Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

El Camino College

Financial Aid

Affidavit of Non-filing
2019-2020

Student Name: _____________________________


Student ID#: ________________________________

I, __________________________________________ Student Parent Spouse


certify through my signature below that the following statement given is true and correct to
the best of my knowledge:

1. I attempted to obtain the Verification of Non Filing form from the IRS or other tax
authorities and was unable to obtain the required document, and
2. I have not filed and am not required to file a 2017 income tax return, and
3. During 2017 I received income from the following sources:

Source Income Amount


_________________________________________ ________________________
_________________________________________ ________________________
_________________________________________ ________________________
_________________________________________ ________________________

4. I have attached a copy of my W-2 or other equivalent document from each source listed
above to verify the employment income I received from them.
5. Additional Comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

_____________________________________________ ____________________
Signature Date

You might also like