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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