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Miscellaneous

This section provides additional information necessary to further assist the


user in the implementation of the EDE process. 2001-2002 Message
Classes, as well as Correction Test Cases, are provided in this section.

November 2000 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-1
Message Classes

Message User Sends or Record


Class Data Description Receives Length User ID
CORR02IN Electronic Corrections/Duplicates Sends 580 CPS TG50002
CORE02OP Electronic Correction/Duplicate Errors Receives 109 CPS TG50002
CORR02OP Electronic Correction/Duplicate ISIR Receives 2850 CPS TG50002
EAPR02OP Electronic Application Reject Receives 109 CPS TG50002
EAPS02IN Electronic Applications Sends 650 CPS TG50002
EAPS02OP Electronic Application ISIRs Receives 2850 CPS TG50002
EDM002OP ED Initiated Imports 0 Receives 0 Not Determined
EDM102OP ED Initiated Imports 1 Receives 0 Not Determined
EDM202OP ED Initiated Imports 2 Receives 0 Not Determined
EDM302OP ED Initiated Imports 3 Receives 0 Not Determined
EDM402OP ED Initiated Imports 4 Receives 0 Not Determined
EDM502OP ED Initiated Imports 5 Receives 0 Not Determined
EDM602OP ED Initiated Imports 6 Receives 0 Not Determined
EDM702OP ED Initiated Imports 7 Receives 0 Not Determined
EDM802OP ED Initiated Imports 8 Receives 0 Not Determined
EDM902OP ED Initiated Imports 9 Receives 0 Not Determined
EREP02OP Renewal Request (RAD) Errors Receives 109 CPS TG50002
ESFN02OP State Agency ISIR Nonresident Receives 2850 CPS TG50002
ESFR02OP State Agency ISIR Resident Receives 2850 CPS TG50002
FDRE02OP Rejected FDR Request Receives 109 CPS TG50002
FDRF02OP Processed FDRs Receives 2850 CPS TG50002
FDRS02IN FDR Request Sends 580 CPS TG50002
FDRU02OP Unfulfilled FDRs After 30 Days Receives 109 CPS TG50002
HOLD02OP Signature Hold File Receives CPS TG50002
RADD02IN Renewal Data Requests (RAD) Sends 109 CPS TG50002
RADD02OP Renewal Data from RAD Requests Receives 460 CPS TG50002
RAPR02OP Renewal Application Rejects Receives 109 CPS TG50002
REAP02IN Renewal Applications Sends 650 CPS TG50002
REAP02OP Renewal Application ISIRs Receives 2850 CPS TG50002
SARA02OP Automatic ISIRs Receives 2850 CPS TG50002
SARA12TS Electronic SAR - Test Mode Receives 2850 CPS TG50002

November 2000 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-2
Message Classes (Continued)

Message User Sends or Record


Class Data Description Receives Length User ID
SIGA02OP Signature Correction Acknowledgments & Receives 109 CPS TG50002
Errors
SIGS02IN Signature Corrections Sends 580 CPS TG50002
SYSG02OP Systems Generated Receives 2850 CPS TG50002
YTDN02OP State Agency YTD ISIR Nonresident Receives 2850 CPS TG50002
YTDR02OP State Agency YTD ISIR Resident Receives 2850 CPS TG50002
YTDO02OP Year-to-Date ISIRs Receives 2850 CPS TG50002

November 2000 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-3
Optional Testing with the Central Processing System

The certification testing process is optional for all Electronic Data Exchange
participants. Testing is available for schools that choose not to use the EDExpress
software to create history corrections. This testing can take place after all
enrollment forms for Title IV WAN have been filled out and submitted and the
network connectivity test has been completed. You can receive the 50 test ISIR
records by calling the number listed below.
1. To begin the process users will need to contact CPS Customer Service at 800-
330-5947.
2. CPS will then send a file containing 50 test ISIRs to the user’s mailbox.
3. The ISIR file will need to be downloaded from the Student Aid Internet
Gateway (SAIG) network and brought into the user’s system.
4. Print a sample of these ISIRs to verify that this process has worked
successfully.
5. Make corrections to the 10 ISIRs specified on the following pages. This will
entail entering changes to various fields on student records and saving these
revisions.
6. Once all updates are entered, the user’s system should batch up the corrections
into a CORR02IN.DAT file that the user will need to transmit via the SAIG to
CPS.
7. Within 3 days, a representative from CPS will contact the user with the results
of the test. If there were errors with the correction file, you will want to make
the appropriate changes suggested to your system and then resubmit the full
correction file again.
Note to 3rd Party Vendors and Custom System Participants: The test cases
mentioned above can be used to test your systems. Simply call CPS Customer
Service and request the 50 test cases be placed in your SAIG mailbox. Ten of the
50 test cases have been run through the compute process of the CPS and are
“realistic” scenarios of student paper applications. The history correction cases
provided on the subsequent pages are corrections to these 10 ISIRs. Copies of the
10 printed ISIRs are provided in this section for reference purposes.

November 2000 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-4
History Correction Test Cases
To better assist in testing the history correction process, 10 of the 50 test ISIR
records, which you can receive from the Central Processing System (CPS), have
been run through the CPS compute process. The following history test cases can
be used as stand-alone corrections (those without an ISIR on file) or corrections to
the corresponding ISIR in the test file. Use the following correction cases to test
the history correction process with the CPS or to test vendor software correction
processing:

1. 002472030 O’ 01

Field Value
Student’s First Name Sam
Student’s Permanent Phone # 301-555-4444
Student’s Current Social Security Number 002472031
Enrollment Status Fall 2001 ¾ time
Fall Semester or Quarter 2001
Enrollment Status Spring 2002 ¾ time
Spring Semester or Quarter 2002
Student’s Income Earned from Work 12987
Federal School Code #1 Housing Plans On Off Campus

2. 069987246 BA 01

Field Value
Student’s Permanent City Laurel
Student’s Permanent Zip code 12322
Veteran of U.S. Armed Forces? Yes
Student’s # in College 2001-2002 2
Student’s Total Amount from Worksheet B 345
Student’s Investment Net Worth 11999

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-5
3. 031289426 NE 01

Field Value
Federal School Code #2 001892
Federal School Code #2 Housing Plans On Off Campus
DRN 1234

4. 236010028 I 01 236010013 RE 01

Field Value
Interested in Student Employment? No
Age of Older Parent 67

5. 236010112 HO 01

Field Value
Student’s Number of Family Members 02
Is Student Married? Yes

6. 236010029 MI 01 236010019 BA 01

Field Value
Student’s Type of 2000 Tax Form Used 040 IRS 1040
Student’s Adjusted Gross Income from IRS form 23500
Student’s U.S. Income Tax Paid 3300

7. 236010046 FL 01 135792468 SC 01

Field Value
Parent’s Type of 2000 Tax Form Used 1040 IRS 1040
Parent’s Adjusted Gross Income from IRS form 47585
Father’s/Stepfather’s Income Earned from Work 45788
Parent’s Total Amount from Worksheet A 11455

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-6
8. 233010018 PI 01

Field Value
Monthly Veterans Education Benefits 110
No. of Months Veterans Education Benefits Received 5

9. 429887341 01

Field Value
Student’s State of Legal Residence Maryland
Student’s Driver’s License Number 245 1233 ABCDEF

10. 472981234 HI 01

Field Value
Student’s U.S. Income Tax Paid 4100
Student’s Cash, Savings, and Checking 0

SAMPLE TEST ISIRs will be available at a later time.

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-7
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
JOHN J. O'TOOLE March 5, 2001
833 ELM STREET
LACONIA NH 03246 EFC

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

There are issues with your application information that need to be resolved before
your eligibility can be determined. Read this letter carefully for specific informa-
tion. After making all necessary corrections, you and your parent must return all
documentation to your school.

It appears that the social security number you reported on your application is not
valid.

You did not provide the complete social security number and name for your parent(s).

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 5 002-47-2030 O' 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-8
2001-2002 Institutional Student Information Record

Student ID 002-47-2030 O' 01 EFC

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status X


Name JOHN J. O'TOOLE
Address: 833 ELM STREET Net Worth of Investments 0
LACONIA NH 03246 Net Worth of Business/Farm 0
Social Security Number 002-47-2030 Cash, Checking, and Savings 1739
Date of Birth 10/13/1981 No. of Months VA Benefits Received
Permanent Home Phone # (603)524-1212 Monthly VA Educational Benefits 0
E-mail Address
Driver's License # 10FAHJ74131-NH STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status UNMARRIED Is Student Married? NO
Marital Status Date Have Children You Support? NO
Enroll Plan Summer 2001 FULL TIME/NOT SURE Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 FULL TIME/NOT SURE Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 FULL TIME/NOT SURE Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 FULL TIME/NOT SURE
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level HIGH SCHOOL Marital Status MARRIED/REMARRIED
Mother's Educational Level COLLEGE/BEYOND Father's/Stepfather's SSN 111-11-1111
State of Legal Residence NH Father's Last Name FATH-LNAME
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 222-22-2222
Legal Residence Date 10/1974 Mother's Last Name MOTH
Are You Male? YES Number of Family Members 19
Register for Selective Service? Number in College in 2001-2002 4
Degree/Certificate ASSOC. TECHNICAL State of Legal Residence NH
Grade Level in College Legal Residents before 1-1-1996? YES
HS Diploma or GED Received? YES Legal Residence Date 01/1957
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent
Interested in Student Loans? YES Tax Return Filed? COMPLETED
Interested in Student Employment? YES Type of 2000 Tax Return Used 1040
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income 86000
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 4219
Tax Return Filed? Exemptions Claimed 09
Type of 2000 Tax Return Used Father's Inc Earned From Work 86000
Eligible to File 1040A or 1040EZ? YES Mother's Inc Earned From Work 0
Adjusted Gross Income Total from Worksheet A 0
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed Total from Worksheet C 0
Student's Inc Earned From Work Net Worth of Investments 0
Spouse's Inc Earned From Work Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members
Number in College in 2001-2002

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


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January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-9
2001-2002 Institutional Student Information Record

Student ID 002-47-2030 O' 01 EFC


Last Name O'TOOLE
STEP SIX (Q86 - Q97)
School #1 002573 Housing #1 ON CAMPUS
School #2 001002 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed Application Source MDE
Signed By APPLICANT AND PARENT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #2
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met: P ,W
Verification Flag N
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type Input Record Type

Paid EFC Type Pell Elig Flag Intermediate Values


Primary EFC Secondary EFC TI FTI
Mon 1 Mon 7 Mon 1 Mon 7 ATI APA
Mon 2 Mon 8 Mon 2 Mon 8 STX PCA
Mon 3 Mon 10 Mon 3 Mon 10 EA AAI
Mon 4 Mon 11 Mon 4 Mon 11 STI TPC
Mon 5 Mon 12 Mon 5 Mon 12 IPA TSC
Mon 6 Mon 6 AI PC
CAI SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag NO

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag 1

Comments: 053,047,023,051,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-10
2001-2002 Institutional Student Information Record
JOHN J. O'TOOLE
002-47-2030
2001-2002 NSLDS FINANCIAL AID HISTORY Processed: 03/28/2001
This page contains your previous financial aid information, which is contained in the
National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use
it to determine your eligibility.
******************************************************************************************
Overpayment: Contact: Discharged:Y Defaulted Loan Sat. Active Post Screening
Loans:N Repayment:N Bankruptcy:N Reason:
Pell: Y Access NSLDS
FSEOG: N N/A
Perkins: Y Access NSLDS
******************************************************************************************
Aggregate Amount Outstanding Pending Total:
FFELP/Direct Loans: Prin. Bal.: Disb(s):
Subsidized Loans: $101,110 $124,448 $225,558
Unsubsidized Loans: $ N/A $ N/A $ N/A
Combined: $101,110 $124,448 $225,558
FFEL Consol. Loans: $ N/A $ N/A
Perkins Loans:
Outstanding Principal Bal.: $ N/A Current Year Loan Amount: $ N/A

******************************************************************************************
2001-2002 Pell Payment Data:
Sch.Code: 00132900 Tran: 02 Sch.Amt:$2,300 Award Amt:$2,301 Disb.Amt:$1,150 Rem.Amt:$1,150
%Sch.Used: 50.00 As Of: 01/01/2000 Pell Verification Flag: N EFC: 987
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
******************************************************************************************
Loan Detail: Net Loan Begin End GA School Grade Contact/
Amount Date Date Code Code Level Cntct Type
Extra Capitalized
Unsub Interest

FFEL Stafford Subsidized $123,456 09/01/1998 06/01/1999 701 00132100 B 830909


Neither NO
Status Code ID as of 09/01/1998 LEN
Outstanding Bal. $101,010 as of 09/01/1998

FFEL Stafford Subsidized $102,102 09/01/1998 06/01/1999 701 00132200 B 830909


Neither NO
Status Code ID as of 09/01/1998 LEN
Outstanding Bal. $100 as of 09/01/1998

FFEL Consolidation $112,233 09/01/1992 06/01/1994 702 N/A 2 830905


Neither NO
Status Code DE as of 04/01/1994 LEN
Outstanding Bal. $110,011 as of 09/01/1994

MPN Information

Direct Loan MPN: Not on File


FFEL MPN: Unavailable
FFEL MPN Lender Code: Active

Page 4 of 5 002-47-2030 O' 01

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(237 H) 6-11
2001-2002 Institutional Student Information Record

Student ID 002-47-2030 O' 01 EFC


Last Name O'TOOLE

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 5 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-12
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
CAMERON R. NELSON March 3, 2001
10 LIGHTNING PATH LANE
PORTLAND OR 97232 EFC 50254*

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 50254. Your school
will use this number to determine what types of aid and how much you are eligible for.
You are not eligible for a Federal Pell Grant but you may be eligible for other aid.

Your school will ask you to provide copies of certain financial documents for you (and
your spouse).

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 5 031-28-9426 NE 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-13
2001-2002 Institutional Student Information Record

Student ID 031-28-9426 NE 01 EFC 50254*

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status I


Name CAMERON R. NELSON
Address: 10 LIGHTNING PATH LANE Net Worth of Investments 3888
PORTLAND OR 97232 Net Worth of Business/Farm 0
Social Security Number 031-28-9426 Cash, Checking, and Savings 28375
Date of Birth 03/26/1950 No. of Months VA Benefits Received
Permanent Home Phone # Monthly VA Educational Benefits 0
E-mail Address
Driver's License # NONE STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? YES
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status UNMARRIED Is Student Married? NO
Marital Status Date Have Children You Support? NO
Enroll Plan Summer 2001 NOT ATTENDING Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 FULL TIME/NOT SURE Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 NOT ATTENDING Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 FULL TIME/NOT SURE
Enroll Plan Summer 2002 NOT ATTENDING STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level HIGH SCHOOL Marital Status
Mother's Educational Level HIGH SCHOOL Father's/Stepfather's SSN 011-11-1111
State of Legal Residence OR Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 111-11-1110
Legal Residence Date 03/1947 Mother's Last Name
Are You Male? NO Number of Family Members
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate ASSOC. TECHNICAL State of Legal Residence
Grade Level in College 1st YR NEVER ATT Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent
Interested in Student Loans? NO Tax Return Filed?
Interested in Student Employment? NO Type of 2000 Tax Return Used
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? COMPLETED Exemptions Claimed
Type of 2000 Tax Return Used 1040A/EZ/TEL Father's Inc Earned From Work
Eligible to File 1040A or 1040EZ? NO Mother's Inc Earned From Work
Adjusted Gross Income 125000 Total from Worksheet A 0
U.S. Income Tax Paid 8400 Total from Worksheet B 0
Exemptions Claimed 01 Total from Worksheet C 0
Student's Inc Earned From Work 125000 Net Worth of Investments 0
Spouse's Inc Earned From Work Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 01
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


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January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-14
2001-2002 Institutional Student Information Record

Student ID 031-28-9426 NE 01 EFC 50254*


Last Name NELSON
STEP SIX (Q86 - Q97)
School #1 001002 Housing #1 OFF CAMPUS
School #2 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type 2
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 04/16/2001 Application Source MDE
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #1
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag Y
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 01/03/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 01/03/2001
Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Intermediate Values


Primary EFC 50254 Secondary EFC TI 125000 FTI 125000
Mon 1 5584 Mon 7 39088 Mon 1 Mon 7 ATI 27547 APA 27900
Mon 2 11168 Mon 8 44672 Mon 2 Mon 8 STX 7500 PCA
Mon 3 16752 Mon 10 50254 Mon 3 Mon 10 EA 0 AAI
Mon 4 22336 Mon 11 50254 Mon 4 Mon 11 STI TPC
Mon 5 27920 Mon 12 50254 Mon 5 Mon 12 IPA 5110 TSC
Mon 6 33504 Mon 6 AI 97453 PC
CAI 48727 SIC
DNW 4363 SCA 1527

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag NO

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag 1

Comments: 053,112,171,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


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January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-15
2001-2002 Institutional Student Information Record
CAMERON R. NELSON
031-28-9426
2001-2002 NSLDS FINANCIAL AID HISTORY Processed: 03/28/2001
This page contains your previous financial aid information, which is contained in the
National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use
it to determine your eligibility.
******************************************************************************************
Overpayment: Contact: Discharged:N Defaulted Loan Sat. Active Post Screening
Loans:Y Repayment:N Bankruptcy:N Reason:
Pell: Y Access NSLDS
FSEOG: S Access NSLDS
Perkins: D Access NSLDS
******************************************************************************************
Aggregate Amount Outstanding Pending Total:
FFELP/Direct Loans: Prin. Bal.: Disb(s):
Subsidized Loans: $ 900 $ N/A $ 900
Unsubsidized Loans: $ N/A $ N/A $ N/A
Combined: $ 900 $ N/A $ 900
FFEL Consol. Loans: $ N/A $ N/A
Perkins Loans:
Outstanding Principal Bal.: $ N/A Current Year Loan Amount: $ N/A

******************************************************************************************
2001-2002 Pell Payment Data:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
******************************************************************************************
Loan Detail: Net Loan Begin End GA School Grade Contact/
Amount Date Date Code Code Level Cntct Type
Extra Capitalized
Unsub Interest

FFEL Stafford Subsidized $ 1,200 09/01/1998 06/01/1999 701 00132100 D 701


Neither NO
Status Code DL as of 09/01/1998 GA
Outstanding Bal. $900 as of 09/01/1998

MPN Information

Direct Loan MPN: Not on File


FFEL MPN: Unavailable
FFEL MPN Lender Code: Active

Page 4 of 5 031-28-9426 NE 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-16
2001-2002 Institutional Student Information Record

Student ID 031-28-9426 NE 01 EFC 50254*


Last Name NELSON

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 5 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-17
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
AMIRI L. BARAKA March 5, 2001
8 LINDEN BLVD. APT. BI
NEWARK NJ 07111 EFC 99999

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 99999. Your school
will use this number to determine what types of aid and how much you are eligible for.
You are not eligible for a Federal Pell Grant but you may be eligible for other aid.

We assumed certain information to calculate your eligibility for federal student aid.
We printed an asterisk (*) next to the items containing assumed information. If our
assumptions are correct, do not change them.

If you have now filed your 2000 tax return, correct this ISIR to reflect the information
as reported on your tax return. If you still haven't filed, notify your Financial Aid
Administrator once you file.

Be sure to review the items marked with an "h" or an "*" on your ISIR and make
corrections if necessary.

You reported that you will either have a bachelor's degree by July 1, 2001 or you will
be working on a degree beyond a bachelor's degree. Graduate students are eligible for
most types of federal aid, but generally not the Federal Pell Grant.

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 5 069-98-7246 BA 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-18
2001-2002 Institutional Student Information Record

Student ID 069-98-7246 BA 01 EFC 99999


GRAD/PROF
STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status I
Name AMIRI L. BARAKA
Address: 8 LINDEN BLVD. APT. BI Net Worth of Investments 622000
NEWARK NJ 07111 Net Worth of Business/Farm 0
Social Security Number 069-98-7246 Cash, Checking, and Savings 125000
Date of Birth 09/14/1937 No. of Months VA Benefits Received
Permanent Home Phone # Monthly VA Educational Benefits 0
E-mail Address
Driver's License # NONE STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status ELIGIBLE NONCITIZEN Born Before 1-1-1978? YES
Alien Registration Number A007681243 Master's/Doctorate Prog. in 2001-2002? YES
Marital Status MARRIED/REMARRIED Is Student Married? YES
Marital Status Date 10/1954 Have Children You Support? NO
Enroll Plan Summer 2001 NOT ATTENDING Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 3/4 TIME Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 NOT ATTENDING Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 3/4 TIME
Enroll Plan Summer 2002 NOT ATTENDING STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level Marital Status
Mother's Educational Level Father's/Stepfather's SSN 011-11-1113
State of Legal Residence NJ Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 111-11-1130
Legal Residence Date 10/1954 Mother's Last Name
Are You Male? NO Number of Family Members
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate TEACHING State of Legal Residence
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent
Interested in Student Loans? NO Tax Return Filed?
Interested in Student Employment? NO Type of 2000 Tax Return Used
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? WILL FILE Exemptions Claimed
Type of 2000 Tax Return Used 1040 Father's Inc Earned From Work
Eligible to File 1040A or 1040EZ?DON'T KNOW Mother's Inc Earned From Work
Adjusted Gross Income 62000 Total from Worksheet A 0
U.S. Income Tax Paid 4200 Total from Worksheet B 0
Exemptions Claimed 02 Total from Worksheet C 0
*Student's Inc Earned From Work 62000 Net Worth of Investments 0
Spouse's Inc Earned From Work Net Worth of Business/Farm 0
Total from Worksheet A 3600 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 02
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-19
2001-2002 Institutional Student Information Record

Student ID 069-98-7246 BA 01 EFC 99999


Last Name BARAKA GRAD/PROF
STEP SIX (Q86 - Q97)
School #1 001002 Housing #1 OFF CAMPUS
School #2 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type 2
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 02/24/2001 Application Source MDE
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #1
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag N
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 01/03/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 01/03/2001
Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Intermediate Values


Primary EFC 99999 Secondary EFC TI 65600 FTI 65600
Mon 1 11111 Mon 7 77777 Mon 1 Mon 7 ATI 19091 APA 72700
Mon 2 22222 Mon 8 88888 Mon 2 Mon 8 STX 1968 PCA
Mon 3 33333 Mon 10 99999 Mon 3 Mon 10 EA 0 AAI
Mon 4 44444 Mon 11 99999 Mon 4 Mon 11 STI TPC
Mon 5 55555 Mon 12 99999 Mon 5 Mon 12 IPA 8180 TSC
Mon 6 66666 Mon 6 AI 46509 PC
CAI 23255 SIC
DNW 674300 SCA 236005

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag NO

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag 1

Comments: 053,112,117,157,118,070,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-20
2001-2002 Institutional Student Information Record
AMIRI L. BARAKA
069-98-7246
2001-2002 NSLDS FINANCIAL AID HISTORY Processed: 03/28/2001
This page contains your previous financial aid information, which is contained in the
National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use
it to determine your eligibility.
******************************************************************************************
Overpayment: Contact: Discharged:N Defaulted Loan Sat. Active Post Screening
Loans:Y Repayment:N Bankruptcy:Y Reason:
Pell: W Access NSLDS
FSEOG: W 00132200
Perkins: S 04
******************************************************************************************
Aggregate Amount Outstanding Pending Total:
FFELP/Direct Loans: Prin. Bal.: Disb(s):
Subsidized Loans: $ 1,900 $ 50 $ 1,950
Unsubsidized Loans: $ N/A $ N/A $ N/A
Combined: $ 1,900 $ 50 $ 1,950
FFEL Consol. Loans: $ N/A $ N/A
Perkins Loans:
Outstanding Principal Bal.: $ N/A Current Year Loan Amount: $ N/A

******************************************************************************************
2001-2002 Pell Payment Data:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:
%Sch.Used: As Of: Pell Verification Flag: EFC:
******************************************************************************************
Loan Detail: Net Loan Begin End GA School Grade Contact/
Amount Date Date Code Code Level Cntct Type
Extra Capitalized
Unsub Interest

Direct Consolidation Sub $ 950 08/31/1998 05/07/1999 N/A N/A 1 32100


Neither NO
Status Code ID as of 08/31/1998 DLS
Outstanding Bal. $900 as of 09/30/1998

Direct Consolidation Sub $ 1,000 01/08/1996 04/26/1996 N/A N/A N/A 32100
Neither NO
Status Code DT as of 08/22/1998 DLS
Outstanding Bal. $1,061 as of 09/30/1998

FFEL Stafford Subsidized $ 20,415 08/29/1995 05/11/1996 555 00132100 1 05


Neither NO
Status Code DB as of 08/18/1997 EDR
Outstanding Bal. $0 as of 08/18/1997

MPN Information

Direct Loan MPN: Not on File


FFEL MPN: Unavailable
FFEL MPN Lender Code: Active

Page 4 of 5 069-98-7246 BA 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-21
2001-2002 Institutional Student Information Record

Student ID 069-98-7246 BA 01 EFC 99999


Last Name BARAKA GRAD/PROF

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 5 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-22
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
SHARON T. SCHWARTZ March 5, 2001
3225 EUCALYPTUS DRIVE #321
SAN FRANCISCO CA 94132 EFC

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

There are issues with your application information that need to be resolved before
your eligibility can be determined. Read this letter carefully for specific informa-
tion. After making all necessary corrections, you and your parent must return all
documentation to your school.

It appears that the social security number you reported on your application is not
valid.

You did not provide the complete social security number and name for your parent(s).

You reported that you will either have a bachelor's degree by July 1, 2001 or you will
be working on a degree beyond a bachelor's degree. Graduate students are eligible for
most types of federal aid, but generally not the Federal Pell Grant.

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 5 135-79-2468 SC 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-23
2001-2002 Institutional Student Information Record

Student ID 135-79-2468 SC 01 EFC


BA DEG REC'D
STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status X
Name SHARON T. SCHWARTZ
Address: 3225 EUCALYPTUS DRIVE #321 Net Worth of Investments 0
SAN FRANCISCO CA 94132 Net Worth of Business/Farm 0
Social Security Number 135-79-2468 Cash, Checking, and Savings 532
Date of Birth 03/07/1983 No. of Months VA Benefits Received
Permanent Home Phone # (415)923-8129 Monthly VA Educational Benefits 0
E-mail Address
Driver's License # 9082107325-CA STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status UNMARRIED Is Student Married? NO
Marital Status Date Have Children You Support? NO
Enroll Plan Summer 2001 1/2 TIME Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 FULL TIME/NOT SURE Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 FULL TIME/NOT SURE Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 FULL TIME/NOT SURE
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level COLLEGE/BEYOND Marital Status MARRIED/REMARRIED
Mother's Educational Level COLLEGE/BEYOND Father's/Stepfather's SSN 011-11-1110
State of Legal Residence CA Father's Last Name FATH-LNAME
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 111-11-1100
Legal Residence Date 03/1981 Mother's Last Name SONY
Are You Male? NO Number of Family Members 06
Register for Selective Service? Number in College in 2001-2002 3
Degree/Certificate ASSOC. TECHNICAL State of Legal Residence CA
Grade Level in College Legal Residents before 1-1-1996? YES
HS Diploma or GED Received? YES Legal Residence Date 03/1981
First Bachelor's Degree by 7-1-2001? YES Age of Older Parent
Interested in Student Loans? YES Tax Return Filed? COMPLETED
Interested in Student Employment? YES Type of 2000 Tax Return Used 1040A/EZ/TEL
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income 43922
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 9328
Tax Return Filed? Exemptions Claimed 06
Type of 2000 Tax Return Used Father's Inc Earned From Work 23147
Eligible to File 1040A or 1040EZ? YES Mother's Inc Earned From Work 20795
Adjusted Gross Income Total from Worksheet A 0
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed Total from Worksheet C 0
Student's Inc Earned From Work Net Worth of Investments 0
Spouse's Inc Earned From Work Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members
Number in College in 2001-2002

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-24
2001-2002 Institutional Student Information Record

Student ID 135-79-2468 SC 01 EFC


Last Name SCHWARTZ BA DEG REC'D
STEP SIX (Q86 - Q97)
School #1 001305 Housing #1 ON CAMPUS
School #2 001002 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 09/24/2001 Application Source MDE
Signed By APPLICANT AND PARENT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #2
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met: P
Verification Flag N
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type Input Record Type

Paid EFC Type Pell Elig Flag Intermediate Values


Primary EFC Secondary EFC TI FTI
Mon 1 Mon 7 Mon 1 Mon 7 ATI APA
Mon 2 Mon 8 Mon 2 Mon 8 STX PCA
Mon 3 Mon 10 Mon 3 Mon 10 EA AAI
Mon 4 Mon 11 Mon 4 Mon 11 STI TPC
Mon 5 Mon 12 Mon 5 Mon 12 IPA TSC
Mon 6 Mon 6 AI PC
CAI SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag YES

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag 1

Comments: 053,047,023,051,070,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-25
2001-2002 Institutional Student Information Record
SHARON T. SCHWARTZ
135-79-2468
2001-2002 NSLDS FINANCIAL AID HISTORY Processed: 03/28/2001
This page contains your previous financial aid information, which is contained in the
National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use
it to determine your eligibility.
******************************************************************************************
Overpayment: Contact: Discharged:Y Defaulted Loan Sat. Active Post Screening
Loans:N Repayment:N Bankruptcy:N Reason:
Pell: N N/A
FSEOG: S 05
Perkins: N N/A
******************************************************************************************
Aggregate Amount Outstanding Pending Total:
FFELP/Direct Loans: Prin. Bal.: Disb(s):
Subsidized Loans: $ N/A $ N/A $ N/A
Unsubsidized Loans: $ N/A $ N/A $ N/A
Combined: $ N/A $ N/A $ N/A
FFEL Consol. Loans: $ N/A $ N/A
Perkins Loans:
Outstanding Principal Bal.: $ 600 Current Year Loan Amount: $ N/A

******************************************************************************************
2001-2002 Pell Payment Data:
Sch.Code: 00132800 Tran: 03 Sch.Amt:$2,003 Award Amt:$2,002 Disb.Amt:$1,300 Rem.Amt:$ 703
%Sch.Used: 35.10 As Of: 01/05/2000 Pell Verification Flag: C EFC: 213
Sch.Code: 00132800 Tran: 02 Sch.Amt:$2,004 Award Amt:$2,001 Disb.Amt:$1,400 Rem.Amt:$ 604
%Sch.Used: 30.10 As Of: 01/04/2000 Pell Verification Flag: R EFC: 212
Sch.Code: 00132200 Tran: 01 Sch.Amt:$2,005 Award Amt:$2,003 Disb.Amt:$1,500 Rem.Amt:$ 505
%Sch.Used: 25.20 As Of: 01/03/2000 Pell Verification Flag: N EFC: 211
******************************************************************************************
Loan Detail: Net Loan Begin End GA School Grade Contact/
Amount Date Date Code Code Level Cntct Type
Extra Capitalized
Unsub Interest

National Defense Loan $ 800 02/01/1993 05/01/1993 N/A 00132100 N/A 00132100
Neither NO
Status Code IG as of 04/01/1994 SCH
Outstanding Bal. $300 as of 11/01/1998

National Defense Loan $ 800 02/01/1993 05/01/1993 N/A 00132200 N/A 00132200
Neither NO
Status Code IM as of 04/01/1994 SCH
Outstanding Bal. $300 as of 11/01/1998

MPN Information

Direct Loan MPN: Not on File


FFEL MPN: Unavailable
FFEL MPN Lender Code: Active

Page 4 of 5 135-79-2468 SC 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-26
2001-2002 Institutional Student Information Record

Student ID 135-79-2468 SC 01 EFC


Last Name SCHWARTZ BA DEG REC'D

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 5 of 5

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-27
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
JEAN LUC PICCARD March 5, 2001
USS ENTERPRISE NCC-1701D
TOWSON MD 20204 EFC 0*

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 0. Your school
will use this number to determine what types of aid and how much you are eligible for.
You may be eligible to receive a Federal Pell Grant and other federal student aid.

Your school will ask you to provide copies of certain financial documents for you (and
your spouse).

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 233-01-0018 PI 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-28
2001-2002 Institutional Student Information Record

Student ID 233-01-0018 PI 01 EFC 0*

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status I


Name JEAN LUC PICCARD
Address: USS ENTERPRISE NCC-1701D Net Worth of Investments 0
TOWSON MD 20204 Net Worth of Business/Farm 0
Social Security Number 233-01-0018 Cash, Checking, and Savings 0
Date of Birth 02/01/1971 No. of Months VA Benefits Received 0
Permanent Home Phone # (301)555-1212 Monthly VA Educational Benefits 0
E-mail Address
Driver's License # NONE STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? YES
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status MARRIED/REMARRIED Is Student Married? YES
Marital Status Date 04/1990 Have Children You Support? NO
Enroll Plan Summer 2001 3/4 TIME Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 3/4 TIME Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 3/4 TIME Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 3/4 TIME
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level Marital Status
Mother's Educational Level MDSCH/JRHS Father's/Stepfather's SSN 000-00-0000
State of Legal Residence MD Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date 02/1967 Mother's Last Name
Are You Male? YES Number of Family Members
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate 2nd BA State of Legal Residence
Grade Level in College 1st YR ATT PREV Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent
Interested in Student Loans? Tax Return Filed?
Interested in Student Employment? Type of 2000 Tax Return Used
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? COMPLETED Exemptions Claimed
Type of 2000 Tax Return Used 1040 Father's Inc Earned From Work
Eligible to File 1040A or 1040EZ? YES Mother's Inc Earned From Work
Adjusted Gross Income 2000 Total from Worksheet A 0
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed 01 Total from Worksheet C 0
Student's Inc Earned From Work 0 Net Worth of Investments 0
Spouse's Inc Earned From Work 0 Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 01
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-29
2001-2002 Institutional Student Information Record

Student ID 233-01-0018 PI 01 EFC 0*


Last Name PICCARD
STEP SIX (Q86 - Q97)
School #1 001004 Housing #1 OFF CAMPUS
School #2 001002 Housing #2 W/PARENT(S)
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type 5
Secondary EFC Type 2
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 01/24/2001 Application Source ELECTRONICAPP
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN SIGNED Source of Correction
Preparer's EIN REPORTED Federal School Code Indicator School #1
Preparer's Signature SIGNED Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag Y
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 08/21/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 08/21/2001
Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Y Intermediate Values


Primary EFC 0 Secondary EFC 0 TI 2000 FTI 2000
Mon 1 0 Mon 7 0 Mon 1 0 Mon 7 0 ATI 8300 APA
Mon 2 0 Mon 8 0 Mon 2 0 Mon 8 0 STX 120 PCA
Mon 3 0 Mon 10 0 Mon 3 0 Mon 10 0 EA 0 AAI
Mon 4 0 Mon 11 0 Mon 4 0 Mon 11 0 STI TPC
Mon 5 0 Mon 12 0 Mon 5 0 Mon 12 0 IPA 8180 TSC
Mon 6 0 Mon 6 0 AI -6300 PC
CAI -3150 SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag YES

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,149,171,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-30
2001-2002 Institutional Student Information Record

Student ID 233-01-0018 PI 01 EFC 0*


Last Name PICCARD

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-31
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
ROBERT S. REDFORD March 5, 2001
145 MINING LANE
BEDROCK DC 20816 EFC

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

There are issues with your application information that need to be resolved before
your eligibility can be determined. Read this letter carefully for specific informa-
tion. After making all necessary corrections, you must return all documentation to
your school.

NOTE: You reported a value(s) that exceeds the amount of space allowed on the ISIR.
We printed all nines for these fields.

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 236-01-0013 RE 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-32
2001-2002 Institutional Student Information Record

Student ID 236-01-0013 RE 01 EFC

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status Y


Name ROBERT S. REDFORD
Address: 145 MINING LANE Net Worth of Investments 0
BEDROCK DC 20816 Net Worth of Business/Farm 0
Social Security Number 236-01-0013 Cash, Checking, and Savings 999999
Date of Birth 09/09/1979 No. of Months VA Benefits Received 0
Permanent Home Phone # Monthly VA Educational Benefits 999
E-mail Address FRANKENSTEIN@CPS_UNIVERSITY.EDU
Driver's License # NONE STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002?
Marital Status MARRIED/REMARRIED *Is Student Married? YES
Marital Status Date 07/1970 Have Children You Support?
Enroll Plan Summer 2001 Dependents Other Than Children/Spouse?
Enroll Plan Fall 2001 Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level Marital Status MARRIED/REMARRIED
Mother's Educational Level Father's/Stepfather's SSN 000-00-0000
State of Legal Residence DE Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date 10/1990 Mother's Last Name
Are You Male? YES Number of Family Members 01
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate CERT/DIPL 2 YRS State of Legal Residence MD
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent 45
Interested in Student Loans? Tax Return Filed? WILL FILE
Interested in Student Employment? Type of 2000 Tax Return Used 1040
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income 20200
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 2000
Tax Return Filed? COMPLETED Exemptions Claimed 13
Type of 2000 Tax Return Used 1040 Father's Inc Earned From Work 20000
Eligible to File 1040A or 1040EZ? NO Mother's Inc Earned From Work
Adjusted Gross Income -999999 Total from Worksheet A 2195
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed 00 Total from Worksheet C 0
Student's Inc Earned From Work 0 Net Worth of Investments 0
Spouse's Inc Earned From Work -999999 Net Worth of Business/Farm 0
Total from Worksheet A 99999 Cash, Savings, and Checking 5000
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 99
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-33
2001-2002 Institutional Student Information Record

Student ID 236-01-0013 RE 01 EFC


Last Name REDFORD
STEP SIX (Q86 - Q97)
School #1 001002 Housing #1
School #2 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 04/16/2001 Application Source MDE
Signed By APPLICANT AND PARENT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #1
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met: W
Verification Flag N
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type C Input Record Type C

Paid EFC Type Pell Elig Flag Intermediate Values


Primary EFC Secondary EFC TI FTI
Mon 1 Mon 7 Mon 1 Mon 7 ATI APA
Mon 2 Mon 8 Mon 2 Mon 8 STX PCA
Mon 3 Mon 10 Mon 3 Mon 10 EA AAI
Mon 4 Mon 11 Mon 4 Mon 11 STI TPC
Mon 5 Mon 12 Mon 5 Mon 12 IPA TSC
Mon 6 Mon 6 AI PC
CAI SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag NO

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,050,139,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-34
2001-2002 Institutional Student Information Record

Student ID 236-01-0013 RE 01 EFC


Last Name REDFORD

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-35
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
RUBBLE A. BARNEY March 5, 2001
96 ROCKING WAY
RUMBLE ID 20007 EFC 56791*

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 56791. Your school
will use this number to determine what types of aid and how much you are eligible for.
You are not eligible for a Federal Pell Grant but you may be eligible for other aid.

Your school will ask you to provide copies of certain financial documents for you (and
your spouse).

We assumed certain information to calculate your eligibility for federal student aid.
We printed an asterisk (*) next to the items containing assumed information. If our
assumptions are correct, do not change them.

Be sure to review the items marked with an "h" or an "*" on your ISIR and make
corrections if necessary.

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 236-01-0019 BA 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-36
2001-2002 Institutional Student Information Record

Student ID 236-01-0019 BA 01 EFC 56791*

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status I


Name RUBBLE A. BARNEY
Address: 96 ROCKING WAY Net Worth of Investments 0
RUMBLE ID 20007 Net Worth of Business/Farm 0
Social Security Number 236-01-0019 Cash, Checking, and Savings 0
Date of Birth 01/01/1979 No. of Months VA Benefits Received
Permanent Home Phone # Monthly VA Educational Benefits 0
E-mail Address
Driver's License # A-*1- STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002?
Marital Status MARRIED/REMARRIED *Is Student Married? YES
Marital Status Date 12/1992 Have Children You Support? NO
Enroll Plan Summer 2001 Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level UNKNOWN Marital Status MARRIED/REMARRIED
Mother's Educational Level COLLEGE/BEYOND Father's/Stepfather's SSN 000-00-0000
State of Legal Residence HI Father's Last Name
Legal Resident before 1-1-1996? Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date Mother's Last Name
Are You Male? YES Number of Family Members 03
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate State of Legal Residence MD
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent 45
Interested in Student Loans? Tax Return Filed? COMPLETED
Interested in Student Employment? Type of 2000 Tax Return Used 1040A/EZ/TEL
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income 0
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? NOT FILING Exemptions Claimed 01
Type of 2000 Tax Return Used Father's Inc Earned From Work 5000
Eligible to File 1040A or 1040EZ? YES Mother's Inc Earned From Work 2000
*Adjusted Gross Income 32154 Total from Worksheet A 0
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed Total from Worksheet C 0
Student's Inc Earned From Work Net Worth of Investments 0
Spouse's Inc Earned From Work 32154 Net Worth of Business/Farm 0
Total from Worksheet A 99996 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
*Number Family Members 02
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-37
2001-2002 Institutional Student Information Record

Student ID 236-01-0019 BA 01 EFC 56791*


Last Name BARNEY
STEP SIX (Q86 - Q97)
School #1 001002 Housing #1
School #2 001007 Housing #2
School #3 001004 Housing #3
School #4 001012 Housing #4 OFFICE INFORMATION
School #5 E00002 Housing #5 DRN
School #6 001290 Housing #6 Primary EFC Type 5
Secondary EFC Type 2
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 01/01/2001 Application Source MDE
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #4
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag Y
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Intermediate Values


Primary EFC 56791 Secondary EFC 56791 TI 132150 FTI 132150
Mon 1 6310 Mon 7 44170 Mon 1 6310 Mon 7 44170 ATI 18569 APA
Mon 2 12620 Mon 8 50480 Mon 2 12620 Mon 8 50480 STX 7929 PCA
Mon 3 18930 Mon 10 56791 Mon 3 18930 Mon 10 56791 EA 0 AAI
Mon 4 25240 Mon 11 56791 Mon 4 25240 Mon 11 56791 STI TPC
Mon 5 31550 Mon 12 56791 Mon 5 31550 Mon 12 56791 IPA 8180 TSC
Mon 6 37860 Mon 6 37860 AI 113581 PC
CAI 56791 SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag YES

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,112,171,117,118,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-38
2001-2002 Institutional Student Information Record

Student ID 236-01-0019 BA 01 EFC 56791*


Last Name BARNEY

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-39
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
BRANCH T. HOLLY March 5, 2001
SC G
CITY TX 20007 EFC 0

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 0. Your school
will use this number to determine what types of aid and how much you are eligible for.
You may be eligible to receive a Federal Pell Grant and other federal student aid.

We assumed certain information to calculate your eligibility for federal student aid.
We printed an asterisk (*) next to the items containing assumed information. If our
assumptions are correct, do not change them.

Be sure to review the items marked with an "h" or an "*" on your ISIR and make
corrections if necessary.

You did not provide the complete social security number and name for your parent(s).

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 236-01-0112 HO 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-40
2001-2002 Institutional Student Information Record

Student ID 236-01-0112 HO 01 EFC 0

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status D


Name BRANCH T. HOLLY
Address: SC G Net Worth of Investments 0
CITY TX 20007 Net Worth of Business/Farm 0
Social Security Number 236-01-0112 Cash, Checking, and Savings 0
Date of Birth 01/01/1979 No. of Months VA Benefits Received 0
Permanent Home Phone # Monthly VA Educational Benefits 0
E-mail Address
Driver's License # NONE STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status UNMARRIED Is Student Married? NO
Marital Status Date Have Children You Support? NO
Enroll Plan Summer 2001 Dependents Other Than Children/Spouse? NO
Enroll Plan Fall 2001 Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level Marital Status MARRIED/REMARRIED
Mother's Educational Level Father's/Stepfather's SSN 000-00-0000
State of Legal Residence CA Father's Last Name
Legal Resident before 1-1-1996? Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date Mother's Last Name
Are You Male? YES Number of Family Members 03
Register for Selective Service? Number in College in 2001-2002 1
Degree/Certificate State of Legal Residence VI
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent 45
Interested in Student Loans? Tax Return Filed? COMPLETED
Interested in Student Employment? Type of 2000 Tax Return Used 1040A/EZ/TEL
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income -75000
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 1000
Tax Return Filed? NOT FILING Exemptions Claimed 01
Type of 2000 Tax Return Used Father's Inc Earned From Work 0
Eligible to File 1040A or 1040EZ? YES *Mother's Inc Earned From Work -75000
Adjusted Gross Income 0 Total from Worksheet A 15100
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed 00 Total from Worksheet C 0
Student's Inc Earned From Work 0 Net Worth of Investments 0
Spouse's Inc Earned From Work 0 Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 01
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-41
2001-2002 Institutional Student Information Record

Student ID 236-01-0112 HO 01 EFC 0


Last Name HOLLY
STEP SIX (Q86 - Q97)
School #1 001002 Housing #1
School #2 001004 Housing #2
School #3 001005 Housing #3
School #4 001007 Housing #4 OFFICE INFORMATION
School #5 001012 Housing #5 DRN
School #6 001014 Housing #6 Primary EFC Type 4
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed 01/24/2001 Application Source MDE
Signed By APPLICANT AND PARENT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #5
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag N
System Generated Indicator Dependency Override FAILED
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type C Input Record Type C

Paid EFC Type PRIMARY Pell Elig Flag Y Intermediate Values


Primary EFC 0 Secondary EFC TI 15100 FTI 15100
Mon 1 Mon 7 Mon 1 Mon 7 ATI APA
Mon 2 Mon 8 Mon 2 Mon 8 STX PCA
Mon 3 Mon 10 Mon 3 Mon 10 EA AAI
Mon 4 Mon 11 Mon 4 Mon 11 STI 0 TPC
Mon 5 Mon 12 Mon 5 Mon 12 IPA TSC
Mon 6 Mon 6 AI PC
CAI SIC
DNW SCA

Auto Zero EFC Flag Y Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag YES

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,149,117,118,051,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-42
2001-2002 Institutional Student Information Record

Student ID 236-01-0112 HO 01 EFC 0


Last Name HOLLY

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-43
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
OTHELLO March 5, 2001
42-B AVON CIRCLE
STRATFORD IA 52555 EFC

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

There are issues with your application information that need to be resolved before
your eligibility can be determined. Read this letter carefully for specific informa-
tion. After making all necessary corrections, you must return all documentation to
your school.

We recently received a student aid application with an incomplete name from this
address. The applicant should review the ISIR and provide his or her full name. If
the applicant does not have both a first and a last name, contact your FAA for assistance.

You reported that you will either have a bachelor's degree by July 1, 2001 or you will
be working on a degree beyond a bachelor's degree. Graduate students are eligible for
most types of federal aid, but generally not the Federal Pell Grant.

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 429-88-7341 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-44
2001-2002 Institutional Student Information Record

Student ID 429-88-7341 01 EFC


BA DEG REC'D
STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status Y
Name OTHELLO
Address: 42-B AVON CIRCLE Net Worth of Investments 0
STRATFORD IA 52555 Net Worth of Business/Farm 0
Social Security Number 429-88-7341 Cash, Checking, and Savings 973
Date of Birth 07/02/1953 No. of Months VA Benefits Received
Permanent Home Phone # (319)349-8392 Monthly VA Educational Benefits 0
E-mail Address MICKEYMOUSE@CPS_UNIVERSITY.EDU
Driver's License # A49376110-IA STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? YES
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status MARRIED/REMARRIED Is Student Married? YES
Marital Status Date Have Children You Support?
Enroll Plan Summer 2001 Dependents Other Than Children/Spouse? YES
Enroll Plan Fall 2001 Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level COLLEGE/BEYOND Marital Status
Mother's Educational Level HIGH SCHOOL Father's/Stepfather's SSN 000-00-0000
State of Legal Residence IA Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date 12/1942 Mother's Last Name
Are You Male? NO Number of Family Members
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate ASSOC. TECHNICAL State of Legal Residence
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? YES Age of Older Parent
Interested in Student Loans? YES Tax Return Filed?
Interested in Student Employment? YES Type of 2000 Tax Return Used
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? COMPLETED Exemptions Claimed
Type of 2000 Tax Return Used 1040 Father's Inc Earned From Work
Eligible to File 1040A or 1040EZ? YES Mother's Inc Earned From Work
Adjusted Gross Income 39172 Total from Worksheet A 0
U.S. Income Tax Paid 3742 Total from Worksheet B 0
Exemptions Claimed 05 Total from Worksheet C 0
Student's Inc Earned From Work 29130 Net Worth of Investments 0
Spouse's Inc Earned From Work 10042 Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 05
Number in College in 2001-2002 2

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

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(237 H) 6-45
2001-2002 Institutional Student Information Record

Student ID 429-88-7341 01 EFC


Last Name BA DEG REC'D
STEP SIX (Q86 - Q97)
School #1 001869 Housing #1 OFF CAMPUS
School #2 001002 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed Application Source MDE
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #1
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met: N
Verification Flag N
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type Input Record Type

Paid EFC Type Pell Elig Flag Intermediate Values


Primary EFC Secondary EFC TI FTI
Mon 1 Mon 7 Mon 1 Mon 7 ATI APA
Mon 2 Mon 8 Mon 2 Mon 8 STX PCA
Mon 3 Mon 10 Mon 3 Mon 10 EA AAI
Mon 4 Mon 11 Mon 4 Mon 11 STI TPC
Mon 5 Mon 12 Mon 5 Mon 12 IPA TSC
Mon 6 Mon 6 AI PC
CAI SIC
DNW SCA

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag YES

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,050,080,070,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

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(237 H) 6-46
2001-2002 Institutional Student Information Record

Student ID 429-88-7341 01 EFC


Last Name BA DEG REC'D

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

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(237 H) 6-47
2001-2002 Institutional Student Information Record

******************************************************************************************
* IMPORTANT: Read ALL information to find out what to do with this Report. *
******************************************************************************************
OMB Number: 1845-0008
LINDA-MAY Q. HIGGINS March 5, 2001
PO BOX 92
BEAVER DAM KY 42320 EFC 4739*

You left "Drug Conviction Affecting Eligibility?" blank. IF YOU HAVE A DRUG CONVICTION,
you MUST answer this question. Your failure to accurately answer this question could
result in legal action against you by the U.S. Government. Use the enclosed worksheet to
determine your answer to this question. You can correct this item by calling 1-800-4FED-
AID (1-800-433-3243) or by going to www.fafsa.ed.gov. You can also use this report. A
drug conviction does not necessarily disqualify you from receiving student aid.

Based on the information we have on record for you, your EFC is 4739. Your school
will use this number to determine what types of aid and how much you are eligible for.
You are not eligible for a Federal Pell Grant but you may be eligible for other aid.

Your school will ask you to provide copies of certain financial documents for you (and
your spouse).

If you need additional help with your ISIR, contact your school Financial Aid
Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID
(1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID
to make the correction on your record.

Page 1 of 4 472-98-1234 HI 01

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-48
2001-2002 Institutional Student Information Record

Student ID 472-98-1234 HI 01 EFC 4739*

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status I


Name LINDA-MAY Q. HIGGINS
Address: PO BOX 92 Net Worth of Investments 0
BEAVER DAM KY 42320 Net Worth of Business/Farm 0
Social Security Number 472-98-1234 Cash, Checking, and Savings 2478
Date of Birth 02/09/1981 No. of Months VA Benefits Received
Permanent Home Phone # (502)372-9210 Monthly VA Educational Benefits 0
E-mail Address
Driver's License # 329748062A-KY STEP THREE (THE STUDENT) (Q52 - Q58)
Citizenship Status U.S. Citizen Born Before 1-1-1978? NO
Alien Registration Number A Master's/Doctorate Prog. in 2001-2002? NO
Marital Status MARRIED/REMARRIED Is Student Married? YES
Marital Status Date Have Children You Support?
Enroll Plan Summer 2001 FULL TIME/NOT SURE Dependents Other Than Children/Spouse? YES
Enroll Plan Fall 2001 FULL TIME/NOT SURE Orphan or Ward of the Court? NO
Enroll Plan Wint 2001-2 FULL TIME/NOT SURE Veteran of U.S. Armed Forces? NO
Enroll Plan Spring 2002 FULL TIME/NOT SURE
Enroll Plan Summer 2002 STEP FOUR (PARENTS) (Q59 - Q83)
Father's Educational Level Marital Status
Mother's Educational Level Father's/Stepfather's SSN 000-00-0000
State of Legal Residence KY Father's Last Name
Legal Resident before 1-1-1996? YES Mother's/Stepmother's SSN 000-00-0000
Legal Residence Date 02/1974 Mother's Last Name
Are You Male? NO Number of Family Members
Register for Selective Service? Number in College in 2001-2002
Degree/Certificate ASSOC. TECHNICAL State of Legal Residence
Grade Level in College Legal Residents before 1-1-1996?
HS Diploma or GED Received? YES Legal Residence Date
First Bachelor's Degree by 7-1-2001? NO Age of Older Parent
Interested in Student Loans? YES Tax Return Filed?
Interested in Student Employment? YES Type of 2000 Tax Return Used
Drug Conv Affecting Elig? Eligible to File 1040A or 1040EZ? YES
Adjusted Gross Income
STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid 0
Tax Return Filed? COMPLETED Exemptions Claimed
Type of 2000 Tax Return Used 1040 Father's Inc Earned From Work
Eligible to File 1040A or 1040EZ? NO Mother's Inc Earned From Work
Adjusted Gross Income 47932 Total from Worksheet A 0
U.S. Income Tax Paid 0 Total from Worksheet B 0
Exemptions Claimed Total from Worksheet C 0
Student's Inc Earned From Work 16558 Net Worth of Investments 0
Spouse's Inc Earned From Work 31374 Net Worth of Business/Farm 0
Total from Worksheet A 0 Cash, Savings, and Checking 0
Total from Worksheet B 0
Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)
Number Family Members 04
Number in College in 2001-2002 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 2 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-49
2001-2002 Institutional Student Information Record

Student ID 472-98-1234 HI 01 EFC 4739*


Last Name HIGGINS
STEP SIX (Q86 - Q97)
School #1 002002 Housing #1 OFF CAMPUS
School #2 001002 Housing #2
School #3 Housing #3
School #4 Housing #4 OFFICE INFORMATION
School #5 Housing #5 DRN
School #6 Housing #6 Primary EFC Type 3
Secondary EFC Type
STEP SEVEN (Q98 - Q102) Processed Date 03/28/2001
Date Application Completed Application Source MDE
Signed By APPLICANT ISIR Transaction Type AUTOMATIC ISIR
Preparer's SSN Source of Correction
Preparer's EIN Federal School Code Indicator School #1
Preparer's Signature Reject Override Codes:
B N W
Assumption Override Codes:
1: 2: 3: 4: 5: 6:
------------------------------------------------------------------------------------------
FAA Information Early Analysis Flag
Date ISIR Received 12/15/2000 Rejects Met:
Verification Flag Y
System Generated Indicator Dependency Override
FAA Adjustment Duplicate Request
Transaction Receipt Date 02/01/2001 Correction # Applied To
Reprocessing Code Application Receipt Date 02/01/2001
Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Intermediate Values


Primary EFC 4739 Secondary EFC TI 47932 FTI 47932
Mon 1 527 Mon 7 3689 Mon 1 Mon 7 ATI 29073 APA 0
Mon 2 1054 Mon 8 4216 Mon 2 Mon 8 STX 2876 PCA
Mon 3 1581 Mon 10 4739 Mon 3 Mon 10 EA 2900 AAI 19156
Mon 4 2108 Mon 11 4739 Mon 4 Mon 11 STI TPC
Mon 5 2635 Mon 12 4739 Mon 5 Mon 12 IPA 19630 TSC 4739
Mon 6 3162 Mon 6 AI 18859 PC
CAI SIC
DNW 2478 SCA 297

Auto Zero EFC Flag Duplicate SSN Flag


EFC Change Flag NO CHANGE Subsequent App Flag
SNT Flag NO

Match Flags: SSN SSA INS PRI SS NSLDS VA INS SEC. CONF.
INS Ver. No. SS Registration Flag
NSLDS Transaction Number 1 NSLDS Database Results Flag

Comments: 053,112,171,006

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans


Page 3 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-50
2001-2002 Institutional Student Information Record

Student ID 472-98-1234 HI 01 EFC 4739*


Last Name HIGGINS

READ, SIGN, AND DATE

By signing below, you certify that all the information on this form is true and
complete to the best of your knowledge. If asked, you agree to give proof of the
information, which may include a copy of your U.S. or state income tax form. If you
purposely give false or misleading information, you may be fined $10,000, sent to
prison, or both. You also certify that:

> you will use any federal student financial aid funds received during the award
year covered by this application solely for educational expenses related to
attendance during that year at the institution of higher education that
determined eligibility for those funds;

> you are not in default on a Title IV educational loan, or you have repaid or
made satisfactory arrangements to repay your loan if you are in default;

> you do not owe an overpayment on a Title IV educational grant, or you have
made satisfactory arrangement to repay that overpayment;
and

> you will notify your school if you do owe an overpayment or are in default.

Everyone whose information is given on this form should sign below. The student (and
at least one parent, if parent information is given) MUST sign below.

Student __________________________________________________ Date: _______________

Parent __________________________________________________ Date: _______________

Page 4 of 4

January 2001 (2001-2002) EDE Technical Reference Miscellaneous


(237 H) 6-51