2023-24 Parent Statement of Non-Support
Student Name: ________________________________________
ID#_________________________
I (We), _____________________________________, parent(s) of the above named student
certify that the student does not currently live with us nor does he/she receive any support from
us.
I (We) have not provided support since ____/____/_____.
Support includes:
• Student living in the home.
• Including student on auto insurance or health insurance policies.
• Providing a car to drive.
• Payment of tuition and fees, housing or meals.
• Parent owning a 529/Prepaid Tuition Plan or Coverdell Account for which the student is the
beneficiary.
• Borrowing a PLUS loan on the student’s behalf.
• Providing information for the Free Application for Federal Student Aid.
I (We) also refuse to provide income information for the FAFSA for this student.
Parent Signature: _________________________________________ Date: ________________
Parent Signature: _________________________________________ Date: ________________
Office of Student Financial Services
1800 Lincoln Avenue
Evansville, IN 47722
812-488-2364
▪ Fax: 844-433-7153
