Print a copy of your Renewal FAFSA on the Web application The document below is a COPY of your entered data. This is for your records only. Do NOT mail this page to the Department of Education. We will not return this copy to you. To print this page, select PRINT. To view this page, move your browser's vertical scroll bar upward or downward, or press the Page Up or Page Down key on the right side of your computer keyboard. Select NEXT to continue. COPY OF YOUR 2001-2002 APPLICATION INFORMATION DO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO THE U.S. DEPARTMENT OF EDUCATION. THIS IS YOUR COPY OF YOUR APPLICATION DATA.
Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign.
Student ID | 291884680 YB
Step 1. (Q1 - Q35)
Last Name | YBALLE
First Name, Middle Initial | RAECHELLE C
Permanent Street Address | 2125 BRANDYWINE DR.
City | EUCLID
State Abbreviation, ZIP Code | OH 44143
Social Security Number | 291884680
Date of Birth | 09/19/1973
Permanent Home Phone Number | 2164040622
Driver's License Number | RT657318
Driver's License State Abbreviation | OH
Citizenship Status | U.S. CITIZEN (OR U.S. NATIONAL)
Alien Registration Number |
Marital Status | SINGLE, DIVORCED, OR WIDOWED
Date of Marital Status |
Summer Term 2001 | FULL TIME/NOT SURE
Fall Term 2001 | FULL TIME/NOT SURE
Winter Term 2001-2002 | FULL TIME/NOT SURE
Spring Term 2002 | FULL TIME/NOT SURE
Summer Term 2002 | FULL TIME/NOT SURE
Father's Education Level | COLLEGE OR BEYOND
Mother's Education Level | COLLEGE OR BEYOND
State of Legal Residence Abbreviation | OH
Legal Resident Before 1/1/96? | NO
Date you became a legal resident | 07 1997
Are you male? | NO
Register you with Selective Service |
Type of Degree/Certificate | GRADUATE/PROFESSIONAL DEGREE
Grade Level in College in 2001-2002 | CONTINUING GRADUATE/PROFESSIONAL OR BEYOND
HS Diploma or GED? | YES
First Bachelor's Degree by 7-1-2001 | YES
Interested in Student Loans? | YES
Interested in Work-Study? | YES
Drug Conviction Affecting Eligibility? | NO
Step 2. (Q36 - Q51)
Completed 2000 Income Tax Return | WILL FILE
Type of 2000 Tax Form Used | IRS 1040EZ
Eligible to file a 1040A/EZ? |
Student's Adjusted Gross Income from IRS Form | $9721
Student's U.S. Income Tax Paid | $672
Student's Exemptions Claimed | 1
Student's Income Earned from Work | $9719
Spouse's Income Earned from Work |
Student's Amount from Worksheet A | $50
Student's Amount from Worksheet B | $0
Student's Amount from Worksheet C | $0
Student's Net Worth of Investments | $0
Student's Net Worth of Bus and/or Inv Farms | $0
Student's Cash, Savings, and Checking | $3000
How many Months Receive VA Benefits? |
Monthly VA Benefits Amount |
Step 3. (Q52 - Q58)
Born before 1-1-78? | YES
Working on Masters or Doctorate Program? | YES
Are You Married? | NO
Children Who Receive Support? | NO
Have Dependents Other than Children or Spouse? | NO
Orphan or Ward of the Court? | NO
Veteran of U.S. Armed Forces? | NO
Step 4. (Q59 - Q83)
Parent(s) Marital Status |
Your Father's/Stepfather's Social Security Number |
Your Father's/Stepfather's Last Name |
Your Mother's/Stepmother's Social Security Number |
Your Mother's/Stepmother's Last Name |
Parent(s) Number of Family Members in 2001-2002 |
Parent(s) Number in College in 2001-2002 |
Parent(s) State Legal Residence |
Parent(s) Legal Resident Before 1-1-96? |
Date Parent(s) Became Legal Resident |
Age of older Parent |
Completed 2000 Income Tax Return |
Type of 2000 Tax Form Used |
Eligible to file a 1040A/EZ? |
Parent(s) Adjusted Gross Income from IRS Form |
Parent(s) U.S. Income Tax Paid |
Parent(s) Exemptions Claimed |
Father's Income Earned from Work |
Mother's Income Earned from Work |
Parent(s) Amount from Worksheet A | $0
Parent(s) Amount from Worksheet B | $0
Parent(s) Amount from Worksheet C | $0
Parent(s) Net Worth of Investments |
Parent(s) Net Worth of Bus and/or Inv Farms |
Parent(s) Cash, Savings, and Checking |
Step 5. (Q84 - Q85)
Student's Number of Family Members in 2001-2002 | 1
Student's Number in College in 2001-2002 | 1
Step 6. (Q86 - Q97)
College 1 | GONZAGA UNIVERSITY (003778)
Housing 1 |
College 2 | UNIVERSITY OF AKRON (003123)
Housing 2 |
College 3 | LEWIS & CLARK COLLEGE (003197)
Housing 3 |
College 4 | CASE WESTERN RESERVE UNIV - LAW (E00082)
Housing 4 |
College 5 | VILLANOVA UNIV SCH OF LAW (E00428)
Housing 5 |
College 6 | CATHOLIC UNIV AMERICA, LAW SCHOOL (E00131)
Housing 6 |
Step 7. (Q98 - Q102)
Preparer's Social Security Number |
Preparer's EIN |
Student E-mail Address | RCY1@UAKRON.EDU
Intermediate Worksheet Values
Worksheet A | Student(44) / Parent(s)(78)
Earned Income Credit | 50 /
Additional Child Tax Credit | /
Welfare Benefits | /
Untaxed Social Security Benefits | /
TOTAL | 50 / 0
Worksheet B | Student(45) / Parent(s)(79)
Payments to Tax-Deferred Pensions & Savings | /
Deductible IRA/Keogh Payments | /
Child Support Received | /
Tax Exempt Interest Income | /
Foreign Income Exclusion | /
Untaxed Portions of Pensions | /
Credit for Federal Tax on Special Fuels | /
Housing, Food, & Living Allowances | /
Veterans Non-Education Benefits | /
Other Untaxed Income or Benefits | /
Cash Received (not reported elsewhere) | / XXXXX
TOTAL | 0 / 0
Worksheet C | Student(46) / Parent(s)(80)
Education Credits | /
Child Support Paid | /
Taxable Work-Study Earnings | /
Grant and Scholarship Aid (reported in AGI) | /
TOTAL | 0 / 0
Question 35 Worksheet
Convicted of possession/sale? | NO
All convictions removed? |
Completed drug rehab? |
How many possession convictions? |
Date of possession conviction |
Date of last possession conviction |
How many sale convictions? |
Date of sale conviction |
Question 35 Return Value | NO