3200 West C Street
Torrington, WY 82240
p: 307.532.8224
f: 307.532.8222
financialaid@ewc.wy.edu
2017-2018
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 Social Security Number (last four digits)
___________________________________________________________ _______________________________________________
Mailing Address (include apartment number) E-mail Address
___________________________________________________________ _______________________________________________
City, ST, Zip Phone Number (include area code)
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)?
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,
retirement 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.
Net Worth: Current value minus debt. If net worth is negative, enter 0.
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.
Business and/or Investment Farm Value Includes: The market value of land, buildings,
machinery, equipment, 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.
Net Worth: Current value minus debt. If net worth is negative, enter 0.
By signing this worksheet, I certify that all of the information reported is complete and correct. I also acknowledge that I have read and
agree to comply with all verification policies as stated by EWC in the College Catalog and on the EWC website. 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.
11/2016
