2019-2020
Asset Clarification Form
Office of Student Financial Aid
1021 Dulaney Valley Road
Baltimore, Maryland 21204-2794
P: 410-337-6141
F: 410-337-6504
E: finaid@goucher.edu
________________________________ _____________________ _____________________
Student Last Name Student First Name Goucher ID Number
Please clarify the following information about assets. The FAFSA question numbers are provided in case you
need to review the specific notes for the FAFSA to answer these questions. These questions should be based
on the day you first submitted the 2019-2020 FAFSA. The PDF of the FAFSA including the notes (see pages 9
and 10) is available here:
https://studentaid.ed.gov/sa/sites/default/files/2019-20-fafsa.pdf
Student Assets: These questions are for and about the student.
FAFSA Question #41. As of the day you first submitted the 2019-2020 FAFSA, what is
your (and spouse’s) total current balance of cash, savings, and checking accounts? Don’t
include student financial aid.
$________________
FAFSA Question #42. As of the day you first submitted the 2019-2020 FAFSA, what is the
net worth of your (and spouse’s) investments, including real estate? Don’t include the
home you live in. Net worth means current value minus debt.
$________________
FAFSA Question #43. As of the day you first submitted the 2019-2020 FAFSA, what is the
net worth of your (and spouse’s) current businesses and/or investment farms? Don’t
include a family farm or family business with 100 or fewer full-time or full-time
equivalent employees.
$________________
Parent Assets: These questions are about the student’s parent(s).
FAFSA Question #90. As of the day you first submitted the 2019-2020 FAFSA, what is
your parents’ total current balance of cash, savings, and checking accounts?
$________________
FAFSA Question #91. As of the day you first submitted the 2019-2020 FAFSA, what is the
net worth of your parents’ investments, including real estate? Don’t include the home in
which your parents live. Net worth means current value minus debt.
$________________
FAFSA Question #92. As of the day you first submitted the 2019-2020 FAFSA, what is the
net worth of your parents’ current businesses and/or investment farms? Don’t include a
family farm or family business with 100 or fewer full-time or full-time equivalent
employees.
$________________
By signing this form, I/we certify all information reported on this form & within the enclosed documentation is complete & correct.
_____________________________________________ _____________________________
Student Signature Date
_____________________________________________ _____________________________
Parent Signature
(Required for students w/ Dependent status.) Date
(ELECTRONIC SIGNATURES NOT ACCEPTED. Please print & sign in ink, then mail, fax, or scan and e-mail.)