{"id":90747,"date":"2025-01-24T15:32:49","date_gmt":"2025-01-24T23:32:49","guid":{"rendered":"https:\/\/forms.bellevuecollege.edu\/studentcentral\/?page_id=90747"},"modified":"2025-01-24T15:50:38","modified_gmt":"2025-01-24T23:50:38","slug":"financial-aid-low-income-statement","status":"publish","type":"page","link":"https:\/\/forms.bellevuecollege.edu\/studentcentral\/financial-aid-low-income-statement\/","title":{"rendered":"Financial Aid Low Income Statement"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_512' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Please provide a general idea of how you were able to afford food\/shelter\/utilities for yourself and any dependents for the indicated Tax Year. Be sure to include any assistance and\/or programs (example: lived with friends\/family, SNAP, Social Security or Disability benefits, etc.), but you do not need to include any specific amounts.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_512'  action='\/studentcentral\/wp-json\/wp\/v2\/pages\/90747' data-formid='512' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_512' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_512_34\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >You are considered a <strong>dependent<\/strong> student unless you fit any of the following requirements:\n<p>\n<ul>\n<li>You are 24 or older<\/li>\n<li>You are married<\/li>\n<li>You have a child<\/li>\n<li>You are a veteran<\/li><\/div><fieldset id=\"field_512_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your dependency status?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_512_33'>If you are not sure, please see the 'What determines dependency' section to the left.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_512_33'>\n\t\t\t<div class='gchoice gchoice_512_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='I am a dependent student.'  id='choice_512_33_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_512_33\"   \/>\n\t\t\t\t\t<label for='choice_512_33_0' id='label_512_33_0' class='gform-field-label gform-field-label--type-inline'>I am a dependent student.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_512_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='I am an independent student.'  id='choice_512_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_512_33_1' id='label_512_33_1' class='gform-field-label gform-field-label--type-inline'>I am an independent student.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_512_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >As a dependent student, you parent(s)\/guardian(s) MUST be the ones to fill out this form.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_512_36'>\n\t\t\t<div class='gchoice gchoice_512_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='I understand'  id='choice_512_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_512_36_0' id='label_512_36_0' class='gform-field-label gform-field-label--type-inline'>I understand<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_512_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_512_8'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_512_8' type='text' value='06\/03\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_512_8_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_512_8_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_512_8' class='gform_hidden' value='https:\/\/forms.bellevuecollege.edu\/studentcentral\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_512_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_512_6'>\n                            \n                            <span id='input_512_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_512_6_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_512_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_512_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_512_6_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_512_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_512_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_39'>Bellevue College Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_512_39' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_40'>ctcLink ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_40'>If you do not provide us your ctcLink ID number we cannot upload your information to your file.<\/div><div class='ginput_container ginput_container_text'><input name='input_40' id='input_512_40' type='text' value='' class='large' maxlength='9' aria-describedby=\"gfield_description_512_40\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_11'>Tax Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_512_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='2023 (2025 - 2026 School Year)' >2023 (2025 - 2026 School Year)<\/option><option value='2024 (2026 - 2027 School Year)' >2024 (2026 - 2027 School Year)<\/option><\/select><\/div><\/div><div id=\"field_512_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Instructions - Choose all that apply<\/h3><\/div><fieldset id=\"field_512_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I was able to afford food, shelter, and utilities for myself and my dependents (if applicable) by:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_512_15'><div class='gchoice gchoice_512_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Social Security - Retirement'  id='choice_512_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_1' id='label_512_15_1' class='gform-field-label gform-field-label--type-inline'>Social Security - Retirement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Social Security - Disability (SSDI)'  id='choice_512_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_2' id='label_512_15_2' class='gform-field-label gform-field-label--type-inline'>Social Security - Disability (SSDI)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Social Security - Survivors'  id='choice_512_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_3' id='label_512_15_3' class='gform-field-label gform-field-label--type-inline'>Social Security - Survivors<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='Social Security - Supplemental Security Income (SSI)'  id='choice_512_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_4' id='label_512_15_4' class='gform-field-label gform-field-label--type-inline'>Social Security - Supplemental Security Income (SSI)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Veteran&#039;s Benefits'  id='choice_512_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_5' id='label_512_15_5' class='gform-field-label gform-field-label--type-inline'>Veteran's Benefits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='Food Assistance Program(s) [Please specify below]'  id='choice_512_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_6' id='label_512_15_6' class='gform-field-label gform-field-label--type-inline'>Food Assistance Program(s) [Please specify below]<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.7' type='checkbox'  value='Housing Assistance Programs(s) [Please specify below]'  id='choice_512_15_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_7' id='label_512_15_7' class='gform-field-label gform-field-label--type-inline'>Housing Assistance Programs(s) [Please specify below]<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.8' type='checkbox'  value='Utilities Assistance Program(s) [Please specify below]'  id='choice_512_15_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_8' id='label_512_15_8' class='gform-field-label gform-field-label--type-inline'>Utilities Assistance Program(s) [Please specify below]<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.9' type='checkbox'  value='Lived with Family\/Friends [Please specify below]'  id='choice_512_15_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_9' id='label_512_15_9' class='gform-field-label gform-field-label--type-inline'>Lived with Family\/Friends [Please specify below]<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.11' type='checkbox'  value='Lived off savings at the time'  id='choice_512_15_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_11' id='label_512_15_11' class='gform-field-label gform-field-label--type-inline'>Lived off savings at the time<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.12' type='checkbox'  value='Lived off financial aid'  id='choice_512_15_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_12' id='label_512_15_12' class='gform-field-label gform-field-label--type-inline'>Lived off financial aid<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_512_15_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.13' type='checkbox'  value='Other [Please specify below]'  id='choice_512_15_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_512_15_13' id='label_512_15_13' class='gform-field-label gform-field-label--type-inline'>Other [Please specify below]<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_512_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Additional Information<\/h3><div class='gsection_description' id='gfield_description_512_30'>Please provide additional information based on your answers above.<\/div><\/div><div id=\"field_512_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_24'>If you checked that you were enrolled in Food Assistance Program(s), please specify the program(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_24'>Example: SNAP, EBT, food stamps, etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_24' id='input_512_24' type='text' value='' class='large'  aria-describedby=\"gfield_description_512_24\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_25'>If you checked that you were enrolled in Housing Assistance Program(s), please specify the program(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_25'>This may include military housing and homeless shelters.<\/div><div class='ginput_container ginput_container_text'><input name='input_25' id='input_512_25' type='text' value='' class='large'  aria-describedby=\"gfield_description_512_25\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_28'>If you checked that you were enrolled in Utilities Assistance Program(s), please specify the program(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_28'>Example: Low-Income Home Energy Program (LIHEAP), Gov. Cell Phone, etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_28' id='input_512_28' type='text' value='' class='large'  aria-describedby=\"gfield_description_512_28\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_29'>If you checked that you were living with Family\/Friends, did that include financial assistance?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_29'>Other than housing - includes food, utilities, and other bills.<\/div><div class='ginput_container ginput_container_text'><input name='input_29' id='input_512_29' type='text' value='' class='large'  aria-describedby=\"gfield_description_512_29\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_512_26'>If you checked Other, please provide a brief statment explaining any other programs, assistance, and\/or income you received that isn&#039;t listed.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_512_26'>Any other source of aid or income.<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_512_26' type='text' value='' class='large'  aria-describedby=\"gfield_description_512_26\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_512_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_512_20\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Warning:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_512_20' tabindex='0'>If you or your student receive federal student aid based on incorrect or fraudulent information, you or your student will have to pay it back. You may also have to pay fines and fees. 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