Electronic SAR

2013-2014 Federal Student Aid Application

13-14 ElectronicSAR

Federal Student Aid Application

OMB: 1845-0001

Document [pdf]
Download: pdf | pdf
2013-2014

Electronic Student Aid Report (SAR)

The SAR summarizes the information you submitted on your 2013-2014 Free Application for Federal Student Aid (FAFSA).
Application Receipt Date:
Processed Date:

01/01/2013
01/01/2013

XXX-XX-0005 CA 02
EFC: 04398 *
DRN: 6167

Comments About Your Information
Learn about federal tax benefits for education, including the American Opportunity Tax Credit (AOTC).

Based on the information we have on record for you, your EFC is 04398. 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.

Your FAFSA has been selected for a review process called verification. Your school has the authority to request copies of certain financial documents from you
and your parent(s).

WHAT YOU MUST DO NOW (Use the checklist below to make sure that all of your issues are resolved.)

If your parents have now completed their 2012 tax return, you should correct your information to reflect the income and tax information reported on their tax return.
Click 'Make FAFSA Corrections' on the 'My FAFSA' page to make the correction. If your parents filed a federal tax return with the IRS, they may be eligible to use
the IRS Data Retrieval Tool, which is the best and easiest way to provide accurate tax information. With just a few simple steps, your parents can view information
from their IRS tax return and transfer that information directly into your FAFSA. If your parents have not yet completed their tax return, you must correct this SAR
to reflect the income and tax information reported on their tax return once it is filed.

DRAFT

If you need to make corrections to your information, click 'Make FAFSA Corrections' on the 'My FAFSA' page. You must use your Federal Student Aid PIN to
access your record online. If you need additional help with your SAR, contact your school's financial aid office or click the 'Help' icon on the FAFSA home page. If
your mailing address or e-mail address changes, you can make the correction online.

Based on your EFC of 04398, you may be eligible to receive a Federal Pell Grant of up to $1,200 for the 2013-2014 school year provided you have not met or
exceeded the lifetime limit established for the Federal Pell Grant program.

Page 1

FAFSA Data
!""#$%&'()%*&"+',-"%&'./'01%'&-0-'2.#'%/0%3%&+'-3%'$-34%&'5)01'-/'678'9-"0%3)"4:'");/<'
'
=<'>0#&%/08"'?-"0'@-$%A''

CAT

B<'>0#&%/08"'C)3"0'@-$%A'

HARVEY

D<'>0#&%/08"'E)&&*%'F/)0)-*A'

A

G<'>0#&%/0H"'I%3$-/%/0'E-)*)/;'!&&3%""A'

101 LANDING PAGE TEST

J<'>0#&%/0H"'I%3$-/%/0'K)02A'

CITYOLN UNIVERSI

L<'>0#&%/0H"'I%3$-/%/0'>0-0%A'

PA

M<'>0#&%/0H"'I%3$-/%/0'NFI'K.&%A'

19352

O<'>0#&%/0H"'>.P)-*'>%P#3)02'@#$,%3A'

XXX-XX-0005

Q<'>0#&%/0H"'R-0%'.('S)301A'

12/30/1995

=T<'>0#&%/0H"'I%3$-/%/0'U.$%'I1./%'@#$,%3A'

(610) 555-5644

==<'>0#&%/0H"'R3)V%3H"'?)P%/"%'@#$,%3A'

27TEST-075

=B<'>0#&%/0H"'R3)V%3H"'?)P%/"%'>0-0%A'

PA

=D<'>0#&%/0H"'WX$-)*'!&&3%""A'

[email protected]

=G<'>0#&%/0H"'K)0)Y%/"1)Z'>0-0#"A'

YES, I AM A U.S. CITIZEN (OR U.S. NATIONAL)

=J<'>0#&%/0H"'!*)%/'[%;)"03-0)./'@#$,%3A'
I AM SINGLE

=L<'>0#&%/0H"'E-3)0-*'>0-0#"A'
=M<' >0#&%/08"'E-3)0-*'>0-0#"'R-0%A''
=O<'>0#&%/0H"'>0-0%'.('?%;-*'[%")&%/P%A'

PA

=Q<'\-"'>0#&%/0'-'?%;-*'[%")&%/0'S%(.3%']-/#-32'=+'BTTO^''

YES

BT<' >0#&%/08"'?%;-*'[%")&%/P%'R-0%A'
FEMALE

B=<'F"'01%'>0#&%/0'E-*%'.3'C%$-*%^'
BB<'[%;)"0%3'>0#&%/0'\)01'>%*%P0)V%'>%3V)P%^'
BD<'R3#;'K./V)P0)./'!((%P0)/;'W*);),)*)02^'

ELIGIBLE FOR AID

BG<'C-01%3H"'W&#P-0)./-*'?%V%*A'

COLLEGE OR BEYOND

BJ<'E.01%3H"'W&#P-0)./-*'?%V%*A'

COLLEGE OR BEYOND

BL<'U);1'>P1..*'.3'W_#)V-*%/0'K.$Z*%0%&^'

HIGH SCHOOL DIPLOMA

BM-<'>0#&%/08"'U);1'>P1..*'@-$%A'
BM,<'>0#&%/08"'U);1'>P1..*'K)02A'
BMP<'>0#&%/08"'U);1'>P1..*'>0-0%A'
NO

BO<'C)3"0'S-P1%*.3H"'R%;3%%',2']#*2'=+'BT=D^'
BQ<'>0#&%/0H"'`3-&%'?%V%*')/'K.**%;%')/'BT=DXBT=GA'
DT<'a2Z%'.('R%;3%%bK%30)()P-0%A'
D=<'F/0%3%"0%&')/'\.34X"0#&2^'
DB<'>0#&%/0'C)*%&'BT=B'F/P.$%'a-c'[%0#3/^'
DD<'>0#&%/0H"'a2Z%'.('BT=B'a-c'C.3$'d"%&A'
DG<'>0#&%/0'W*);),*%'0.'C)*%'-'=TGT!'.3'=TGTWN^'
DJ<'>0#&%/0H"'BT=B'!&e#"0%&'`3.""'F/P.$%A'
DL<'>0#&%/0H"'BT=B'd<><'F/P.$%'a-c'I-)&A'
DM<'>0#&%/0H"'BT=B'Wc%$Z0)./"'K*-)$%&A'
DO<'>0#&%/0H"'BT=B'F/P.$%'W-3/%&'(3.$'\.34A'
DQ<'>Z.#"%H"'BT=B'F/P.$%'W-3/%&'(3.$'\.34A'

DRAFT
NEVER ATTENDED COLLEGE/1ST YR.
1ST BACHELOR'S DEGREE
YES

NOT GOING TO FILE

$1,000

GT<'>0#&%/0H"'a.0-*'.('K-"1+'>-V)/;"+'-/&'K1%P4)/;'!PP.#/0"A'

$80

G=<'>0#&%/0H"'@%0'\.301'.('K#33%/0'F/V%"0$%/0"A'

$0

GB<'>0#&%/0H"'@%0'\.301'.('S#")/%""%"bF/V%"0$%/0'C-3$"A'

$0

GD-<'>0#&%/0H"'W&#P-0)./'K3%&)0"A'
GD,<'>0#&%/0H"'K1)*&'>#ZZ.30'I-)&A'
GDP<'>0#&%/0H"'a-c-,*%'W-3/)/;"'(3.$'@%%&XS-"%&'W$Z*.2$%/0'I3.;3-$"A'
GD&<'>0#&%/0H"'`3-/0'-/&'>P1.*-3"1)Z'!)&'[%Z.30%&')/'!`FA'
GD%<'>0#&%/0H"'a-c-,*%'K.$,-0'I-2'[%Z.30%&')/'!`FA'
GD(<'>0#&%/0H"'K..Z%3-0)V%'W&#P-0)./'W-3/)/;"A'
GG-<'>0#&%/0H"'I-2$%/0"'0.'a-cXR%(%33%&'I%/")./"'f'>-V)/;"A'
GG,<'>0#&%/0H"'R%&#P0),*%'I-2$%/0"'0.'F[!bg%.;1bh01%3A'
GGP<'>0#&%/0H"'K1)*&'>#ZZ.30'[%P%)V%&A'
GG&<'>0#&%/0H"'a-c'Wc%$Z0'F/0%3%"0'F/P.$%A'
GG%<'>0#&%/0H"'d/0-c%&'I.30)./"'.('F[!'R)"03),#0)./"A'
GG(<'>0#&%/0H"'d/0-c%&'I.30)./"'.('I%/")./"A'
GG;<'>0#&%/0H"'U.#")/;+'C..&+'f'?)V)/;'!**.5-/P%"A'
GG1<'>0#&%/0H"'i%0%3-/"'@./%&#P-0)./'S%/%()0"A'
GG)<'>0#&%/0H"'h01%3'd/0-c%&'F/P.$%'.3'S%/%()0"A'
GGe<'E./%2'[%P%)V%&'.3'I-)&'./'>0#&%/08"'S%1-*(A'
GJ<'>0#&%/0'S.3/'S%(.3%']-/#-32'=+'=QQT^'

NO

GL<'F"'>0#&%/0'E-33)%&^'

NO

GM<'\.34)/;'./'E-"0%38"'.3'R.P0.3-0%')/'BT=DXBT=G^'

NO

GO<'F"'>0#&%/0'./'!P0)V%'R#02')/'d<><'!3$%&'C.3P%"^'

NO

GQ<'F"'>0#&%/0'-'i%0%3-/^'

NO

JT<'R.%"'>0#&%/0'U-V%'K1)*&3%/'U%b>1%'>#ZZ.30"^'

NO

J=<'R.%"'>0#&%/0'U-V%'R%Z%/&%/0"'h01%3'01-/'K1)*&3%/b>Z.#"%^'

NO

JB<'I-3%/0"'R%P%-"%&^b>0#&%/0'\-3&'.('K.#30^bF/'C."0%3'K-3%^'

NO

JD<'F"'.3'\-"'>0#&%/0'-/'W$-/P)Z-0%&'E)/.3^'

NO

JG<'F"'.3'\-"'>0#&%/0')/'?%;-*'`#-3&)-/"1)Z^'

NO

JJ<'F"'>0#&%/0'-/'d/-PP.$Z-/)%&'U.$%*%""'j.#01'-"'R%0%3$)/%&',2'U);1'>P1..*bU.$%*%""'?)-)"./^'

NO

JL<'F"'>0#&%/0'-/'d/-PP.$Z-/)%&'U.$%*%""'j.#01'-"'R%0%3$)/%&',2'UdR^'

NO

JM<'F"'>0#&%/0'!0'[)"4'.('U.$%*%""/%""^'

NO

JO<'I-3%/0"H'E-3)0-*'>0-0#"A'

MARRIED OR REMARRIED

JQ<'I-3%/0"8'E-3)0-*'>0-0#"'R-0%A'

07/1988

LT<'C-01%38"b>0%Z(-01%38"'>.P)-*'>%P#3)02'@#$,%3A'

XXX-XX-6512

L=<'C-01%3H"b>0%Z(-01%3H"'?-"0'@-$%A'

MCTESTCHEY

Page 2

LB<'C-01%3H"b>0%Z(-01%3H"'C)3"0'@-$%'F/)0)-*A'

J

LD<'C-01%38"b>0%Z(-01%38"'R-0%'.('S)301A'

09/01/1956

LG<'E.01%38"b>0%Z$.01%38"'>.P)-*'>%P#3)02'@#$,%3A'

XXX-XX-7700

LJ<'E.01%3H"b>0%Z$.01%3H"'?-"0'@-$%A'

MCTESTCHEY

LL<'E.01%3H"b>0%Z$.01%3H"'C)3"0'@-$%'F/)0)-*A'

M

LM<'E.01%38"b>0%Z$.01%38"'R-0%'.('S)301A'

01/01/1963

LO<'I-3%/0"H'WX$-)*'!&&3%""A'

[email protected]

LQ<'I-3%/0"H'>0-0%'.('?%;-*'[%")&%/P%A'

PA

MT<'\%3%'I-3%/0"'?%;-*'[%")&%/0"'S%(.3%']-/#-32'=+'BTTO^'

YES

M=<'I-3%/0"8'?%;-*'[%")&%/P%'R-0%A'
MB<'I-3%/0"H'@#$,%3'.('C-$)*2'E%$,%3"')/'BT=DXBT=GA'

5

MD<'I-3%/0"H'@#$,%3')/'K.**%;%')/'BT=DXBT=G'9I-3%/0"'WcP*#&%&:A'

2

MG<'I-3%/0"'[%P%)V%&'>#ZZ*%$%/0-*'>%P#3)02'F/P.$%^'

YES

MJ<'I-3%/0"'[%P%)V%&'>@!I^'
ML<'I-3%/0"'[%P%)V%&'C3%%b[%&#P%&'I3)P%'?#/P1^'
MM<'I-3%/0"'[%P%)V%&'a!@C^'
MO<'I-3%/0"'[%P%)V%&'\FK^'
MQ<'I-3%/0"'C)*%&'BT=B'F/P.$%'a-c'[%0#3/^'

WILL FILE

OT<'I-3%/0"H'a2Z%'.('BT=B'a-c'C.3$'d"%&A'

IRS 1040

O=<'I-3%/0"'W*);),*%'0.'C)*%'-'=TGT!'.3'=TGTWN^'

NO

OB<'F"'I-3%/0'-'R)"*.P-0%&'\.34%3^'
OD<'I-3%/0"H'BT=B'!&e#"0%&'`3.""'F/P.$%A'

$89,253

OG<'I-3%/0"H'BT=B'd<><'F/P.$%'a-c'I-)&A'

$15,091

OJ<'I-3%/0"H'BT=B'Wc%$Z0)./"'K*-)$%&A'

5

OL<'C-01%3H"b>0%Z(-01%3H"'BT=B'F/P.$%'W-3/%&'(3.$'\.34A'

$71,373

OM<'E.01%3H"b>0%Z$.01%3H"'BT=B'F/P.$%'W-3/%&'(3.$'\.34A'

$17,890

OO<'I-3%/0"H'a.0-*'.('K-"1+'>-V)/;"+'-/&'K1%P4)/;'!PP.#/0"A'

$300

OQ<'I-3%/0"H'@%0'\.301'.('K#33%/0'F/V%"0$%/0"A'

$2,200

QT<'I-3%/0"H'@%0'\.301'.('S#")/%""%"bF/V%"0$%/0'C-3$"A'

$0

Q=-<'I-3%/0"8'W&#P-0)./'K3%&)0"A'
Q=,<'I-3%/0"8'K1)*&'>#ZZ.30'I-)&A'
Q=P<'I-3%/0"H'a-c-,*%'W-3/)/;"'(3.$'@%%&XS-"%&'W$Z*.2$%/0'I3.;3-$"A'
Q=&<'I-3%/0"H'`3-/0'-/&'>P1.*-3"1)Z'!)&'[%Z.30%&')/'!`FA'
Q=%<'I-3%/0"H'a-c-,*%'K.$,-0'I-2'[%Z.30%&')/'!`FA'
Q=(<'I-3%/0"8'K..Z%3-0)V%'W&#P-0)./'W-3/)/;"A'

DRAFT

QB-<'I-3%/0"H'I-2$%/0"'0.'a-cXR%(%33%&'I%/")./"'f'>-V)/;"A'
QB,<'I-3%/0"H'R%&#P0),*%'I-2$%/0"'0.'F[!bg%.;1bh01%3A'
QBP<'I-3%/0"8'K1)*&'>#ZZ.30'[%P%)V%&A'
QB&<'I-3%/0"8'a-c'Wc%$Z0'F/0%3%"0'F/P.$%A'

QB%<'I-3%/0"8'd/0-c%&'I.30)./"'.('F[!'R)"03),#0)./"A'
QB(<'I-3%/0"8'd/0-c%&'I.30)./"'.('I%/")./"A'
QB;<'I-3%/0"8'U.#")/;+'C..&+'f'?)V)/;'!**.5-/P%"A'
QB1<'I-3%/0"H'i%0%3-/"'@./%&#P-0)./'S%/%()0"A'
QB)<'I-3%/0"8'h01%3'd/0-c%&'F/P.$%'.3'S%/%()0"A'

QD<'>0#&%/0H"'@#$,%3'.('C-$)*2'E%$,%3"')/'BT=DXBT=GA'
QG<'>0#&%/0H"'@#$,%3')/'K.**%;%')/'BT=DXBT=GA'

QJ<'>0#&%/0'[%P%)V%&'>#ZZ*%$%/0-*'>%P#3)02'F/P.$%^'
QL<'>0#&%/0'[%P%)V%&'!"#$^'
QM<'>0#&%/0'[%P%)V%&'C3%%b[%&#P%&'I3)P%'?#/P1^'
QO<'>0#&%/0'[%P%)V%&'a!@C^'
QQ<'>0#&%/0'[%P%)V%&'\FK^'
=TT<'F"'>0#&%/0'.3'>Z.#"%'-'R)"*.P-0%&'\.34%3^'
=T=-<'C)3"0'C%&%3-*'>P1..*'K.&%A''''

001002

=T=,<'C)3"0'U.#")/;'I*-/"A'

ON CAMPUS

=T=P<'>%P./&'C%&%3-*'>P1..*'K.&%A''

001004

=T=&<'>%P./&'U.#")/;'I*-/"A'

WITH PARENT

=T=%<'a1)3&'C%&%3-*'>P1..*'K.&%A'
=T=(<'a1)3&'U.#")/;'I*-/"A'
=T=;<'C.#301'C%&%3-*'>P1..*'K.&%A'
=T=1<'C.#301'U.#")/;'I*-/"A'
=T=)<'C)(01'C%&%3-*'>P1..*'K.&%A'
=T=e<'C)(01'U.#")/;'I*-/"A'
=T=4<'>)c01'C%&%3-*'>P1..*'K.&%A'
=T=*<'>)c01'U.#")/;'I*-/"A'
=T=$<'>%V%/01'C%&%3-*'>P1..*'K.&%A'
=T=/<'>%V%/01'U.#")/;'I*-/"A'
=T=.<'W);101'C%&%3-*'>P1..*'K.&%A'
=T=Z<'W);101'U.#")/;'I*-/"A'
=T=_<'@)/01'C%&%3-*'>P1..*'K.&%A'
=T=3<'@)/01'U.#")/;'I*-/"A'
=T="<'a%/01'C%&%3-*'>P1..*'K.&%A'
=T=0<'a%/01'U.#")/;'I*-/"A'
=TB<'R-0%'K.$Z*%0%&A'

01/22/2013

=TD<'>);/%&'S2A'

BOTH STUDENT AND PARENT

=TG<'I3%Z-3%38"'>.P)-*'>%P#3)02'@#$,%3A'
=TJ<'I3%Z-3%38"'W$Z*.2%3'F&%/0)()P-0)./'@#$,%3'9WF@:A'
=TL<'I3%Z-3%38"'>);/-0#3%A'

Page 3

Graduation/Retention/Transfer Rates
College Rates
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555
File Typeapplication/pdf
File Titlefafsa
Author21158
File Modified2012-11-02
File Created2012-11-02

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