2007-2008 Corrections on the Web Parental Signature Page
Sign and mail this page NOW!
DANIEL G CHAN S 565 89 1660 CH 220 6TH STREET OAKLAND CA 94607
One parent whose information is provided in the parents' section must sign this Corrections
on the Web signature page, and immediately mail it to the address below.
PLEASE READ AND SIGN
By signing this application electronically using your Personal Identification Number (PIN) or by
signing a signature page and mailing it to us, you agree if asked:
1. to provide information that will verify the accuracy of your completed form
2. to provide U.S. or state income tax forms that you filed or are required to file.
You also certify that you understand that the Secretary of Education has the authority to verify
information reported on your application with the Internal Revenue Service and other federal agencies.
If you sign this application or 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.
Applicant's Parent _____________________________
Date Signed ____________________________________
AFTER SIGNING, MAIL THIS PAGE IMMEDIATELY TO:
Federal Student Aid Programs
P.O. Box 7006
Mt. Vernon, IL 62864-0076
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!
___________________________________________________________________________________________________
05/02/2007
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