NON-FILE CONFIRMATION FORM
STUDENT 2021-2022
Student Name Student ID#
A. Review the statements below and place an ‘X’ in each of the appropriate box(es).
I was not required to file a federal tax return for the tax year of 2019 and do not plan to do so.
I have attempted to obtain confirmation of this from the IRS but am unable to do so.
I had no income during the tax year of 2019.
I did have income during the tax year of 2019 and have provided W2(s) or 2019 IRS Wage & Income
Transcript for all income earned in 2019.
B. Certification of Signature: SENDING WITHOUT A SIGNATURE WILL DELAY THE FINANCIAL AID
PROCESS.
By signing this form, I certify that all information reported on this form to qualify for Federal aid is complete
and correct.
Student Signature (Non-Filer) Date
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined,
sentenced to jail, or both.
SOUTHEASTTECH.EDU
Updated: December 2, 2020
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