2002 - 2003 FAFSA on the WEB Signature Page Sign and mail this page NOW! NALENI PHAGU 97-29 84 TH STREET OZONE PARK NY 11416 S 051 80 5983 PH READ, SIGN AND DATE BELOW By signing below, you agree, if asked, to provide information that will verify the accuracy of your completed form. This information 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 $20,000, sent to prison, or both. The student certify that he/she: - will use any federal and/or state student 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; - is not in default on a Title IV educational loan, or has repaid or made satisfactory arrangements to repay his/her loan if he/she is in default; - does not owe an overpayment on a Title IV educational grant, or he/she has made satisfactory arrangements to repay that overpayment; - will notify his/her school if he/she does owe an overpayment or is in default; and - the parent and the student understand that the Secretary of Education has the authority to verify income reported on this application with the Internal Revenue Service and other federal agencies.EVERYONE WHOSE INFORMATION IS GIVEN ON THIS FORM SHOULD SIGN BELOW. THE STUDENT AND ONE PARENT WHOSE INFORMATION IS PROVIDED IN STEP FOUR, IF PARENT INFORMATION IS GIVEN MUST SIGN BELOW.S 051 80 5983 PH Student ____________________________________ Parent ________________________________ Date Signed __________________ Be sure that you, the student, signed where After your application information is indicated. If you gave your parent(s)' processed, you will receive a Student information in Step Four, one parent whose Aid Report (SAR). If you do not receive information is provided MUST sign. your SAR within four (4) weeks, check online at www.fafsa.ed.gov, or call 1-800-433-3243.AFTER SIGNING, MAIL THIS PAGE IMMEDIATELY TO: Federal Student Aid Programs P.O. Box 7031 Lawrence, KS 66044-7031 PREPARER'S INFORMATION NOTE: "Preparer" does NOT mean you-the student-or your parent or your spouse. A "Preparer" is another person who filled in the answers for you, or who told you what to fill in on this application. That person must enter his/her Social Security Number or Employer Identification Number in the application software and must also sign below.Preparer's Certification: All of the information on this form is true and complete to the best of my knowledge.Preparer's Signature __________________________________ Date Signed ___________________ DON'T FORGET TO MAIL THIS PAGE NOW! _____________________________________________________________________________________ 4/6/2002
