CERTIFICATIONS AND SIGNATURES
Mail: Financial Aid Office
Eastern Wyoming College
3200 West C Street
Torrington, WY 82240
2014-2015 Dependent
Asset Form
The Federal Government requires asset net worth information from most students. Net worth means current value minus debt. Please
complete the form and return to the Eastern Wyoming College Financial Aid Office. Your file cannot be completed without this form.
______________________________________________________________ ________________________________________
Last Name First Name M.I. EWC Student ID Number
______________________________________________________________ ________________________________________
Address (include apartment number) Social Security Number (last four digits)
______________________________________________________________ ________________________________________
City, ST, Zip Phone Number (include area code)
ASSET STUDENT PARENT(S)
As of today, what is your and your parents’ total current balance of cash,
savings, and checking accounts? Do not include student financial aid.
As of today, what is the net worth of your and your parents’ investments,
including real estate (not your home)?
As of today, what is the net worth of your and your parents’ current
business and/or investment farms? Do not include a farm that you/your
parent(s) live on and operate.
Need More Information?
Net Worth: Current value minus debt. If net worth is one million dollars or more, enter $999,999. If net worth is negative, enter 0.
Investments Include: Real estate (do not include the home you live in), trust funds, UGMA and UTMA accounts, money market
funds, mutual funds, certificates of deposit, stocks, stock options, bonds, other securities, installment and land sale contracts (including
mortgages held), commodities, etc.
Investments Also Include: Qualified education benefits or education savings accounts such as Coverdell savings accounts, 529 college
savings plans and the refund value of 529 prepaid tuition plans. Accounts are reported as parental investments, including all accounts
owned by the student and all accounts owned by the parents for any member of the household.
Investments Do NOT
Include: The home your family lives in, the value of life insurance, retirements plans (401[k] plans, pensions,
funds, annuities, non-education IRAs, Keogh plans, etc.) or cash, savings, and checking accounts already reported. Investment value
means the current balance or market value of these investments as of today. Investment debt means only those debts that are related to
the investments.
Business and/or Investment Farm Value Includes: The market value of land, buildings, machinery, equipments, inventory, etc.
Business and/or investment farm debt means only those debts for while the business or farm was used as collateral.
Business Value Does NOT
Include: The value of a small business if your family owns and controls more than 50 percent of the
business and the business has 100 or fewer full-time or full-time equivalent employees.
Investment Farm Value Does NOT Include: The value of a family farm that you and your parent(s) live on and operate.
By signing this worksheet, we certify that all of the information reported is complete and correct. We also acknowledge that we have
read and agree to comply with all verification policies as stated by EWC. Failure to submit information in a timely fashion may
result in the application being filed as inactive with no further consideration and no federal aid for the academic year. Student and
parent must sign:
___________________________________________________ ___________________________________________________
Student’s signature Date Parent’s signature Date
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.
2/12/14
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