Form ED-255-1 SAR

236040007 DE 03
EFC: 02579C
DRN: 9297

SAR for 2006-2007
(Student Aid Report)

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.ed.gov).You must use your PIN to access your record online.
1. LAST NAME

DEMOLASTNAME

2. FIRST NAME

LARRY
D.

3. MIDDLE INITIAL
4. PERMANENT STREET ADDRESS

3151 HOLLOW DRIVE

MARRIED/REMARRIED

55. PARENTS' MARITAL STATUS
56. DATE OF MARITAL STATUS

(BLANK)
XXX-XX-0000

5. CITY

HANOVER

57. YOUR FATHER'S/STEPFATHER'S SOCIAL
SECURITY NUMBER

6. STATE ABBREVIATION

PA

58. YOUR FATHER'S/STEPFATHER'S LAST NAME

7. ZIP CODE

20056

59. YOUR FATHER'S/STEPFATHER'S FIRST INITIAL

8. SOCIAL SECURITY NUMBER

236-04-0007

60. YOUR FATHER'S/STEPFATHER'S DATE OF BIRTH

(BLANK)

9. DATE OF BIRTH

04/19/1985

XXX-XX-0003

10. PERMANENT HOME PHONE NUMBER

(BLANK)

61. YOUR MOTHER'S/STEPMOTHER'S SOCIAL
SECURITY NUMBER

11. DRIVER'S LICENSE NUMBER

DL NUMBER33421

62. YOUR MOTHER'S/STEPMOTHER'S LAST NAME

HARRISON

12. DRIVER'S LICENSE STATE ABBREVIATION

FL

63. YOUR MOTHER'S/STEPMOTHER'S FIRST INITIAL

H

64. YOUR MOTHER'S/STEPMOTHER'S DATE OF BIRTH

11/10/1938

65. NUMBER OF FAMILY MEMBERS IN 2006-2007

05 h

66. NUMBER IN COLLEGE IN 2006-2007

1

13. EMAIL ADDRESS

[email protected]

14. CITIZENSHIP STATUS

U.S. CITIZEN

15. ALIEN REGISTRATION NUMBER
16. MARITAL STATUS

UNMARRIED
67. PARENTS' STATE OF LEGAL RESIDENCE

MD

17. DATE OF MARITAL STATUS

(BLANK)

68. LEGAL RESIDENT BEFORE JANUARY 1, 2001?

YES

18. STATE OF LEGAL RESIDENCE ABBREVIATION

MD

69. DATE PARENTS' BECAME LEGAL RESIDENT

(BLANK)

19. LEGAL RESIDENT BEFORE JANUARY 1, 2001?

YES

70. PARENT(S) FILED 2005 INCOME TAX RETURN

WILL FILE

20. DATE YOU BECAME A LEGAL RESIDENT

(BLANK)

71. TYPE OF 2005 TAX FORM USED

1040A/EZ

21. ARE YOU MALE?

NO

72. ELIGIBLE TO FILE 1040A OR 1040EZ?

NO

22. REGISTER YOU FOR SELECTIVE SERVICE?

(BLANK)

73. ADJUSTED GROSS INCOME FROM IRS FORM

$ 49,999

23. TYPE OF DEGREE/CERTIFICATE

1ST BA

24. GRADE LEVEL IN COLLEGE IN 2006-2007

2ND

74. U.S. INCOME TAX PAID

$ 250

25. HIGH SCHOOL DIPLOMA OR GED?

YES

26. FIRST BACHELOR'S DEGREE BY 7-1-2006?

NO

75. EXEMPTIONS CLAIMED

01

27. INTERESTED IN STUDENT LOANS?

YES

76. FATHER'S INCOME EARNED FROM WORK

$ 35,000

28. INTERESTED IN WORK-STUDY?

(BLANK)

29. FATHER'S EDUCATIONAL LEVEL

MIDDLE/JR. HIGH

77. MOTHER'S INCOME EARNED FROM WORK

$ 40,000

30. MOTHER'S EDUCATIONAL LEVEL

HIGH SCHOOL

31. DRUG CONVICTION AFFECTING ELIGIBILITY?

ELIGIBLE FOR AID

78. AMOUNT FROM FAFSA WORKSHEET A

$ 100

32. FILED 2005 IRS INCOME TAX RETURN

WILL FILE

79. AMOUNT FROM FAFSA WORKSHEET B

$0

33. TYPE OF 2005 TAX FORM USED

1040A/EZ

80. AMOUNT FROM FAFSA WORKSHEET C

$ 100

34. ELIGIBLE TO FILE A 1040A OR 1040EZ?

YES

35. ADJUSTED GROSS INCOME FROM IRS FORM

$ 1,320

81. CASH, SAVINGS, AND CHECKING

$ 12,000

82. NET WORTH OF CURRENT INVESTMENTS

$0

83. NET WORTH OF BUSINESS/INVESTMENT FARMS

$0

36. U.S. INCOME TAX PAID

$ 20

84. NUMBER OF FAMILY MEMBERS IN 2006-2007
37. EXEMPTIONS CLAIMED

02

38. STUDENT'S INCOME EARNED FROM WORK

$ 1,993

85. NUMBER IN COLLEGE IN 2006-2007

39. SPOUSE'S INCOME EARNED FROM WORK

$0

86. FIRST COLLEGE NAME,
CITY AND STATE (CODE)

ALABAMA AGRCLTL & MECHL UNIV
NORMAL, AL (001002)

40. AMOUNT FROM FAFSA WORKSHEET A

$ 600

87. FIRST HOUSING PLANS

WITH PARENT

41. AMOUNT FROM FAFSA WORKSHEET B

$0

(BLANK)

42. AMOUNT FROM FAFSA WORKSHEET C

$0

88. SECOND COLLEGE NAME,
CITY AND STATE (CODE)

43. CASH, SAVINGS, AND CHECKING

$ 500

44. NET WORTH OF CURRENT INVESTMENTS

$0

90. THIRD COLLEGE NAME,
CITY AND STATE (CODE)

45. NET WORTH OF BUSINESS/INVESTMENT FARMS

$0

91. THIRD HOUSING PLANS

46. HOW MANY MONTHS RECEIVE VA BENEFITS?

09

47. MONTHLY VA EDUCATION BENEFITS AMOUNT

$ 70

92. FOURTH COLLEGE NAME,
CITY AND STATE (CODE)

48. BORN BEFORE 1-1-1983?

NO

93. FOURTH HOUSING PLANS

49. WORKING ON MASTERS OR DOCTORATE?

NO

94. FIFTH COLLEGE NAME,
CITY AND STATE (CODE)

50. ARE YOU MARRIED?

NO

95. FIFTH HOUSING PLANS

51. HAVE CHILDREN YOU SUPPORT?

NO

96. SIXTH COLLEGE NAME,
CITY AND STATE (CODE)

52. DEPENDENTS OTHER THAN CHILDREN/SPOUSE?

NO

1

89. SECOND HOUSING PLANS
(BLANK)

(BLANK)

(BLANK)

(BLANK)

97. SIXTH HOUSING PLANS

53. PARENTS DECEASED OR WARD OF COURT?
54. VETERAN OF U.S. ARMED FORCES?

Application Receipt Date: 02/01/2006
Processed Date:
02/15/2006

NO
NO

98. ENROLLMENT STATUS FOR 2006-2007

FULL TIME

99. DATE COMPLETED

01/01/2006

100. SIGNED BY

BOTH

101. PREPARER'S SOCIAL SECURITY NUMBER

(BLANK)

102. PREPARER'S EIN

(BLANK)

103. PREPARER'S SIGNATURE

(BLANK)

Parents' E-mail Address:

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236040007 DE 03

YOUR FINANCIAL AID HISTORY INFORMATION
The information below is the total amount of student loans that you owe. These loans are administered by the U.S. Department of Education (ED). You should confirm that these loan
totals are correct. You can use your U.S. Department of Education PIN to view details on the individual loans that make up these totals at the National Student Loan Data System
(NSLDS) website at www.nslds.ed.gov. For more information about your ED PIN, go to www.pin.ed.gov. If you feel that the amounts listed on this page are incorrect, or you have other
questions related to a loan, you should contact the loan servicer indicated on the NSLDS web site. You can obtain general information about each of the types of loans that are listed
below by visiting our studentaid.ed.gov website.
Note that the 'Subsidized' and 'Unsubsidized' amounts include the appropriate portions of any Consolidation Loans you may have. If there is an amount listed for 'Unallocated
Consolidation Loans' it is because we could not determine whether those balances were subsidized or unsubsidized.
Remember you are responsible for repaying all of the amounts that you borrow, plus interest. As a general rule, with an assumed interest rate of 5%, the monthly payment amount over
a ten-year repayment period would be approximately $10.61 for every $1,000 that you borrowed. Of course your actual repayment amount will depend upon how much you borrow, the
interest rate when you enter repayment, and how long your repayment term is.
Total Amount of Loans Outstanding FFEL (Bank Loans) and/or Direct Loans:

Total Principal
Balance

Remaining Amount To Be
Disbursed To You, If Any

Total

Subsidized Loans:
Unsubsidized Loans:
Combined Loans:
Unallocated Consolidation Loans:
Federal Perkins Loan Amounts:
Total Outstanding Principal Balance:
2006-2007 Award Year Loan Amount:

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236040007 DE 03

COMMENTS ABOUT YOUR INFORMATION
Based on the information we have on record for you, your EFC is 02579. You
may be eligible to receive a Federal Pell Grant and other federal student aid.
Your school will use your EFC to determine your financial aid eligibility for
federal grants, loans, and work study, and possible funding from your state and
school.

ISSUES AFFECTING YOUR ELIGIBILITY
Contact the following agency(ies) regarding your defaulted federal student
loan:
Debt Collection Service, 1-800-621-3115 (GA 739)
Oklahoma Guaranteed Student Loan Program, Collection Office, 1-800-522-8022
or 405-234-4375 (GA 740)
Oregon Student Assistance Commission, Collection Office, 651-221-0566 or
1-888-221-3262 (GA 741)
Pennsylvania Higher Education Assistance Agency, 1-800-233-0751 or
1-800-692-7392 (GA 742)
The National Student Loan Data System (NSLDS) indicates that one or more
federal student loans have been discharged. If you have questions, see the
Financial Aid Administrator at your school.

WHAT YOU MUST DO NOW
Be sure to review the items marked with a h. Make corrections
to those items if necessary by selecting the Make Corrections button at the
bottom of the page.

OTHER INFORMATION YOU NEED TO KNOW
If your parents have now completed their 2005 tax return, correct this SAR to
reflect the income and tax information reported on their tax return. Select the
Make Corrections button at the bottom of the page to make the correction. If
your parents have not yet completed their tax return, you must correct this SAR
when they do to reflect the income and tax information reported on their tax return.
If you have now completed your 2005 tax return, correct this SAR to reflect
the income and tax information reported on your tax return. Select the
Make Corrections button at the bottom of the page to make the correction.
If you have not yet completed your tax return, you must correct this SAR when
you do to reflect the income and tax information reported on your tax return.
Based upon data provided by the National Student Loan Data System (NSLDS) and
your reported grade level, we have determined that you may have received a
total amount of student loans that is close to or equal to the loan limits
established for the federal loan programs. Therefore, your eligibility for
additional student loans may be limited.
If you need to make corrections to your information, select the
Make Corrections button at the bottom of the page. You must use your PIN
to access your record online. If you need additional help with your SAR,
contact your school Financial Aid Administrator or the Federal Student Aid
Information Center at 1-800-4-FED-AID (1-800-433-3243). If your mailing
address or e-mail address changes, you can make the correction online, send
in the correction on your SAR, or call 1-800-4-FED-AID and ask a customer
service representative to make the change for you.
At this point, the school(s) listed on your application have access to your information.
The school(s) may put together or change an aid package based on your Expected Family
Contribution and notify you.
The amount of aid you receive from a school will depend on the cost of attendance at
that school, your enrollment status (full-time, three-quarter-time, half-time, or less
than half-time), Congressional appropriations, and other factors. Review your financial aid
notification from the school(s) or contact the Financial Aid Administrator at the school(s).
Note: Your school has the authority to request copies of certain financial documents to
verify information you reported on your application.

The Office of Management and Budget Wants You To Know:

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236040007 DE 03

According to the Paperwork Reduction Act of 1995, no persons are required to respond to
a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 1845-0008. The time required to complete
this information collection is estimated to be an average of 15 to 30 minutes, including
the time to review instructions, search existing data sources, gather the data needed, and
complete and review the information collected. If you have any comments concerning the
accuracy of the time estimate(s) or suggestions for improving this form, please write
to: U.S. Department of Education, Washington, D.C. 20202-4651. If you have any comments
or concerns regarding the status of your individual submission of this form, write directly
to: Federal Student Aid Information Center, P.O. Box 84, Washington, D.C. 20004.
By answering questions 86 through 97, and signing the Free Application for Federal Student
Aid, you give permission to the U.S. Department of Education to provide information from
your application to the college(s) listed in Step Six. You also agree that such information
is deemed to incorporate by reference the certification statement in Step Seven of the
financial aid application. The certification statement can be viewed at
www.fafsa.ed.gov/help/ffdef39.htm.
To protect the confidentiality of your application data, you should never give, share or
disclose your PIN with anyone, including commercial service providers that provide assistance
with the financial aid process. You should keep your PIN in a safe location. If you think
your PIN has been compromised, please go to the U.S. Department of Education PIN web site
at www.pin.ed.gov and change your PIN.
WARNING: If you are convicted of drug distribution or possession, your eligibility for
Title IV student financial aid is subject to suspension or termination. If your drug
conviction status changes at any time during the 2006-2007 award year, you must update your
answer to question 31.

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236040007 DE 03