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YOU'RE NOT DONE YET! YOU STILL NEED TO SUBMIT YOUR APPLICATION. AFTER YOU PRINT THIS PAGE, SELECT NEXT TO CONTINUE.
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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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