Non Tax Filing Form printable pdf download

Non Tax Filing Form

Name:_______________________________________________ ID#: ___________________

Student Phone # ___________________ Parent Phone #

________________

(if dependent student)

Address:_________________________ City: ______________ State: _______ Zip:_________

Your FAFSA has been selected for a process called “verification.” In this process, we are

required by the law to compare the information from your FAFSA with the information provided

on this form. Complete all questions and submit the completed form to the Financial Aid Office.

Note: Aid cannot be disbursed until all requested documentation is received and reviewed.

Please check your Argo Express to see missing requirements.

What we need from you:



This form must be completed by each non-filer (including parent(s) (if dependent),

student, and student spouse (if married)) and signed by student and parent (if

dependent).



A copy of any W-2’s, if applicable.

I ______________________________________ (Name of Non-tax filer) have not filed and will

not file a Federal Tax return (IRS 1040, 1040A, 1040EZ) for the year _______________. I have

listed below all of the resources that were used to support myself/ourselves and our family.

This support for the Non-Tax filer came from:

Wages (list each employer separately, and provide copies of W-2’s)

$__________

_____________________________________________

Wages Received without W-2’s (list each employer separately)

$__________

_____________________________________________

Social Security Benefits

$__________

Aid of Dependent Children (AFDC)

$__________

Temporary Assistance for Needy Families (TANF)

$__________

Veterans Non-Educational Benefits (Death, Pensions, DIC)

$__________

Worker’s Compensation

$__________

SRS/Disability payments

$__________

Child Support (List children’s names)

$__________

JPTA (salary for on the job training, not educational benefits

$__________

Free living arrangements/Free Rent

$__________

Housing allowances (Military or Clergy)

$__________

Food allowances (Military or Clergy)

$__________

Gifts and cash support from relatives

$__________

Interest on tax-free stocks and bonds

$__________

Foreign Income Exclusions

$__________

Other __________________________________________________________ $__________

Signature:

By signing this form, you certify that the information provided is true and complete.

______________________________________

____________________________________

Student Signature

Date

Parent Signature (if applicable)

Date

FINANCIAL AID OFFICE

1301 20

ST S., GREAT FALLS, MT 59405

P 406.791.5202

F 406.791.5209

FINAID@UPROVIDENCE.EDU

Non Tax Filing Form

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