456894581 SC

COPY OF YOUR 2007-2008 APPLICATION INFORMATION DO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO THE U.S. DEPARTMENT OF EDUCATION
Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign.

Step 1. (Q1 – Q31)
SCHROLLER Student's Last Name DUSTIN Student's First Name B Student's Middle Initial 420 E DEWEY PL, APT # 207 Student's Permanent Street Address SAN ANTONIO Student's Permanent City TX Student's Permanent State 78212 Student's Permanent Zip Code 456-89-4581 Student's Social Security Number 04/21/1982 Student's Date of Birth 2107319431 Student's Permanent Home Phone Number 20088163 Student's Driver’s License Number TX Student's Driver’s License State Dustypilgrim@aol.com Student’s E-Mail Address U.S. CITIZEN (OR U.S. NATIONAL) Student's Citizenship Status Student's Alien Registration Number SINGLE, DIVORCED, OR WIDOWED Student's Marital Status Student's Marital Status Date TX Student's State of Legal Residence YES Was Student a Legal Resident Before January 1, 2002? Student's Legal Residence Date YES Is the Student Male? YES Register Student for Selective Service? Type of Degree/Certificate ASSOCIATE DEGREE(GENERAL EDUCATION/TRANSFER) NEVER ATTENDED COLLEGE/1ST YR. Student's Grade Level in College in 2007-2008 FULL TIME Student’s Enrollment Status for 2007-2008 Interested in Work-Study or Student Loans? DON'T KNOW YES HS Diploma or GED Received? NO First Bachelor's Degree by July 1, 2007? HIGH SCHOOL Father’s Educational Level HIGH SCHOOL Mother’s Educational Level NO Convicted of Possessing/Selling Drugs?

Step 4. (Q56 – Q89)
Parents’ Marital Status Parents’ Marital Status Date Father’s/Stepfather’s Social Security Number Father’s/Stepfather’s Last Name Father’s/Stepfather’s First Name Initial Father’s/Stepfather’s Date of Birth Mother’s/Stepmother’s Social Security Number Mother’s/Stepmother’s Last Name Mother’s/Stepmother’s First Name Initial Mother’s/Stepmother’s Date of Birth Parents’ Number of Family Members in 2007-2008 Parents’ Number in College in 2007-2008 (Parents Excluded) Parents’ State of Legal Residence Were Parents Legal Residents Before January 1, 2002? Parents' Legal Residence Date Parents Received Supplemental Security Income? Parents Received Food Stamps? Parents Received Free/Reduced Price Lunch? Parents Received TANF? Parents Received WIC? Parents Filed 2006 Income Tax Return? Parents' Type of 2006 Tax Form Used Parents Eligible to File a 1040A or 1040EZ? Parents’ 2006 Adjusted Gross Income Parents’ 2006 U.S. Income Tax Paid Parents’ 2006 Exemptions Claimed Father's/Stepfather's 2006 Income Earned from Work Mother's/Stepmother's 2006 Income Earned from Work Parents’ Total Amount from Worksheet A Parents’ Total Amount from Worksheet B Parents’ Total Amount from Worksheet C Parents’ Total of Cash, Savings, and Checking Accounts Parents’ Net Worth of Current Investments Parents’ Net Worth of Businesses/Investment Farms

$0 $0 $0

Step 2. (Q32 – Q47)
ALREADY COMPLETED Student Filed 2006 Income Tax Return? IRS 1040A OR 1040EZ Student's Type of 2006 Tax Form Used YES Student Eligible to File a 1040A or 1040EZ? $21252 Student’s 2006 Adjusted Gross Income $1546 Student’s 2006 U.S. Income Tax Paid 01 Student’s 2006 Exemptions Claimed $21252 Student’s 2006 Income Earned from Work Spouse’s 2006 Income Earned from Work $0 Student’s Total Amount from Worksheet A $1408 Student’s Total Amount from Worksheet B $0 Student’s Total Amount from Worksheet C Student’s Total of Cash, Savings, and Checking Accounts Student’s Net Worth of Current Investments Student’s Net Worth of Businesses/Investment Farms 0 Number of Months the Student Will Receive VA Education Benefits $0 Monthly VA Education Benefits Amount

Step 5. (Q90 – Q96)
Student’s Number of Family Members in 2007-2008 Student’s Number in College in 2007-2008 Student Received Supplemental Security Income? Student Received Food Stamps? Student Received Free/Reduced Price Lunch? Student Received TANF? Student Received WIC?
1 1

Step 6. (Q97, Q100– Q101)
(009163) SAN ANTONIO COLLEGE First College OFF CAMPUS First Housing Plans Second College Second Housing Plans Third College Third Housing Plans Fourth College Fourth Housing Plans Fifth College Fifth Housing Plans Sixth College Sixth Housing Plans Preparer’s Social Security Number Preparer’s Employer Identification Number (EIN) Parents’ E-Mail Address

Step 3. (Q48 – Q55)
Student Born Before January 1, 1984? Working on Master’s or Doctorate in 2007-2008? Is Student Married? Does Student Have Children He/She Supports? Does Student Have Dependents Other than Children/Spouse? Parents Deceased?/Student Ward of Court? Is Student on Active Duty in U.S. Armed Forces? Is Student a Veteran?
YES NO NO NO NO NO NO NO

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Intermediate Worksheet Values Worksheet A
Earned Income Credit Additional Child Tax Credit Welfare Benefits Untaxed Social Security Benefits TOTAL

Student (40)
$0 $0 $0 $0 $0

Parent(s) (84)

$0

Worksheet B
Payments to Tax-Deferred Pensions & Savings Deductible IRA/Keogh Payments Child Support Received Tax Exempt Interest Income Foreign Income Exclusion Untaxed Portions of IRA Distributions Untaxed Portions of Pensions Credit for Federal Tax on Special Fuels Housing, Food, & Living Allowances Veterans Noneducation Benefits Other Untaxed Income or Benefits Money Received (not reported elsewhere) TOTAL

Student (41)
$1408 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $1408

Parent(s) (85)

$0

Worksheet C
Education Credits Child Support Paid Taxable Work-Study Earnings Grant and Scholarship Aid (reported in AGI) TOTAL

Student (42)
$0 $0 $0 $0 $0

Parent(s) (86)

$0

Question 31 Worksheet
Convicted of possession/sale? All convictions removed? Offense occurred while receiving federal student aid? Completed drug rehab? How many possession convictions? Date of possession conviction Date of last possession conviction How many sale convictions? Date of sale conviction Eligibility Date Drug Conviction Affecting Eligibility?
NO

ELIGIBLE FOR AID

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