20NOSTAX myUH ID_________________
4434 University Drive, Houston, Texas 77204-2010 · Phone (713)743-1010 · Fax (713)743-9098
Welcome Center hours: Monday-Thursday, 8 a.m.-5 p.m.; Friday, 9 a.m.-5 p.m. · www.uh.edu/verification
2020 TAX RETURN STUDENT STATEMENT OF NON-FILING
Your FAFSA was selected for a review process called “Verification.” Information from your FAFSA will be compared with signed copies of your
2020 Federal tax forms, or a 2020 Wage and Income Transcript or other financial documents. Federal law requires that we collect this information
and complete verification before awarding Federal aid. If there are differences between your FAFSA information and your financial documents,
corrections may be needed.
This form should ONLY be submitted if your FAFSA application was selected for the verification process
INSTRUCTIONS: All students must complete sections 1 & 3. Only Independent Students are required to provide a 2020
IRS Verification of Non-Filing Letter or complete section 2 if you are unable to obtain a copy.
1. U.S. Wages and Income Information
[Complete section A or B then proceed to section 2. Dependent students skip to section 3]
A) Did NOT Earn Wages or Income
I, the student, certify that I did not earn any wages or income in 2020.
INITIAL
B) Did Earn Wages or Income
Submit al
l 2020 W-2’s. If you are unable to provide all of your 2020 W-2’s, you will need to submit a 2020 IRS Wage and Income
Transcript. Request a Wage and Income Transcript from the IRS at: https://www.irs.gov/individuals/get-transcript
Employer’s Name or Source of Income
List every employer or source of income even if you were not
issued an IRS W-2 form.
2020 Amount Earned
IRS W-2 Attached?
Suzy’s Auto Body Shop (example)
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☐Yes ☐ No
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2. U.S. IRS Verification of Non-Filing Letter
[This section is is for Independent Students only. If you are a Dependent Student, skip to Section 3]
Federal financial aid regulation requires you to attempt to request and submit a 2020 IRS Verification of Non-Filing Letter confirming you
did not file taxes. You may request the letter from the IRS at the following webpage: https://www.irs.gov/individuals/get-transcript
Attach and submit your 2020 IRS Verification of Non-Filing Letter along with this form
Student: initial below only if you have made a good faith effort to do so, but are unable to obtain the IRS Verification of Nonfiling Letter
I,
the student, certify that I attempted and was not able to obtain a copy of my 2020 IRS Verification of Non-Filing Letter.
INITIAL
3. Certification of 2020 Non-Filing Status
I, the student applying for financial aid, certify that I will not file and am not required to file a 2020 U.S. Income Tax Return. By
signing this form, I certify that all the information reported on it is complete and correct.
Printed Name:
Student Signature: Date:
(black or blue ink, no electronic signatures accepted)
State law requires that you be informed of the following: (1) with few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form; (2) under sections 552.021
and 552.023 of the Government Code, you are entitled to receive and review the information; and (3) under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is
incorrect.
