FOR PRIORITY CONSIDERATION RETURN THIS FORM TO MHEC BY JUNE 15, 2024

MI:Student First Name: _Student Last Name: ________________________ _______________________ ______

MHEC ID#: Last 4 digits of Student SSN:

When you completed the 2024-2025 Free Application for Federal Student Aid (FAFSA) you indicated on the application

that you, your spouse, and/or parent(s) did “NOT FILE” a 2022 IRS Tax Return. Therefore, you, your spouse, and/or

parent must complete this Non-filing form in lieu of submitting the IRS Non Tax filing statement. Please confirm your

status below, (√) check the appropriate statement and submit W-2(s) or 1099 forms for each employer if required.

SECTION A: DEPENDENT STUDENTS (STUDENT & PARENT MUST SIGN)

 I, the student, certify that I did not work in 2022, and the IRS has no record of a filed Form 1040 for the tax year

Date:Student’s Signature: ______________________________________________________ ____________________

Date:Parent’s Signature: _______________________________________________________ ____________________

SECTION B: INDEPENDENT STUDENTS (SPOUSE MUST SIGN IF MARRIED)

 I, the student or my spouse (if applicable), certify that I (or spouse if applicable) did not work in 2022, and the IRS

has no record of a filed Form 1040 for the tax year 2022.

 I, the student or my spouse (if applicable), certify that I or my spouse (if applicable) did work in 2022, but was not

required to file a tax return for the 2022 year.

Date:Student’s Signature: ______________________________________________________ _____________________

Date: Spouse’s Signature (if applicable): ___________________________________________ ____________________

MDCAPS SECURE DOCUMENT UPLOAD