal tax return for 2011 because my earnings were less than the minimum requirement.
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.
Check off any untaxed income received and
Public Assistance or Aid to Families with Dependent Children
(statement of 2011 benefits must be mailed to the Financial Aid Office)
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 •
• TITLE IV Code: 003235