Of
fice of Financial Aid
Room U-201
P: 718.368.4644
F: 718.368.4656
finaid@kbcc.cuny.edu
Kingsborough Community College
Of The City University of New York
2001 Oriental Boulevard
Brooklyn, New York 11235
2020-2021 NON-FILER CONFIRMATION STATEMENT
for parents or spouses who do not have SSN, ITIN or EIN numbers
STUDENT’S NAME: EMPLID#:
In order to complete verification of your FAFSA information, an IRS Verification of Non-filing Letter dated October 1, 2019, or later,
must be submitted for every tax non-filer whose 2018 income information was required to be reported on your FAFSA.
You have been given this form because one or both of your parents, or your spouse [if you are married], do not have a Social Security
Number, an Individual Taxpayer Identification Number, or an Employer Identification Number and cannot obtain the required
documentation of non-filing status from the IRS.
A separate statement should be submitted for each individual who will not be able to provide an IRS Verification of Non-filing Letter
for the reason that they do not have any of the identifiers listed above.
1. I, _____________________________ am the ______________________of the above-named student.
Parent/Spouse Name Relationship to Student
2. I attest that I do not have a Social Security Number, Individual Taxpayer Identification Number or
Employer Identification Number.
3. I lived in the USA or Another Country for _________ months in the year 2018.
# of months
4. In the income grid on the verification worksheet, please indicate any income earned from work for the year 2018.
If the income was earned in a foreign country, please give the amounts in U.S. dollars.
5. If you had no earned income in 2018, please explain what resources supported you:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
I/we hereby certify that all information contained on this form is true and complete to the best of my/our knowledge. I/we have not
knowingly or intentionally provided any false information. I understand that if I am found to have knowingly or intentionally given
false statements or information my eligibility for federal student aid will be at risk.
Verification of Non-Filing Status
