6024 McNutt Hall

Hanover, New Hampshire 03755

(603) 646-2451
Financial Aid Office (800) 443-3605
Fax: (603) 646-1414
financial.aid@dartmouth.edu

Parent Non-Filing Statement 2024-2025

Student’s Information
Last First
M.I. ID#
Name Name
Street Address

City State ZIP

Phone Email Address

Non-Filer Information
Parent Parent
M.I.
Last Name First Name
Street Address

City State ZIP

Phone Email Address

Were you employed No 

at any time during • I was not employed and had no earnings from income.
the 2022 year?

• I was employed in 2022 and earned income from the

Yes 
sources listed below.

Amount
List each 2022 employer or source of income.
Received
Source $

Source $

Source $

By signing this form, you are indicating you did not file, and you are not required to file a 2022 Tax
Return.

Signature Date
***Pen/Ink Signature required - computer generated signatures are not acceptable***

Office Use Only: UNFSP

If you need assistance completing this form, please call our office (800) 443-3605