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XXX-XX-5608 VO

THIS IS A COPY OF YOUR 2009-2010 APPLICATION INFORMATION


DO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO FEDERAL STUDENT AID.
Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign.

Step 1. (Q1 – Q32)


Student's Last Name VOGEL
Student's First Name MEGAN
Student's Middle Initial E
Student’s Permanent Mailing Address 8 HAMILTON
Student's Permanent City HAMILTON
Student's Permanent State OH
Student's Permanent Zip Code 45013
Student's Social Security Number XXX-XX-5608
Student's Date of Birth 06/08/1988
Student's Permanent Home Phone Number 5137373715
Student's Driver’s License Number SU548728
Student's Driver’s License State OH
Student’s E-Mail Address JAKAV85@FUSE.NET
Student's Citizenship Status U.S. CITIZEN (OR U.S. NATIONAL)
Student's Alien Registration Number
Student's Marital Status SINGLE, DIVORCED, OR WIDOWED
Student's Marital Status Date
Student's State of Legal Residence OH
Was Student a Legal Resident Before January 1, 2004?
Student's Legal Residence Date
Is the Student Male or Female? FEMALE
Register Student for Selective Service?
Drug Conviction Affecting Eligibility? ELIGIBLE FOR AID
Father’s Educational Level HIGH SCHOOL
Mother’s Educational Level COLLEGE OR BEYOND
High School or Equivalent Completed? HIGH SCHOOL DIPLOMA
First Bachelor's Degree by July 1, 2009? NO
Student's Grade Level in College in 2009-2010 4TH YR./SENIOR
Type of Degree/Certificate 1ST BACHELOR'S DEGREE
Student’s Enrollment Status for 2009-2010 FULL-TIME
Interested in Work-study or Student Loans? BOTH
Planning to Become an Elementary or Secondary School Teacher? NO

Step 2. (Q33 – Q47)


Student Filed 2008 Income Tax Return? NOT GOING TO FILE
Student's Type of 2008 Tax Form Used
Student Eligible to File a 1040A or 1040EZ?
Student’s 2008 Adjusted Gross Income
Student’s 2008 U.S. Income Tax Paid
Student’s 2008 Exemptions Claimed
Student’s 2008 Income Earned from Work $265
Spouse’s 2008 Income Earned from Work
Student’s Total of Cash, Savings, and Checking Accounts $0
Student’s Net Worth of Current Investments $0
Student’s Net Worth of Businesses/Investment Farms $0
Will Student Receive VA Education Benefits? NO
Type of VA Education Benefits to Receive
Student’s Education Credits $0
Student’s Child Support Paid $0
Student’s Taxable Earnings from Need-Based Employment $0
Programs
Student’s Grant and Scholarship Aid Reported in AGI $0
Student’s Taxable Combat Pay Reported in AGI $0
Student’s Payments to Tax-Deferred Pensions & Savings $0
Student’s Deductible Payments to IRA/Keogh/Other $0
Student’s Child Support Received $0
Student’s Tax Exempt Interest Income $0
Student’s Untaxed Portions of IRA Distributions $0
Student’s Untaxed Portions of Pensions $0
Student’s Housing, Food, & Living Allowances $0
Student’s Veterans Noneducation Benefits $0
Student’s Other Untaxed Income or Benefits $0
Money Received or Paid on Student’s Behalf $0

Step 3. (Q48 – Q60)


Student Born Before January 1, 1986? NO
Is Student Married? NO
Working on Master’s or Doctorate in 2009-2010? NO
Is Student on Active Duty in U.S. Armed Forces? NO

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Is Student a Veteran? NO
Does Student Have Children He/She Supports? NO
Does Student Have Dependents Other than Children/Spouse? NO
Parents Deceased?/Student Ward of Court?/In Foster Care? NO
Is or Was Student an Emancipated Minor? NO
Is or Was Student in Legal Guardianship? NO
Is Student an Unaccompanied Homeless Youth as Determined by NO
High School/Homeless Liaison?
Is Student an Unaccompanied Homeless Youth as Determined by NO
HUD?
Is Student At Risk of Homelessness? NO

Step 4. (Q61 – Q95)


Parents’ Marital Status MARRIED OR REMARRIED
Parents’ Marital Status Date 021985
Father’s/Stepfather’s Social Security Number XXX-XX-8293
Father’s/Stepfather’s Last Name VOGEL
Father’s/Stepfather’s First Name Initial J
Father’s/Stepfather’s Date of Birth 10/29/1961
Mother’s/Stepmother’s Social Security Number XXX-XX-3030
Mother’s/Stepmother’s Last Name VOGEL
Mother’s/Stepmother’s First Name Initial K
Mother’s/Stepmother’s Date of Birth 08/03/1963
Parents’ E-Mail Address JAKAV85@FUSE.NET
Parents’ State of Legal Residence OH
Were Parents Legal Residents Before January 1, 2004?
Parents' Legal Residence Date
Parents’ Number of Family Members in 2009-2010 5
Parents’ Number in College in 2009-2010 (Parents Excluded) 1
Parents Received Supplemental Security Income?
Parents Received Food Stamps?
Parents Received Free/Reduced Price Lunch?
Parents Received TANF?
Parents Received WIC?
Parents Filed 2008 Income Tax Return? ALREADY COMPLETED
Parents' Type of 2008 Tax Form Used IRS 1040
Parents Eligible to File a 1040A or 1040EZ? NO
Is Parent a Dislocated Worker? NO
Parents’ 2008 Adjusted Gross Income $165449
Parents’ 2008 U.S. Income Tax Paid $22662
Parents’ 2008 Exemptions Claimed 5
Father's/Stepfather's 2008 Income Earned from Work $44453
Mother's/Stepmother's 2008 Income Earned from Work $120982
Parents’ Total of Cash, Savings, and Checking Accounts $1100
Parents’ Net Worth of Current Investments $50000
Parents’ Net Worth of Businesses/Investment Farms $0
Parents’ Education Credits $0
Parents’ Child Support Paid $0
Parents’ Taxable Earnings from Need-Based Employment $0
Programs
Parents’ Grant and Scholarship Aid Reported in AGI $0
Parents’ Taxable Combat Pay Reported in AGI $0
Parents’ Payments to Tax-Deferred Pensions & Savings $9204
Parents’ Deductible Payments to IRA/Keogh/Other $0
Parents’ Child Support Received $0
Parents’ Tax Exempt Interest Income $0
Parents’ Untaxed Portions of IRA Distributions $0
Parents’ Untaxed Portions of Pensions $0
Parents’ Housing, Food, & Living Allowances $0
Parents’ Veterans Noneducation Benefits $0
Parents’ Other Untaxed Income or Benefits $0

Step 5. (Q96 – Q103)


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

Step 6. (Q104)
First College (003100) OHIO UNIVERSITY
First Housing Plans OFF CAMPUS

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Second College
Second Housing Plans
Third College
Third Housing Plans
Fourth College
Fourth Housing Plans
Fifth College
Fifth Housing Plans
Sixth College
Sixth Housing Plans
Seventh College
Seventh Housing Plans
Eighth College
Eighth Housing Plans
Ninth College
Ninth Housing Plans
Tenth College
Tenth Housing Plans

Step 7. (Q107 – Q108)


Preparer’s Social Security Number
Preparer’s Employer Identification Number (EIN)

Drug Conviction Worksheet


Have you ever received federal student aid? YES
Convicted of possession/sale? NO
All convictions removed?
Offense occurred while receiving federal student aid?
Completed drug rehab?
How many possession convictions?
Date of possession conviction
Date of last possession conviction
How many sale convictions?
Date of sale conviction
Eligibility Date
Drug Conviction Affecting Eligibility? ELIGIBLE FOR AID

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