Office of Financial Aid
Hepburn Hall, Room 215
2039 John F. Kennedy Boulevard | Jersey City, NJ 07305
Phone: (201) 200-3173| Fax: (201) 200-3181 | Email:
Please log into your Gothic
Portal and upload form to
2020-2021 Non Filing Statement for Parent of Dependent Student
_____________________________________ ______________________
Your application was selected for review in a process calledVerification”. In this process,
the Financial
Aid Office will be comparing information from your FAFSA application with your parent(s) 2018 W-2
forms and any other requested financial documents. Only the parent(s) must complete this form.
If your parent(s) worked but did not file taxes, the following requirements must be submitted:
a) Copies of your parents’ 2018 W2
b) Complete and sign this form – Parent must sign this form.
Parent(s) Income
lease check one of the following:
______ I
have attached my W-2’s to this form as proof of my income.
______ I did not received a W-2.
______ I did not work.
ist the source of your employment and the amount earned through that employment.
Source Amount
______________________________ __________________________________
_______________________________________ __________________________________
_______________________________________ __________________________________
_______________________________________ __________________________________
_______________________________________ __________________________________
I attempted and was unable to obtain a Verification of Non Filing Letter from the IRS or other
tax authorities and have not nor am I required to file a 201
8 Federal Income Tax Return.
The student whose information was reported on the FAFSA must sign and date.
___________________________________ _________________________
Student Signature Date
___________________________________ __________________________
Parent Signature Date