FOOTHILL COLLEGE DE ANZA COLLEGE
FINANCIAL AID OFFICE FINANCIAL AID OFFICE
12345 El Monte Rd. 21250 Stevens Creek Blvd.
Los Altos Hills, CA 94022-4599 Cupertino, CA 95014-5793
2017-2018
Cash, Savings, and Checking Statement
Student’s Name _________________________________________ SID ___________________
Last First
Preferred Name (if different than above) _______________________________________________
Last First
List below the amount of money in cash, savings, and checking you (or you and your parent or parents, if you
are a dependent student) had at the time you first submitted your 2017-2018 FAFSA.
If the money is in non-U.S. currency, please list the amount both in that currency and in U.S. dollars.
STUDENT PARENT(S) (for dependent students only)
Cash: $___________________ Cash: $__________________
Savings: $___________________ Savings: $__________________
Checking: $___________________ Checking: $__________________
I certify that the above information is true, complete, and accurate to the best of my knowledge.
_______________________________________________ _______________________
Student’s signature Date
_______________________________________________ _______________________
Parent’s signature (if dependent student) Date
_______________________________________________
Parent’s Name Printed
3/13/17
