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esar - SAR for 2010-2011 (Student Aid Report) Form Approved...

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Unformatted text preview: SAR for 2010-2011 (Student Aid Report) Form Approved OMB No.1845-0008 App. Exp. 12/31/11 EFC: DRN: The grids below contain information from your student aid application (shaded items display parents' information, if provided). This is your copy of your application data for your records only. Do NOT mail this document or a copy of this document to the U.S. Department of Education. We will not return this copy to you. You may make corrections from the Department of Education's web page ( www.fafsa.gov ).You must use your PIN to access your record online. 1. LAST NAME 2. FIRST NAME 3. MIDDLE INITIAL 4. PERMANENT MAILING ADDRESS 5. CITY 6. STATE ABBREVIATION 7. ZIP CODE 8. SOCIAL SECURITY NUMBER 9. DATE OF BIRTH 10. PERMANENT HOME PHONE NUMBER 11. DRIVER'S LICENSE NUMBER 12. DRIVER'S LICENSE STATE ABBREVIATION 13. EMAIL ADDRESS 14. CITIZENSHIP STATUS 15. ALIEN REGISTRATION NUMBER 16. MARITAL STATUS 17. DATE OF MARITAL STATUS 18. STATE OF LEGAL RESIDENCE ABBREVIATION 19. LEGAL RESIDENT BEFORE JANUARY 1, 2005? 20. DATE YOU BECAME A LEGAL RESIDENT 21. ARE YOU MALE OR FEMALE? 22. REGISTER YOU FOR SELECTIVE SERVICE? 23. DRUG CONVICTION AFFECTING ELIGIBILITY? 24. FATHER'S EDUCATIONAL LEVEL 25. MOTHER'S EDUCATIONAL LEVEL 26. HIGH SCHOOL DIPLOMA OR GED? 27. FIRST BACHELOR'S DEGREE BY 7-1-2010? 28. GRADE LEVEL IN COLLEGE IN 2010-2011 29. TYPE OF DEGREE/CERTIFICATE 30. ENROLLMENT STATUS FOR 2010-2011 31. INTERESTED IN WORK-STUDY OR STUDENT LOANS? 32. TEACH 33. FILED 2009 IRS INCOME TAX RETURN 34. TYPE OF 2009 TAX FORM USED 35. ELIGIBLE TO FILE A 1040A OR 1040EZ? 36. ADJUSTED GROSS INCOME FROM IRS FORM 37. U.S. INCOME TAX PAID 38. EXEMPTIONS CLAIMED 39. STUDENT'S INCOME EARNED FROM WORK 40. SPOUSE'S INCOME EARNED FROM WORK 41. CASH, SAVINGS, AND CHECKING 42. NET WORTH OF CURRENT INVESTMENTS 43. NET WORTH OF BUSINESS/INVESTMENT FARMS 44a. STUDENT'S EDUCATION CREDITS 44b. STUDENT'S CHILD SUPPORT PAID 44c. STUDENT'S TAXABLE WORK-STUDY EARNINGS 44d. STUDENT'S GRANT AND SCHOLARSHIP AID 44e. STUDENT'S COMBAT PAY 44f. STUDENT'S COOPERATIVE EDUCATION EARNINGS 45s. STUDENT'S PAYMENTS TO TAX-DEFERRED PENSIONS & SAVINGS 45b. STUDENT'S DEDUCTIBLE IRA/KEOGH PAYMENTS 45c. STUDENT'S CHILD SUPPORT RECEIVED 45d. STUDENT'S TAX EXEMPT INTEREST INCOME 45e. STUDENT'S UNTAXED PORTIONS OF IRA DISTRIBUTIONS 45f. STUDENT'S UNTAXED PORTIONS OF PENSIONS 45g. STUDENT'S HOUSING, FOOD, & LIVING ALLOWANCES 45h. STUDENT'S VETERANS NONEDUCATION BENEFITS 45i. STUDENT'S OTHER UNTAXED INCOME OR BENEFITS 45j. STUDENT'S OTHER NON-REPORTED MONEY RECEIVED 46. BORN BEFORE 1-1-1987? 47. ARE YOU MARRIED? 48. WORKING ON MASTERS OR DOCTORATE? U.S. CITIZEN (OR U.S. NATIONAL) 1ST BACHELOR'S DEGREE NO $ 0 2914 SOUTH ORANGE DRIVE OTHER/UNKNOWN NOT GOING TO FILE GABRIELA OTHER/UNKNOWN GONZALEZ $ 0 NO $ 0 $ 0 2ND YR./SOPHOMORE $ 0 YES $ 0 90016 ELIGIBLE FOR AID $ 0 $ 0 $ 0 $ 0 SINGLE (323)936-9005 $ 0 HIGH SCHOOL DIPLOMA $ 0 10/26/1991 LOS ANGELES $ 0 XXX-XX-4253 NO CA $ 0 FULL-TIME $ 0 CA $ 0 NO GONZALEZC800@AOL.COMGONZALEZC800@AOL....
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esar - SAR for 2010-2011 (Student Aid Report) Form Approved...

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