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Payments Other (explain): $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Parent(s) Certification: By signing below, I/we acknowledge and confirm that the above information is complete and accurate. Purposely giving false or misleading information may result in federal fines, jail sentence, or both. If the student is dependent, one parent whose information was reported on the FAFSA must sign and date this form. Student Signature Parent Signature.

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