Fillable ALTERNATIVE DOCUMENTATION FOR VERIFICATION OF NON-FILING FOR 2021-2022 (State University of New York at Plattsburgh)

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ALTERNATIVE DOCUMENTATION FOR VERIFICATION OF NON-FILING FOR 2021-2022 (State University of New York at Plattsburgh)

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R
evised: 12/01/2019 AVNONF
Financial Aid Office • SUNY Plattsburgh • 101 Broad Street • Plattsburgh, NY 12901-2681
Tel: (518) 564-2072 • Toll-Free: (877) 768-5976 • Fax: (518) 564-4079 • email: finaid@plattsburgh.edu
ALTERNATIVE DOCUMENTATION FOR VERIFICATION OF NON-FILING FOR 2021-2022
Student Name: ___________________________ Banner ID or NetID: ____________________________
STANDARD TAX FILERS
By signing below, I certify that I have attempted to obtain a Verification of Non-Filing from the IRS or other
relevant tax authority and was unable to obtain the required documentation.
Print Name
Ink Signature Date
IRS EXTENSION FILERS
Did you earn any income from work in 2019?
☐ No - I earned no income from work in 2019. I was not employed in 2019.
☐ Yes
- In the table below list each employer and the amount earned from each employer.
Employer’s name
Amount Earned
$
$
$
$
$
By signing below, I certify that I have attempted to obtain a Verification of Non-Filing from the IRS or other
relevant tax authority and was unable to obtain the required documentation. By signing below, I also
certify that I have not filed a 2019 income tax return.
Print Name
Ink Signature Date
INDIVIDUALS WITHOUT AN SOCIAL SECURITY NUMBER, TAXPAYER ID, EMPLOYER ID
In 2019 did you earn any income from work, have any other income, or receive any other resources that supported you?
☐ No - I earned no income from work, had no other income, and had no resources that supported me in 2019.
☐ Yes
- In the table below list the sources of all income and resources, and the amount from each source.
Source of Income or Resources
Amount
$
$
$
$
$
B
y signing below, I certify that I do not have a Social Security Number, an Individual Taxpayer Identification
Number, or an Employee Identification Number.
Print Name
Ink Signature Date
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ALTERNATIVE DOCUMENTATION FOR VERIFICATION OF NON-FILING FOR 2021-2022 (State University of New York at Plattsburgh)

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Completed 1 February 2021

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