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    NonFileStudent 11 12

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    trellon_devteam
    This document is a non-filer statement form for the 2011-2012 school year at Cornell University. It requests the student's name, Cornell ID number, date of birth, sources and amounts of any 2010 income if they did not and will not file a 2010 tax return, and the student's signature confirming the information is true and they understand IRS Publication 501 on income and filing requirements. The completed form should be returned to the Cornell University Application Processing Center.

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    NonFileStudent 11 12

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    trellon_devteam
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    This document is a non-filer statement form for the 2011-2012 school year at Cornell University. It requests the student's name, Cornell ID number, date of birth, sources and amounts of any 2010 income if they did not and will not file a 2010 tax return, and the student's signature confirming the information is true and they understand IRS Publication 501 on income and filing requirements. The completed form should be returned to the Cornell University Application Processing Center.

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    NonFileStudent-11-12

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    This document is a non-filer statement form for the 2011-2012 school year at Cornell University. It requests the student's name, Cornell ID number, date of birth, sources and amounts of any 2010 income if they did not and will not file a 2010 tax return, and the student's signature confirming the information is true and they understand IRS Publication 501 on income and filing requirements. The completed form should be returned to the Cornell University Application Processing Center.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    5 views1 page

    NonFileStudent 11 12

    Uploaded by

    trellon_devteam
    This document is a non-filer statement form for the 2011-2012 school year at Cornell University. It requests the student's name, Cornell ID number, date of birth, sources and amounts of any 2010 income if they did not and will not file a 2010 tax return, and the student's signature confirming the information is true and they understand IRS Publication 501 on income and filing requirements. The completed form should be returned to the Cornell University Application Processing Center.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    203 Day Hall

    Ithaca, New York 14853-2801


    t. 607.255.5145
    f. 607.255.6329
    finaid@cornell.edu
    www.finaid.cornell.edu

    2011-2012 Student’s Non-Filer Statement


    Please complete this form and return it to: Cornell University Application Processing Center
    349 Pine Tree Rd.
    Ithaca, NY 14850
    submit online: www.finaid.cornell.edu

    Student’s Name:

    Student’s Cornell ID Number:

    Date of Birth:

    I have not filed and will not file a 2010 U.S. federal, Puerto Rican, Canadian, or any other foreign tax
    return. The sources and amounts of all 2010 income earned from work are listed as follows:

    Source(s) of Income Annual Amount(s)

    The above information is true and complete to the best of my knowledge. I attest that I have read and
    understand IRS Publication 501 regarding earned income and tax return filing requirements in the
    United States.

    Student’s Signature Date

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