* This form must be submitted by the priority deadline to ensure a determination of eligibility before the Fee Due Date. Students may still apply
for aid after the priority deadlines, but EFSC cannot guarantee that late submissions will be notified of aid eligibility prior to the Fee Due Date.
01/30/19
20AD
FA Verification
2019-20 Asset Verification Form
Dependent Student
Additional information is required to complete the verification of your 2019-20 application for federal student aid.
Provide the following information
as of the day you completed your 2019-20 Free Application for Federal Student Aid
(FAFSA) using the definitions provided in Section B.
Priority Deadlines*: Fall 2019 07/18/19 | Spring 2020 11/25/19 | Summer 202004/23/20
A. Student Information
B#
Last Name First Name M.I. Student ID
B. Definitions
Net worth means current value minus debt. If net worth is negative, enter 0 (zero).
Investment value means the current balance or market value of these investments as of the day you submitted your
FAFSA.
Investment debt means only those debts that are related to the investments.
Investments include:
Bonds
Certificates of deposit
Commodities
Installment and land sale contracts (including mortgages held)
Money market funds
Mutual funds
Qualified educational benefits or education savings accounts (e.g., Coverdell savings accounts, 529 college
savings plans and the refund value of 529 prepaid tuition plans); these 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
Real estate (do not include the home in which you live)
Rental property (includes a unit within a family home that has its own entrance, kitchen, and bath rented to
someone other than a family member)
Stocks
Stock options
Trust funds
UGMA and UTMA accounts (NOTE: UGMA and UTMA accounts are considered assets of the students and must
be reported as an asset of the student on the FAFSA, regardless of the students dependency status. Do not
include UGMA and UTMA accounts for which you are the custodian but not the owner.)
Other securities
EFSC Office of Financial Aid
www.easternflorida.edu/go/aid | (321) 433-7339 | finaid@easternflorida.edu
2
Investments do not include the home in which you live; cash, savings and checking accounts; the value of life
insurance and retirement plans (401[k] plans, pension funds, annuities, non-education IRAs, Keogh plans, etc.).
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. For small business
value, your family includes (1) persons directly related to you, such as a parent, sister or cousin, or (2) persons who
are or were related to you by marriage, such as a spouse, stepparent or sister-in-law.
C. Student’s Asset Information
Do not leave any field blank. Enter “0” (zero) if there is no balance or net worth.
ASSET
AMOUNT
Cash/Savings/Checking Balance
$
Investment Net Worth
$
Business and Farm Net Worth
$
D. Parent’s Asset Information
Do not leave any field blank. Enter “0” (zero) if there is no balance or net worth. If more than one parent was listed
on the FAFSA, include the assets of both parents.
ASSET
AMOUNT
Cash/Savings/Checking Balance
$
Investment Net Worth
$
Business and Farm Net Worth
$
E. Certification and Signatures
Each person signing below certifies that all of the information
reported is complete and correct. The student and one parent
whose information was reported on the FAFSA must sign and date.
Student’s Original Signature (cannot be signed electronically) Date
Parent’s Original Signature (cannot be signed electronically) Date
WARNING: If you purposely give false
or misleading information, you may be
fined, sent to prison, or both.
EFSC Office of Financial Aid
www.easternflorida.edu/go/aid | (321) 433-7339 | finaid@easternflorida.edu
3
F. Document Submission
You may submit this document by the following methods:
1. EFSC DOCUMENT DROPBOX (RECOMMENDED)
Print and complete this document (including the original signatures), scan the document, and upload the
document via the Document Dropbox in myEFSC. Printers and scanners are available in EFSC’s open
computer labs and libraries.
2. IN PERSON
Submit your document in person at the Office of Financial Aid on any campus:
Cocoa
Building 11, Room 209
Monday through Thursday, 8 a.m. to 7 p.m.
Palm Bay
Building 1, Room 117
Monday through Thursday, 8 a.m. to 7 p.m.
Melbourne
Building 1, Room 137
Monday through Thursday, 8 a.m. to 7 p.m.
Titusville
Building 3, Room 125
Monday through Wednesday, 8 a.m. to 5:30 p.m.
Thursday, 8 a.m. to 7 p.m.
3. BY MAIL
Mail your document to the Office of Financial Aid on any campus:
Cocoa
Eastern Florida State College
Office of Financial Aid, C11-209
1519 Clearlake Road
Cocoa, FL 32922
Eastern Florida State College
Office of Financial Aid, PB1-117
250 Community College Parkway
Melbourne
Eastern Florida State College
Office of Financial Aid, M1-137
3865 N. Wickham Road
Melbourne, FL 32935
Eastern Florida State College
Office of Financial Aid, T3-125
1311 N. US 1
QUESTIONS?
Financial Aid Specialists are available at the campus locations listed above, by phone at 321-433-7339, and via e-mail at
finaid@easternflorida.edu.
Eastern Florida State College is committed to equal access/equal opportunity in its programs, activities, and employment.
For additional information, visit Eastern Florida State College: easternflorida.edu/go/equity.
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