# STUDENT AID REPORT ACKNOWLEDGEMENT

Dear Your Student Aid Report (SAR) Acknowledgement summarizes the information you submitted on your 2013 - 2014 Free Application for Federal Student Aid (FAFSA). Application Status (review the checked boxes)

Federal Student Aid Eligibility (review the checked boxes)

You should keep this SAR Acknowledgement for your records!
PAGE 1 OF 3 WWW.FAFSA.GOV OMB No. 1845-0008 DATA RELEASE NUMBER (DRN): 

# 2013-2014

The EFC is not the amount of money that your family must provide. Rather, you should think of the EFC as an index that colleges use to determine how much financial aid you would receive if you were to attend their school. Financial aid may include grants (free funds that do not have to be repaid), low-interest loans (borrowed funds that must be repaid), and/or work-study (paid part-time employment). This award information will vary from college to college because the cost of attending each is different. Please note that your EFC is subject to change if you update or correct your FAFSA. For more information about the EFC and other sources of aid, go to StudentAid.gov.

You should keep this SAR Acknowledgement for your records! AUGUST 21, 2013 000117C041 JOHN SMITH 742 EVERGREEN TERRACE SPRINGFIELD OH 55555 2245 EXPECTED FAMILY CONTRIBUTION (EFC): 00000 C

Your FAFSA appears to be complete. Review the data on page 2 and 3 . We may have assumed certain information to calculate your eligibility for federal student aid. We printed any assumptions we made and the word "assumed" for the items on the back of this page. If you need to make corrections, you can go to www.fafsa.gov and use your Federal Student Aid PIN to access your information or you can contact the financial aid office at one of the schools you listed on your application for assistance. The school(s) listed on your FAFSA will receive your information.

999999C999 01234567891SM01 

### JOHN SMITH,

The data submitted on your FAFSA is used to calculate your Expected Family Contribution (EFC), which is 00000. 

## ) F 211 1314



## ) We sent your information to other federal agencies through computer matching programs to verify your eligibility for federal student aid and there appears to be an issue with the information provided on your application. You can review information about these issues by going to www.fafsa.gov and selecting View Processed Information. You must work with your financial aid office to resolve any data matching issues before we can determine if you are eligible to receive federal student aid. 

## ) Unless you are completing the verification process, it may be too late for you to make corrections or give us any more information this year. If you are completing verification and you need to correct your information, contact the FAA at your school for assistance. We must have your corrections no later than September 23, 2014. 

## ) Based on your EFC it appears thatyou may be eligible for a Federal Pell Grant of up to $5350, provided you have not met or exceeded the lifetime limit established for the Federal Pell Grant program. You may also be eligible for other grants, low-interest student loans, and work-study opportunities. Your Financial Aid Administrator (FAA) will determine what types of aid and how much you are eligible to receive.20. DATE YOU BECAME A LEGAL RESIDENT Thissection contains informationfromyourstudent aid application (shaded items display parents' information, if provided). Ifyou needto make corrections, visit www.fafsa.gov or contact the financial aid office at your college.

1. LAST NAME 2. FIRST NAME 3. MIDDLE INITIAL 4. ADDRESS 5. CITY 6. STATE ABBREVIATION 7. ZIP CODE 8. SOCIAL SECURITY NUMBER 9. DATE OF BIRTH 10. PERMANENT PHONE NUMBER 11. DRIVER'S LICENSE NUMBER 12. DRIVER'S LICENSE STATE ABBREVIATION 13. ST E-MAIL 14. CITIZENSHIP STATUS 15. ALIEN REGISTRATION NUMBER 16. MARITAL STATUS 17. DATE OF MARITAL STATUS 18. STATE OF LEGAL RESIDENCE ABBREVIATION 19. LEGAL RESIDENT BEFORE JANUARY 1, 2008?

21. ARE YOU MALE OR FEMALE? 22. REGISTER YOU FOR SELECTIVE SERVICE? 23. DRUG CONVICTION AFFECTING ELIGIBILITY?

30. TYPE OF DEGREE/CERTIFICATE 29. GRADE LEVEL IN COLLEGE IN 2013-2014

31. INTERESTED IN WORK-STUDY? 32. FILED 2012 INCOME TAX RETURN 33. TYPE OF 2012 TAX FORM USED 34. ELIGIBLE TO FILE 1040A OR 1040EZ? 35. ADJUSTED GROSS INCOME FROM IRS FORM 36. U.S. INCOME TAX PAID 37. EXEMPTIONS CLAIMED 38. STUDENT'S INCOME EARNED FROM WORK 39. SPOUSE'S INCOME EARNED FROM WORK 40. CASH, SAVINGS, AND CHECKING 41. NET WORTH OF INVESTMENTS 42. NET WORTH OF BUSINESS/INVESTMENT FARMS 43. STUDENT'S ADDITIONAL FINANCIAL INFORMATION a) EDUCATION CREDITS b) CHILD SUPPORT PAID c) TAXABLE EARNINGS NEED-BASED EMPLOYMENT d) STUDENT GRANT AND SCHOLARSHIP AID REPORTED e) COMBAT PAY/SPECIAL COMBAT PAY

44. STUDENT'S UNTAXED INCOME a) TAX-DEFERRED PENSION/SAVINGS b) IRA DEDUCTIONS AND PAYMENTS c) CHILD SUPPORT RECEIVED d) TAX-EXEMPT INTEREST INCOME e) UNTAXED IRA DISTRIBUTIONS f) UNTAXED PORTIONS OF PENSIONS g) MILITARY OR CLERGY ALLOWANCES h) VETERANS NONEDUCATION BENEFITS i) OTHER UNTAXED INCOME j) MONEY RECEIVED OR PAID ON YOUR BEHALF 45. BORN BEFORE 1-1-1990?

47. WORKING ON MASTER'S OR DOCTORATE? 46. ARE YOU MARRIED?

50. HAVE CHILDREN YOU SUPPORT? 51. DEPENDENTS OTHER THAN CHILDREN/SPOUSE? 52. PARENTS DECEASED, FOSTER CARE, WARD OF COURT? 48. ON ACTIVE DUTY IN U.S. ARMED FORCES? 49. VETERAN OF U.S. ARMED FORCES?

53. ARE/WERE AN EMANCIPATED MINOR? 54. ARE/WERE IN LEGAL GUARDIANSHIP? 55. VERIFIED AS A HOMELESS YOUTH?

57. VERIFIED AS UNACCOMPANIED YOUTH AT RISK FOR HOMELESS?



### PAGE 2 OF 3 $ $
$ $ $ $ $
$ $ $ $ $

$ $ $

$ $ $

$ $ $

$

56. DETERMINED BY DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT THAT YOU WERE HOMELESS? 24. FATHER'S EDUCATIONAL LEVEL 25. MOTHER'S EDUCATIONAL LEVEL 26. HIGH SCHOOL COMPLETION STATUS?

28. FIRST BACHELOR'S DEGREE BY 7-1-2013?

58. PARENTS' MARITAL STATUS 59. PARENTS' MARITAL STATUS DATE 60. YOUR FATHER'S SOCIAL SECURITY NUMBER 61. YOUR FATHER'S LAST NAME 62. YOUR FATHER'S FIRST INITIAL 63. YOUR FATHER'S DATE OF BIRTH 64. YOUR MOTHER'S SOCIAL SECURITY NUMBER 65. YOUR MOTHER'S LAST NAME f) COOPERATIVE EDUCATION PROGRAM EARNINGS $

27.a HS NAME 27.b HS CITY 27.c HS STATE SMITH JOHN

12344 ABCDEFGHIJKLMNOPQRSTUVWXYZABC ABCDEFGHIJKLMNOP AB 12345 XXX-XX-1234 JANUARY 30, 1986 (999)999-9999 A-1234-446-789-012-3 AB
(ELIG NONCIT ASSUMED) A123446789 (MARRIED ASSUMED) JANUARY 1993 AB

JANUARY 1962 MALE REGISTER ME ELIGIBLE FOR AID COLLEGE COLLEGE HS DIPLOMA

1ST BA 1ST PREV ATTENDED

YES WILL FILE U.S. TRUST TERRITORY YES (-123,446 ASSUMED) (0 ASSUMED)
(123,446 ASSUMED) (123,446 ASSUMED) 123,446 123,446 00 YES PRINCE GEORGE'S COUNTY HIGH SCHOOL BELTSVILLE MD 123,446

12,344 12,344 12,344 12,344

12,344 12,344 12,344 12,344 12,344 12,344 12,344 12,344 12,344 12,344 YES

YES YES

YES YES YES YES YES

YES YES YES

YES YES

(MARRIED ASSUMED) DECEMBER 1958 XXX-XX-1234 ABCDEFGHIJKLMNOP X JANUARY 23, 1958 XXX-XX-1234 ABCDEFGHIJKLMNOP



### 999999C999 01234567891SM01 66. YOUR MOTHER'S FIRST INITIAL 67. YOUR MOTHER'S DATE OF BIRTH 68. PAR EMAIL CHRISTOPHER.E.STUDENTS.MOTHER@HOME.COMCAST.COM 69. PARENTS' STATE OF LEGAL RESIDENCE JANUARY 24, 1958 D

AB98. RECEIVED TANF? 99. RECEIVED WIC? 100. STUDENT OR SPOUSE A DISLOCATED WORKER?

102. DATE COMPLETED 103. SIGNED BY 104. PREPARER'S SOCIAL SECURITY NUMBER 105. PREPARER'S EIN 106. PREPARER'S SIGNATURE



### PAGE 3 OF 3 $ 101.a FIRST COLLEGE NAME

101.b FIRST HOUSING PLAN 101.c SECOND COLLEGE NAME

101.d SECOND HOUSING PLAN 101.e THIRD COLLEGE NAME

101.f THIRD HOUSING PLAN 101.g FOURTH COLLEGE NAME

101.h FOURTH HOUSING PLAN $ 78. RECEIVED WIC? 79. PARENT(S) FILED 2012 TAX RETURN 80. TYPE OF 2012 TAX FORM USED 81. ELIGIBLE TO FILE A 1040A OR 1040EZ? 82. EITHER OF PARENTS A DISLOCATED WORKER? 83. ADJUSTED GROSS INCOME FROM IRS FORM 84. U.S. INCOME TAX PAID 85. EXEMPTIONS CLAIMED 86. FATHER'S INCOME EARNED FROM WORK 87. MOTHER'S INCOME EARNED FROM WORK 88. CASH, SAVINGS, AND CHECKING 89. NET WORTH OF INVESTMENTS 90. NET WORTH OF BUSINESS/INVESTMENT FARMS 91. PARENTS' ADDITIONAL FINANCIAL INFORMATION a) EDUCATION CREDITS b) CHILD SUPPORT PAID c) TAXABLE EARNINGS NEED-BASED EMPLOYMENT d) STUDENT GRANT AND SCHOLARSHIP AID REPORTED e) COMBAT PAY/SPECIAL COMBAT PAY $ $
$ $ $ $ $
$ $ $ $ $ 70. LEGAL RESIDENT BEFORE JANUARY 1, 2008? 71. DATE PARENT BECAME LEGAL RESIDENT 72. NUMBER OF FAMILY MEMBERS IN 2013-2014 73. NUMBER IN COLLEGE IN 2013-2014 74. PARENT RECEIVED SSI? 75. RECEIVED SNAP? 76. RECEIVED FREE/REDUCED PRICE LUNCH? 77. RECEIVED TANF?

f) COOPERATIVE EDUCATION PROGRAM EARNINGS $

b) IRA DEDUCTIONS AND PAYMENTS c) CHILD SUPPORT RECEIVED d) TAX-EXEMPT INTEREST INCOME e) UNTAXED IRA DISTRIBUTIONS f) UNTAXED PORTIONS OF PENSIONS g) MILITARY OR CLERGY ALLOWANCES h) VETERANS NONEDUCATION BENEFITS i) OTHER UNTAXED INCOME 93. NUMBER OF FAMILY MEMBERS IN 2013-2014 94. NUMBER IN COLLEGE IN 2013-2014 95. STUDENT RECEIVED SSI? 96. RECEIVED SNAP? 97. RECEIVED FREE/REDUCED PRICE LUNCH?

$ $ $ $ $ $ $ $ 92. PARENTS' UNTAXED INCOME a) TAX-DEFERRED PENSION/SAVINGS $



### For Financial Aid Office Use Only Transaction Source: Verification Flag: SAR C Flag: Application Receipt Date: Transaction Process Date: Transaction Receipt Date: SSN Match Flag: Expected Family Contribution: Primary Secondary Automatic Zero EFC Flag: Dependency Status: Formula Type: Simplified Needs Test Flag: Professional Judgment: Dependency Override: Hold Code: Pell Eligible Flag: Duplicate SSN Flag:

DHS Match Flag: DHS Sec. Conf. Flag: NSLDS Match Flag: Selective Service Registration Flag: DHS Verification #: VA Match Flag: NSLDS Results Flag: NSLDS Transaction Number: Selective Service Match: SSA Citizenship Code: FSSN Match Flag: MSSN Match Flag: Special Circumstances: IRS Flag: Student: Parent: High School Flag: THE PENNSYLVANIA STATE UNIVERSITY NEW KENSINGTON CAMPUS COMMON

ABCDEFGHIJKLMNOPQRSTUVWXYZABCDEFGHIJKLMNOPQRSTUVWXYZABCD

ABCDEFGHIJKLMNOPQRSTUVWXYZABCDEFGHIJKLMNOPQRSTUVWXYZABCD

ABCDEFGHIJKLMNOPQRSTUVWXYZABCDEFGHIJKLMNOPQRSTUVWXYZABCD

Your FAFSA information was sent to all the colleges you listed although they are not all shown here. To see all of the colleges you listed, go to www.fafsa.gov and select "View Processed Information". YES NO

YES WILL FILE U.S. TRUST TERRITORY

YES (-123,456 ASSUMED) (0 ASSUMED) 03 (123,456 ASSUMED) (123,456 ASSUMED) 123,456 123,456 123,456 DECEMBER 2008 03 2 YES YES YES YES

112,345

NOVEMBER 23, 2013 STUDENT REPORTED REPORTED SIGNED NO NO NO NO

NO

ON CAMPUS

OFF CAMPUS

ON CAMPUS

OFF CAMPUS



### 999999C999 01234567891SM01 4A Y Y 04/21/2013 04/21/2013 04/21/2013
4 4 8 2 00000 00000 Y 2 Y

N N 1 1 999999999999999 Y X

Y N

A 4 8 1 Y

Reject Code(s): 01 02 03 04 05 06 07 Comment Codes: 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 112,345 112,345 112,345 112,345 112,345

112,345 112,345 112,345 112,345 112,345 112,345 112,345 112,345 112,345

NSLDS Unusual Enrollment History Flag: 1