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THIS IS A COPY OF YOUR 2009-2010 APPLICATION INFORMATIONDO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO FEDERAL STUDENT AID.

Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign.

Step 1. (Q1 – Q32)

Student's Last NameStudent's First NameStudent's Middle InitialStudent’s Permanent Mailing AddressStudent's Permanent CityStudent's Permanent StateStudent's Permanent Zip CodeStudent's Social Security NumberStudent's Date of BirthStudent's Permanent Home Phone NumberStudent's Driver’s License NumberStudent's Driver’s License StateStudent’s E-Mail AddressStudent's Citizenship StatusStudent's Alien Registration NumberStudent's Marital StatusStudent's Marital Status DateStudent's State of Legal ResidenceWas Student a Legal Resident Before January 1, 2004?Student's Legal Residence DateIs the Student Male or Female?Register Student for Selective Service?Drug Conviction Affecting Eligibility?Father’s Educational LevelMother’s Educational LevelHigh School or Equivalent Completed?First Bachelor's Degree by July 1, 2009?Student's Grade Level in College in 2009-2010Type of Degree/CertificateStudent’s Enrollment Status for 2009-2010Interested in Work-

tudy or Student Loans?Planning to Become an Elementary or Secondary School Teacher?

Step 2. (Q33 – Q47)

Student Filed 2008 Income Tax Return?Student's Type of 2008 Tax Form UsedStudent Eligible to File a 1040A or 1040EZ?Student’s 2008 Adjusted Gross IncomeStudent’s 2008 U.S. Income Tax PaidStudent’s 2008 Exemptions ClaimedStudent’s 2008 Income Earned from WorkSpouse’s 2008 Income Earned from WorkStudent’s Total of Cash, Savings, and Checking AccountsStudent’s Net Worth of Current InvestmentsStudent’s Net Worth of Businesses/Investment FarmsWill Student Receive VA Education Benefits?Type of VA Education Benefits to ReceiveStudent’s Education CreditsStudent’s Child Support PaidStudent’s Taxable Earnings from Need-Based EmploymentProgramsStudent’s Grant and Scholarship Aid Reported in AGIStudent’s Taxable Combat Pay Reported in AGIStudent’s Payments to Tax-Deferred Pensions & SavingsStudent’s Deductible Payments to IRA/Keogh/OtherStudent’s Child Support ReceivedStudent’s Tax Exempt Interest IncomeStudent’s Untaxed Portions of IRA DistributionsStudent’s Untaxed Portions of PensionsStudent’s Housing, Food, & Living AllowancesStudent’s Veterans Noneducation BenefitsStudent’s Other Untaxed Income or BenefitsMoney Received or Paid on Student’s Behalf

Step 3. (Q48 – Q60)

Student Born Before January 1, 1986?Is Student Married?Working on Master’s or Doctorate in 2009-2010?Is Student on Active Duty in U.S. Armed Forces?

$0NO4TH YR./SENIORCOLLEGE OR BEYOND$0JAKAV85@FUSE.NETOH$0$0NO$0

XXX-XX-5608 VO

NO$0SU548728NOT GOING TO FILE$0MEGANNO$0$265FEMALE$0HAMILTON$0NO$045013NO$0$0XXX-XX-5608$0HIGH SCHOOL$0OHE$0HIGH SCHOOL DIPLOMAFULL-TIMENO5137373715U.S. CITIZEN (OR U.S. NATIONAL)06/08/1988SINGLE, DIVORCED, OR WIDOWEDVOGELELIGIBLE FOR AID$08 HAMILTON1ST BACHELOR'S DEGREEBOTH$0OH

Page 2Is Student a Veteran?Does Student Have Children He/She Supports?Does Student Have Dependents Other than Children/Spouse?Parents Deceased?/Student Ward of Court?/In Foster Care?Is

or Was

Student an Emancipated Minor?Is

or Was

Student in Legal Guardianship?Is Student an Unaccompanied Homeless Youth as Determined byHigh School/Homeless Liaison?Is Student an Unaccompanied Homeless Youth as Determined byHUD?Is Student At Risk of Homelessness?

Step 4. (Q61 – Q95)

Parents’ Marital StatusParents’ Marital Status DateFather’s/Stepfather’s Social Security NumberFather’s/Stepfather’s Last NameFather’s/Stepfather’s First Name InitialFather’s/Stepfather’s Date of BirthMother’s/Stepmother’s Social Security NumberMother’s/Stepmother’s Last NameMother’s/Stepmother’s First Name InitialMother’s/Stepmother’s Date of BirthParents’ E-Mail AddressParents’ State of Legal ResidenceWere Parents Legal Residents Before January 1, 2004?Parents' Legal Residence DateParents’ Number of Family Members in 2009-2010Parents’ Number in College in 2009-2010 (Parents Excluded)Parents Received Supplemental Security Income?Parents Received Food Stamps?Parents Received Free/Reduced Price Lunch?Parents Received TANF?Parents Received WIC?Parents Filed 2008 Income Tax Return?Parents' Type of 2008 Tax Form UsedParents Eligible to File a 1040A or 1040EZ?Is Parent a Dislocated Worker?Parents’ 2008 Adjusted Gross IncomeParents’ 2008 U.S. Income Tax PaidParents’ 2008 Exemptions ClaimedFather's/Stepfather's 2008 Income Earned from WorkMother's/Stepmother's 2008 Income Earned from WorkParents’ Total of Cash, Savings, and Checking AccountsParents’ Net Worth of Current InvestmentsParents’ Net Worth of Businesses/Investment FarmsParents’ Education CreditsParents’ Child Support PaidParents’ Taxable Earnings from Need-Based EmploymentProgramsParents’ Grant and Scholarship Aid Reported in AGIParents’ Taxable Combat Pay Reported in AGIParents’ Payments to Tax-Deferred Pensions & SavingsParents’ Deductible Payments to IRA/Keogh/OtherParents’ Child Support ReceivedParents’ Tax Exempt Interest IncomeParents’ Untaxed Portions of IRA DistributionsParents’ Untaxed Portions of PensionsParents’ Housing, Food, & Living AllowancesParents’ Veterans Noneducation BenefitsParents’ Other Untaxed Income or Benefits

Step 5. (Q96 – Q103)

Student’s Number of Family Members in 2009-2010Student’s Number in College in 2009-2010Student Received Supplemental Security Income?Student Received Food Stamps?Student Received Free/Reduced Price Lunch?Student Received TANF?Student Received WIC?Is Student or Spouse a Dislocated Worker?

Step 6. (Q104)

First CollegeFirst Housing Plans

OH$0VOGELNO$0$0$0$0VOGEL021985ALREADY COMPLETED08/03/1963$9204NO$1100$0$010/29/1961NONO$22662$0$0$1209821$0IRS 1040$0OFF CAMPUSNONONONO5$05OHIO UNIVERSITYJ$0NOMARRIED OR REMARRIEDXXX-XX-3030K$0NO$50000$44453$165449NO(003100)XXX-XX-8293JAKAV85@FUSE.NET