Do you own real estate other than your primary residence?
YES
Current Market Value $
Current Debt (include 1st & 2nd mortgages) $
Purchase Price $
Year Purchased $
Percent Ownership (if own less than 100%, only list your share of the
value and debt - do not report share owned by bank)
$
Address of Property
Do you own a business and/or a farm? BUSINESS FARM NEITHER BOTH
If you own a farm, do you live on the farm for more than 50% of the year? NO YES
Type of Business/Farm
Current Market Value $
Current Debt (not owed to yourself/shareholders) $
Year Purchased/Opened/Inherited $
Percent Ownership $
Number of Employees
Address of Business/Farm
I certify that all information reported on this form and any attachments and subsequent information provided to the Occidental College
Financial Aid Office is true, complete, and accurate to the best of my knowledge. I understand that false statements or misrepresentations will
be cause for denial, reduction, withdrawal, and/or repayment of financial aid.
Parent Signature (no electronic signatures) Print Name Date
Student Signature (no electronic signatures) Print Name Date
CERTIFICATION
REAL ESTATE – If you own more than one property, use a separate sheet of paper to itemize each property.
BUSINESS/FARM – If you own more than one business/farm, use a separate sheet of paper to itemize each business/farm.
NO
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signature
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signature
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