Office of Financial Aid
500 Salisbury Street
Worcester, MA 01609
Phone: 508-767-7158
Fax: (508) 519-1286
Email: fa@assumption.edu
Attached: 2020 IRS Verification of Non-filing Letter, W-2s FAC22PNT
2022-2023 PARENT NON-TAX FILER STATEMENT
Student Name: ___________________________________ Student ID#:________________________
The instructions and certifications below apply to both parents in the household. Please read through the entire
sheet and attach all requested documentation before submitting to the Financial Aid Office.
This non-tax filing statement is required if a parent or both parents will not file and are not required to file a 2020
income tax return with the IRS. Complete this form and remit along with the 2020 IRS Verification of Non-filing
Letter (this may be requested through irs.gov) and all W-2s. This form will be returned if required documentation is
not attached.
Parent 1 Name: ___________________________ Parent 2 Name: _______________________________
Parent completing this form: ⃝ Parent 1 ⃝ Parent 2 ⃝ Both Parents
Check one below and follow the steps provided:
⃝ Neither parent was employed, and neither had income earned from work in 2020.
1. Submit a 2020 IRS Verification of Non-filing Letter for each parent.
⃝ One or both parents were employed in 2020.
1. Complete the table below, listing the names of all employers and the amount earned from each in
2020.*
2. Provide copies of all W-2 forms for all employers listed. If a W-2 form was not issued by your
employer, you may request a Wage and Income Transcript from the IRS.
3. Submit a 2020 IRS Verification of Non-filing Letter for each parent who did not file a tax return.
*You may attach an additional sheet if more space is needed.
By signing this form, I certify that the above information is complete and correct. I certify that I did not, will not,
and am not required to file a 2020 US Federal Tax Return. *I have attached all necessary documentation,
otherwise this form will be returned to me.* All information reported on this form is complete and accurate.
Parent 1 Signature: ________________________________________________ Date: _______________
Parent 2 Signature: ________________________________________________ Date: _______________