Statement of Non-Filing by jasonpeters

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									                              PITZER COLLEGE
                              Financial Aid Office

                         STATEMENT OF NON-FILING


Student’s Name
                                 (Please Print)

Social Security Number

The information below pertains to (check only one):

             Student
             Student and Spouse
             Parent(s) of Student



       I (we) have not filed and will not file a 2008 U.S. Income Tax return
       1040EZ/1040A/1040. All sources of income received during 2008 are
       listed below. I have attached all W-2 forms for income listed.

       Total amount of income received in 2008: $

PLEASE LIST BOTH SOURCE AND AMOUNT OF ALL INCOME RECEIVED

                    Source                                  Amount Received




Student Signature                              Parent or Spouse Signature

Name (Please Print)                            Name (Please Print)


Date                                           Date


                              Return this form to:
                             Financial Aid Office
                                Pitzer College
                            1050 N. Mills Avenue
                         Claremont, CA 91711-6101

1/2009

								
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