FAFSA Signature Page

FAFSA Signature Page
2015-2016 FAFSA Signature Page
Name: ____________________________
Social Security Number: _______________
Read, Sign and Date
If you are the student, by signing this application you certify that you (1) will use federal
and/or state student financial aid only to pay the cost of attending an institution of higher
learning, (2) are not in default on a federal student loan or have made satisfactory
arrangements to repay it, (3) do not owe money back on a federal student grant or have made
satisfactory arrangements to repay it, (4) will notify your college if you default on a federal
student loan, and (5) will not receive a Federal Pell Grant from more than one college for the
same time period of time.
If you are the parent of the student, by signing this application you agree, if asked, to provide
information that will verify the accuracy of your completed form. This information may
include U.S. or state income tax forms that you filed or are required to file. Also, you certify
that you understand that the Secretary of Education has the authority to verify information
reported on this application with the Internal Revenue Service and other federal agencies. If
you sign any document related to the federal student aid programs electronically using a
Personal Identification Number (PIN), you certify that you are the person identified by the PIN
and have not disclosed that PIN to anyone else. If you purposely give false or misleading
information, you may be fined $20,000, sent to prison, or both.
Everyone whose information is given on this form should sign below. The student (and at least
one parent, if parent information is given) MUST sign below.
Student ___________________________________
Date _____________
Parent ____________________________________
Date _____________
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