2023-2024 Parent Non-Filer Form

To be submitted when requested by Student Financial Services

Verification of Non-Filing Letter

Prior to completing this form, please make sure you have already requested and received your VNF Letter from the IRS. If you do not already have this document, you will not be able to complete this form.

You can request a VNF letter online (once you create an account) or submit a completed Form 4506-T to the IRS via mail.
Student Information
Student's Name Student's Name First Last
Email
I know my Simmons ID number:

I know my Simmons ID number: Yes No
Student ID Number
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Date of Birth Date of Birth / MM / DD YYYY
According to your FAFSA, are you an independent or dependent student?

According to your FAFSA, are you an independent or dependent student? Dependent Independent

If you were required to report your parents' information on the FAFSA, then you are considered a dependent student.
Parent Information
Parent 1 Name Parent 1 Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Parent 2 Name Parent 2 Name First Last
Date of Birth Date of Birth / MM / DD YYYY
2022 Parent Tax Return Filing Status
Please indicate below whether you, the Parent (or your spouse) filed a 2021 tax return.

Please indicate below whether you, the Parent (or your spouse) filed a 2021 tax return. Yes, I filed a 2021 U.S. federal tax return. I have/will complete the IRS Data Retrieval process to upload my tax information directly from the IRS into my FAFSA. No, I did NOT file a 2021 federal tax return.
Attach your Verification of Non-Filing Letter from the IRS

Attach Files

Please remove your SSN from the document prior to uploading or emailing.
If you, the Parent, did NOT file a 2021 U.S. federal tax return, indicate whether you were employed in 2021.

If you, the Parent, did NOT file a 2021 U.S. federal tax return, indicate whether you were employed in 2021. I (and/or my spouse, if applicable) was not employed and had no income earned from work in 2021. I (and/or my spouse, if applicable) was employed in 2021, but I was not required to file a federal tax return.
List all work income below and attach copies of all 2021 W-2 forms and/or 1099. If you had more than three employers, please provide the additional information via an email to [email protected].

Employer Name
2021 Amount Earned $ Dollars . Cents
Attach W-2 Form

Attach Files

Please remove your SSN from the document prior to uploading or emailing.
+Add

+Add Add another source of work income
Employer Name
2021 Amount Earned $ Dollars . Cents
Attach W-2 Form

Attach Files

Please remove your SSN from the document prior to uploading or emailing.
+Add

+Add Add another source of work income
Employer Name
2021 Amount Earned $ Dollars . Cents
Attach W-2 Form

Attach Files

Please remove your SSN from the document prior to uploading or emailing.
Signatures and Certifications

Please read this section carefully.
Please acknowledge by checking each box

Please acknowledge by checking each box I understand that by signing this form that all information provided is complete and correct to the best of my knowledge. I understand that reporting incorrect or inaccurate information on this form may result in a change to the student’s financial aid award. I understand that the omission of any information on this form may result in a delay in the receipt of the financial aid award.
Student's Name
Date Date / MM / DD YYYY
Student Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent's Name
(one parent’s signature is required for financially
dependent undergraduate students)
Date Date / MM / DD YYYY
Parent Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Type the letters you see in the image below.

2023-2024 Parent Non-Filer Form

2023-2024 Parent Non-Filer Form

Verification of Non-Filing Letter

Student Information

Parent Information

2022 Parent Tax Return Filing Status

Signatures and Certifications