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Student
Demographics
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School Selection
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Dependency
Status
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Parent
Demographics
4
Parent
Financials
5
Student
Financials
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FAFSA Summary
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FAFSA Summary: 2023–24
Student ID: 7167 OT
SECTION 1 Student Demographics $
Student's Social Security Number (question 8) 7167 Student's First Name (question 2), Student's Middle Initial
(question 3)
Gerilyn, L
Student's Last Name (question 1) Otto
Student's Date of Birth (question 9) 08/31/1971
Student's Email Address (question 13) ad2cfv@r.postjobfree.com Student's Telephone Number (question 10-612-***-**** Student's Permanent Mailing Address (question 4) 104 113th ln ne Student's Permanent City (question 5) Blaine
Student's Permanent State (question 6), Student's
Permanent ZIP Code (question 7)
Minnesota, 55434
Has the student lived in state for at least five years? Yes Student's State of Legal Residence (question 18) Minnesota Was the student a legal resident before Jan. 1, 2018?
(question 19)
Yes
Student’s Legal Residence Date (question 20)
Student's Citizenship Status (question 14) Yes, I am a U.S. citizen (or U.S. national) Student's Alien Registration Number (question 15)
Has the student completed high school or an equivalent?
(question 23)
GED certificate or state authorized high school equivalent certificate
Type of Degree/Certificate (question 27) Other/undecided Did the student complete his or her first bachelor's degree before 2023–24 school year? (question 25)
No
Student's Grade Level in College in 2023–24 (question 26) 3rd yr./junior Is the student interested in Work-Study? (question 28) Don't know Student's Driver's License Number (question 11)
Student's Driver's License State (question 12) Minnesota Is the student in foster care? Yes
Parent 1 Educational Level (question 21) Middle school/junior high Parent 2 Educational Level (question 22) High school SECTION 2 School Selection $
Student's High School Name (question 24)
Student's High School Name (question 24)
Student's High School City (question 24)
Student's High School State (question 24)
First College (question 98a) Albany Law School
First Housing Plans (question 98b) Off Campus
Second College (question 98c) Ailey School (The)
Second Housing Plans (question 98d) Off Campus
Third College (question 98e) Albany Medical College Third Housing Plans (question 98f) Off Campus
Fourth College (question 98g)
Fourth Housing Plans (question 98h)
Fifth College (question 98i)
Fifth Housing Plans (question 98j)
Sixth College (question 98k)
Sixth Housing Plans (question 98l)
Seventh College (question 98m)
Seventh Housing Plans (question 98n)
Eighth College (question 98o)
Eighth Housing Plans (question 98p)
Ninth College (question 98q)
Ninth Housing Plans (question 98r)
Tenth College (question 98s)
Tenth Housing Plans (question 98t)
SECTION 3 Dependency Status $
Student's Marital Status (question 16) Single
Student's Marital Status Date (question 17)
Does the student have children he or she supports?
(question 47)
No
Does the student have dependents other than children or spouse? (question 48)
No
Is the student on active duty in U.S. armed forces?
(question 45)
Is the student a veteran? (question 46)
Are the student's parents deceased? Is the student ward of court? Is the student in foster care? (question 49) Is or was the student an emancipated minor? (question 50)
Is or was the student in legal guardianship? (question 51) Is the student an unaccompanied homeless youth as
determined by a high school homeless liaison? (question 52)
Is the student an unaccompanied homeless youth as
determined by the U.S. Department of Housing and Urban Development? (question 53)
Is the student an unaccompanied homeless youth as
determined by the director of a homeless youth center?
(question 54)
Student's Number of Family Members in 2023–24
(question 90)
1
Student's Number in College in 2023–24 (question 91) 1 Does the student want to answer questions about his or her parents?
No
SECTION 6 Student Financials $
Has the student filed 2021 income tax return? (question 29)
Already completed
Student's Type of 2021 Tax Form Used (question 27) Transferred from the IRS Student's 2021 Tax Return Filing Status (question 31) Single Student's 2021 Adjusted Gross Income (question 33) Transferred from the IRS Student's 2021 Income Earned from Work (question 35) Transferred from the IRS Spouse's 2021 Income Earned from Work (question 36) Has the student filed Schedule 1? (question 32) Transferred from the IRS Is the student or spouse a dislocated worker? (question 97) Has the student received Medicaid? (question 92)
Has the student received Supplemental Security Income?
(question 92)
Has the student received Supplemental Nutrition
Assistance Program (SNAP) benefits? (question 93)
Has the student received free or reduced price lunches?
(question 94)
Has the student received Temporary Assistance for Needy Families (TANF) benefits? (question 95)
Has the student received assistance from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)? (question 96)
Student Financials (continued)
Student's 2021 U.S. Income Tax Paid (question 34) Transferred from the IRS Student's Taxable Combat Pay Reported in Adjusted Gross Income (question 40e)
$0
Student's College Grant and Scholarship Aid Reported to IRS as Income (question 40d)
$0
Student's Education Credits (question 40a) Transferred from the IRS Student's Untaxed Portions of IRA Distributions and Pensions (question 41e)
Transferred from the IRS
Student's Deductible Payments to IRA/Keogh/Other
(question 44b)
Transferred from the IRS
Student's Tax Exempt Interest Income (question 41d) Transferred from the IRS Student's Child Support Paid (question 40b) $0
Student's Cooperative Education Earnings (question 40f) $0 Student's Taxable Earnings from Need-Based Employment Programs (question 40c)
$0
Student's Child Support Received (question 41c) $0 Student's Housing, Food, and Living Allowances (question 41f)
$0
Student's Payments to Tax-Deferred Pensions and
Retirement Savings (question 41a)
$0
Student's Veterans Noneducation Benefits (question 41g) $0 Student's Other Untaxed Income or Benefits (question 41h)
$0
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Money Received or Paid on Student’s Behalf (question 44i) $0 Student's Total of Cash, Savings, and Checking Accounts
(question 37)
$125
Student's Net Worth of Current Investments (question 38) $0 Student's Net Worth of Businesses/Investment Farms
(question 42)
$0
SECTION 7 Sign and Submit $
Preparer's Social Security Number (question 101)
Preparer's Employer Identification Number (question 102)