Parent Non-Tax Filer Form
Please complete this form if you are a parent who will not file a 2012 federal tax return and your student has been selected for verification upon filing the 2013-14 FAFSA by Federal Student Aid Programs. Tax filers must have selected the IRS Data Retrieval option at
once 2012 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
Parent's Email Address
Is the Student:
A New Student
A Returning Student
Please check one:
I was (we were) not employed during 2012.
I was (we were) employed but earnings were less than the minimum requirement;
Mail W-2'(s)reflecting earnings for the 2012 year to the Financial Aid Office.
List student's name on W-2 clearly.
Please list each employer and amount earned and
mail all 2012 W-2 forms to the Financial Aid Office.
It is imperative that all W-2 forms be received, marked with the student's name.
Please check any untaxed income received and
Public Assistance or Aid to Families with Dependent Children
(statement of 2012 benefits must be mailed to the Financial Aid Office)
Please provide verification for all non-taxed income received
from January 1, 2012 to December 31, 2012.
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 •
• TITLE IV Code: 003235