Example Student Aid Report

2012-2013 Electronic Student Aid Report (SAR)

The SAR summarizes the information you submitted on your 2012-2013 Free Application for Federal Student Aid (FAFSA).

Application Receipt Date: 01/11/2012 XXX-XX-1234 JO 01

Processed Date: 01/11/2012 EFC: 7256
DRN: 4557

Comments About Your Information

Based on the information we have on record for you, your EFC is 7256. You may be eligible to receive a Federal Pell
Grant and other federal student aid. Your school will use your EFC to determine your financial aid eligibility for federal
grants, loans, and work study, and possible funding from your state and school.

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

If you have now completed your 2011 tax return, you should correct your information to reflect the income and tax information
reported on your tax return. Click 'Make FAFSA Corrections' on the 'My FAFSA' page to make the correction. You may be able to
retrieve your tax return information directly from the IRS. If you have not yet completed your tax return, you must correct this SAR to
reflect the income and tax information reported on your tax return once it is filed.

If you need to make corrections to your information, click 'Make FAFSA Corrections' on the 'My FAFSA' page. You must use your
Federal Student Aid PIN to access your record online. If you need additional help with your SAR, contact your school's financial aid
office or the Federal Student Aid Information Center at 1-800-4-FED-AID (1-800-433-3243). If your mailing address or e-mail address
changes, you can make the correction online or call 1-800-4-FED-AID and ask a customer service representative to make the
change for you.

FAFSA Data

Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign.

1. Student's Last Name: JOHNSON

2. Student's First Name: ANNA

3. Student's Middle Initial: M

4. Student's Permanent Mailing Address: 123 HOMETOWN STREET

5. Student's Permanent City: ANYTOWN

6. Student's Permanent State: MA

7. Student's Permanent ZIP Code: 02115

8. Student's Social Security Number: XXX-XX-6789

9. Student's Date of Birth: 03/04/1994

10. Student's Permanent Home Phone Number: (555) 555-1234

11. Student's Driver's License Number: D9876543

12. Student's Driver's License State: MA

13. Student's E-mail Address: [email protected]

14. Student's Citizenship Status: YES, I AM A U.S. CITIZEN (OR U.S. NATIONAL)

15. Student's Alien Registration Number:

16. Student's Marital Status: I AM SINGLE

17. Student's Marital Status Date:

18. Student's State of Legal Residence: MA

19. Was Student a Legal Resident Before January 1, 2007? YES

20. Student's Legal Residence Date:

21. Is the Student Male or Female? FEMALE

22. Register Student With Selective Service?

23. Drug Conviction Affecting Eligibility? ELIGIBLE FOR AID

24. Father's Educational Level: COLLEGE OR BEYOND

25. Mother's Educational Level: COLLEGE OR BEYOND

26. High School or Equivalent Completed? HIGH SCHOOL DIPLOMA

27a. Student's High School Name: WASHINGTON HIGH SCHOOL

27b. Student's High School City: ANYTOWN

27c. Student's High School State: MA

28. First Bachelor's Degree by July 1, 2012? NO

29. Student's Grade Level in College in 2012-2013: FIRST YEAR

30. Type of Degree/Certificate: UNDERGRADUATE

31. Interested in Work-study? YES

32. Student Filed 2010 Income Tax Return? WILL FILE

33. Student's Type of 2010 Tax Form Used: IRS 1040A OR 1040EZ

34. Student Eligible to File a 1040A or 1040EZ? YES

35. Student's 2011 Adjusted Gross Income: $2,400

36. Student's 2011 U.S. Income Tax Paid: $0

37. Student's 2011 Exemptions Claimed: 1

38. Student's 2011 Income Earned from Work: $2,400

39. Spouse's 2011 Income Earned from Work:

40. Student's Total of Cash, Savings, and Checking Accounts: $500

41. Student's Net Worth of Current Investments: $0

42. Student's Net Worth of Businesses/Investment Farms: $0

43a. Student's Education Credits: $0

43b. Student's Child Support Paid: $0

43c. Student's Taxable Earnings from Need-Based Employment

$0
Programs:

43d. Student's Grant and Scholarship Aid Reported in AGI: $0

43e. Student's Taxable Combat Pay Reported in AGI: $0

43f. Student's Cooperative Education Earnings: $0

44a. Student's Payments to Tax-Deferred Pensions & Savings: $0

44b. Student's Deductible Payments to IRA/Keogh/Other: $0

44c. Student's Child Support Received: $0

44d. Student's Tax Exempt Interest Income: $0

44e. Student's Untaxed Portions of IRA Distributions: $0

44f. Student's Untaxed Portions of Pensions: $0

44g. Student's Housing, Food, & Living Allowances: $0

44h. Student's Veterans Noneducation Benefits: $0

44i. Student's Other Untaxed Income or Benefits: $0

44j. Money Received or Paid on Student's Behalf: $0

45. Student Born Before January 1, 1989? NO

46. Is Student Married? NO

47. Working on Master's or Doctorate in 2012-2013? NO

48. Is Student on Active Duty in U.S. Armed Forces? NO

49. Is Student a Veteran? NO

50. Does Student Have Children He/She Supports? NO

51. Does Student Have Dependents Other than

NO
Children/Spouse?

52. Parents Deceased?/Student Ward of Court?/In Foster Care? NO

53. Is or Was Student an Emancipated Minor? NO

54. Is or Was Student in Legal Guardianship? NO

55. Is Student an Unaccompanied Homeless Youth as

NO
Determined by High School/Homeless Liaison?

56. Is Student an Unaccompanied Homeless Youth as

NO
Determined by HUD?

57. Is Student At Risk of Homelessness? NO

58. Parents' Marital Status: MARRIED/REMARRIED

59. Parents' Marital Status Date: 07/14/1988

60. Father's/Stepfather's Social Security Number: 123-44-5566

61. Father's/Stepfather's Last Name: JOHNSON

62. Father's/Stepfather's First Name Initial: DEAN M

63. Father's/Stepfather's Date of Birth: 05/04/1965

64. Mother's/Stepmother's Social Security Number: 321-55-7788

65. Mother's/Stepmother's Last Name: JOHNSON

66. Mother's/Stepmother's First Name Initial: MARY J

67. Mother's/Stepmother's Date of Birth: 08/22/1966

68. Parents' E-mail Address: [email protected]

69. Parents' State of Legal Residence: MA

70. Were Parents Legal Residents Before January 1, 2007? YES

71. Parents' Legal Residence Date: 8/1/1988

72. Parents' Number of Family Members in 2012-2013: 4

73. Parents' Number in College in 2012-2013 (Parents
1
Excluded):

74. Parents Received Supplemental Security Income? NO

75. Parents Received Food Stamps? NO

76. Parents Received Free/Reduced Price Lunch? NO

77. Parents Received TANF? NO

78. Parents Received WIC? NO

79. Parents Filed 2011 Income Tax Return? WILL FILE

80. Parents' Type of 2011 Tax Form Used: 1040

81. Parents Eligible to File a 1040A or 1040EZ? NO

82. Is Parent a Dislocated Worker? NO

83. Parents' 2011 Adjusted Gross Income: $97000

84. Parents' 2011 U.S. Income Tax Paid: $8500

85. Parents' 2011 Exemptions Claimed: 4

86. Father's/Stepfather's 2011 Income Earned from Work: $76000

87. Mother's/Stepmother's 2011 Income Earned from Work: $21000

88. Parents' Total of Cash, Savings, and Checking Accounts: $5600

89. Parents' Net Worth of Current Investments: $10000

90. Parents' Net Worth of Businesses/Investment Farms: $0

91a. Parents' Education Credits: $0

91b. Parents' Child Support Paid: $0

91c. Parents' Taxable Earnings from Need-Based Employment

$0
Programs:

91d. Parents' Grant and Scholarship Aid Reported in AGI: $0

91e. Parents' Taxable Combat Pay Reported in AGI: $0

91f. Parents' Cooperative Education Earnings: $0

92a. Parents' Payments to Tax-Deferred Pensions & Savings: $2400

92b. Parents' Deductible Payments to IRA/Keogh/Other: $2000

92c. Parents' Child Support Received: $0

92d. Parents' Tax Exempt Interest Income: $0

92e. Parents' Untaxed Portions of IRA Distributions: $0

92f. Parents' Untaxed Portions of Pensions: $0

92g. Parents' Housing, Food, & Living Allowances: $0

92h. Parents' Veterans Noneducation Benefits: $0

92i. Parents' Other Untaxed Income or Benefits: $0

93. Student's Number of Family Members in 2012-2013: 4

94. Student's Number in College in 2012-2013: 1

95. Student Received Supplemental Security Income? NO

96. Student Received Food Stamps? NO

97. Student Received Free/Reduced Price Lunch? NO

98. Student Received TANF? NO

99. Student Received WIC? NO

100. Is Student or Spouse a Dislocated Worker? NO

101a. First Federal School Code: 001234

101b. First Housing Plans: ON CAMPUS

101c. Second Federal School Code: 002233

101d. Second Housing Plans: ON CAMPUS

101e. Third Federal School Code: 003344

101f. Third Housing Plans: ON CAMPUS

101g. Fourth Federal School Code: 004455

101h. Fourth Housing Plans: ON CAMPUS

101i. Fifth Federal School Code: 005566

101j. Fifth Housing Plans: ON CAMPUS

101k. Sixth Federal School Code: 006677

101l. Sixth Housing Plans: ON CAMPUS

101m. Seventh Federal School Code: 008899

101n. Seventh Housing Plans: ON CAMPUS

101o. Eighth Federal School Code:

101p. Eighth Housing Plans:

101q. Ninth Federal School Code:

101r. Ninth Housing Plans:

101s. Tenth Federal School Code:

101t. Tenth Housing Plans:

102. Date Completed: 01/11/2012

103. Signed By: BOTH APPLICANT AND A PARENT

104. Preparer's Social Security Number:

105. Preparer's Employer Identification Number (EIN):

106. Preparer's Signature:

Graduation/Retention/Transfer Rates

College Rates

The table shows the graduation, retention, and transfer rates for the schools you selected. Go to the College Navigator Web site
at www.nces.ed.gov/collegenavigator for complete information.

School Name Graduation Rate Retention Rate Transfer Rate

TWO RIVERS COLLEGE 78% 88% N/A
METROPOLITAN UNIVERSITY 66% 76% N/A
UNIVERSITY OF MY STATE 80% 97% N/A
EUREKA UNIVERSITY 79% 89% N/A
FUTURES COLLEGE 58% 74% N/A
HORIZON COLLEGE 61% 85% N/A
UNIVERSITY OF THE AMERICAS 64% 87% N/A

Your Financial Aid History Information

The information below is the total amount of student loans that you owe. These loans are administered by the U.S. Department of
Education (ED). You should confirm that these loan totals are correct. You can use your Federal Student Aid PIN to view details
on the individual loans that make up these totals at the National Student Loan Data System (NSLDS) Web site at
www.nslds.ed.gov. For more information about your PIN, go to www.pin.ed.gov. If you feel that the amounts listed on this page
are incorrect, or you have other questions related to a loan, you should contact the loan servicer indicated on the NSLDS Web
site. You can obtain general information about each of the types of loans that are listed below by visiting our studentaid.ed.gov
Web site.

Note that the 'Subsidized' and 'Unsubsidized' amounts include the appropriate portions of any Consolidation Loans you may
have. If there is an amount listed for 'Unallocated Consolidation Loans' it is because we could not determine whether those
balances were subsidized or unsubsidized.

Remember you are responsible for repaying all of the amounts that you borrow, plus interest. As a general rule, with an assumed
interest rate of 5%, the monthly payment amount over a ten-year repayment period would be approximately $10.61 for every
$1,000 that you borrowed. Of course your actual repayment amount will depend upon how much you borrow, the interest rate
when you enter repayment, and how long your repayment term is.

Total Amount of Loans Outstanding -

Total Principal
FFEL (Bank Loans) and/or Direct Loans: Remaining Amount to be Disbursed Total
Balance
Subsidized Loans: N/A N/A
Unsubsidized Loans: N/A N/A
Combined Loans: N/A N/A
Unallocated Consolidation Loans: N/A N/A

Federal Perkins Loan Amounts:

Total Outstanding Principal Balance: N/A
2011-2012 Loan Amount: N/A

TEACH Grants Converted to Direct

Loans:
Unsubsidized Loans: N/A N/A

At this point, the school(s) listed on your application have access to your information. The school(s) may put together or change
an aid package based on your Expected Family Contribution and notify you.

The amount of aid you receive from a school will depend on the cost of attendance at that school, your enrollment status (full-
time, three-quarter-time, half-time, or less than half-time), Congressional appropriations, and other factors. Review your financial
aid notification from the school(s) or contact the Financial Aid Administrator at the school(s).

Note: Your school has the authority to request copies of certain financial documents to verify information you reported on your
application.

The Office of Management and Budget Wants You To Know:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 1845-0001. The time
required to complete this information collection is estimated to be an average of 10 to 34 minutes, including the time to review
instructions, search existing data sources, gather the data needed, and complete and review the information collected. If you
have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, write to: U.S.
Department of Education, Washington, DC 20202-4651. If you have any comments or concerns regarding the status of your
individual submission of this form, write directly to: Federal Student Aid Information Center, P.O. Box 84, Washington, DC 20044.

By answering questions 101a through 101t, and signing the Free Application for Federal Student Aid, you give permission to the
U.S. Department of Education to provide information from your application to the college(s) you entered. You also agree that such
information is deemed to incorporate by reference the certification statement on the sign and submit page of the financial aid
application. The certification statement can be viewed at www.fafsa.gov/help/ffinal02a.htm.

To protect the confidentiality of your application data, you should never give, share or disclose your Federal Student Aid PIN with
anyone, including commercial service providers that provide assistance with the financial aid process. You should keep your PIN
in a safe location. If you think your PIN has been compromised, go to Federal Student Aid's PIN Web site at www.pin.ed.gov and
change your PIN.

WARNING: If you are convicted of drug distribution or possession for an offense that occurred while you were receiving Title IV
aid, your eligibility for Title IV student financial aid is subject to suspension or termination. If your drug conviction status changes
at any time during the 2012-2013 award year, you must update your answer to the drug conviction affecting eligibility question.