Arcadia University 2019-20
Student Non-Tax Filer Form
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Please complete this form if you are a student who did not file a 2017 federal tax return.
 
* Required Fields
 
        
*Student Name    *Social Security Number#:
 
 
A. PLEASE COMPLETE ALL SECTIONS
Please check one:
*
 
B. SUBMIT ALL 2017 W-2'S FROM EACH EMPLOYER
List each employer and amounts earned and submit via email all employer W-2 forms.

 
Employer Name
  Amount Earned
$
$
 
C. Check off any untaxed income received and provide verification.
 



 
Today's Date: 12/13/2019
 
Please provide verification for all non-taxed income received
from January 1, 2017 to December 31, 2018.
 
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