Financial Aid Office ● 197 Franklin St. • Auburn, NY  13021

   315-255-1743 ext. 2470 • Fax 315-252-2185


2014-2015 NON-TAX FILERS FORM


 

_____________________________________________________________________________________________

Student’s Printed Name                                                                                        Cayuga ID #

 

You must complete this form and return it to the financial aid office.

 

STUDENT NONTAX FILERS

Complete this section if you will not file and are not required to file a 2013 income tax return with the IRS.  Check the box that applies:

 

 

 
You were not employed and had no income earned from work in 2013.

 

 

 
You were employed in 2013 and have listed below the names of all your employers, the amount earned from each employer in 2013, and whether an IRS W-2 form is provided. Attach copies of all 2013 IRS W-2 forms issued to the student by their employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a separate page with the student’s name at the top.

 

Employer’s Name

2013 Amount Earned

IRS W-2 Attached?

Suzy’s Auto Body Shop (example)

$2,000.00(example)

Yes(example)

 

 

 

 

 

 

 

 

 

 

PARENT(S) NONTAX FILERS

Complete this section if you will not file and are not required to file a 2013 income tax return with the IRS.

Check the box that applies:

 

 

 
Neither parent was employed and had no income earned from work in 2013.

 

 

 
One or both parents were employed in 2013 and have listed below the names of all employers, the amount earned from each employer in 2013, and whether an IRS W-2 form is provided. Attach copies of all 2013 IRS W-2 forms issued to the parent(s) by their employer(s).  List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a separate page with the student’s name at the top.

 

Employer’s Name

2013 Amount Earned

IRS W-2 Attached?

Suzy’s Auto Body Shop (example)

$2,000.00 (example)

Yes (example)

 

 

 

 

 

 

 

 

 

 

I (we) certify under penalty of federal law that all of the information reported on this form is complete and accurate.

 

Student Signature:___________________________________________________   Date:_________________

 

Dependent Students only

Parent Printed Name:_______________________________________________________________________

Parent Signature:____________________________________________________   Date:_________________