2019 IRS Non-Filer Statement

As part of the 2021-2022 Oberlin financial aid application process, we require that all applicants submit signed
copies of all federal tax forms for both parents and students. In some situations, the student and/or parent may
not be required by the IRS to file federal taxes. You may submit this form if you were not required to, nor did you,
file a 2019 federal tax return.
If selected for verification by the Dept. of Education you may need to request a verification of non-filing
letter from the IRS. You will be notified by our office if you need to request this letter.
Please be sure to:
 List all income earned or received during 2019
 Attach copies of all W-2’s and/or 1099 forms received in 2019
 If you did not have any income in 2019, enter ‘None’

Oberlin Student Name: Gonzalo Ochoa Camarena

Oberlin Student ID: T 01369337

Name of Non-Filer: Gonzalo Ochoa Camarena

Non-Filer is a:  Student  Parent  Spouse

Employer/Source of Income Amount Earned Attachment

[ ] W2
[ ] 1099
None [ ] Not Applicable

[ ] W2
[ ] 1099
[ ] Not Applicable

[ ] W2
[ ] 1099
[ ] Not Applicable

[ ] W2
[ ] 1099
[ ] Not Applicable

$0
TOTAL ________________

I certify that I was not required to, and did not, file a 2019 federal tax return.
January, 4th 2021
Signature Date

Printed Name
{Non-Filer 10/2020}