2020-2021 Asset Information Form - Dependent
You and your parent(s) must complete, print, sign, and submit this form. Do not leave any section blank. If an item does not apply
enter 0in the associated space. Instructions for submission are at the bottom of the form.
A. Student Information
B. Asset Information
Enter the dollar amount for the market value of each of the asset types listed below. Provide an amount for you and your parent(s). If
the market value is negative or the item does not apply enter0” in the associated space.
Asset Type
Student’s Market
Value
Parent(s)’s Market
Value
Cash, Savings, and Checking Account Balances. Enter the amount as of the day your
financial aid application was originally filed. Do not enter average monthly balances or
student financial aid.
$
$
Other Real Estate Market Value*, not your primary residence. Enter the total market
value of all real estate, except your primary residence. Include rental property (including
a unit within a family home that has its own entrance, kitchen, and bath rented to
someone other than a family member), land, and/or second/summer homes and vacation
properties.
$
$
Investment Market Value*. Enter the total market value of all investments other than
retirement accounts. Include items such as trust funds; UGMA and UTMA accounts;
money market funds; mutual funds; certificates of deposit; stocks; stock options; bonds;
other securities; Coverdell savings accounts (education IRAs); 529 and other college
savings plans, the refund value of 529 prepaid education tuition plans for all members of
the household (reported as parental investment when student is dependent); installment
and land sale contracts (including mortgages held); commodities; precious and strategic
metals; etc. Do not include the value of life insurance; retirement accounts (pensions
funds, 401k plans, annuities, non-education IRAs, Keogh plans, etc.); UGMA and UTMA
accounts for which you are a custodian, not owner; or any cash, savings, or checking
accounts already reported above.
$
$
Business Market Value*. Only include the value of land, buildings, machinery,
equipment, inventories, etc. for a business with over 99 full-time employees. Do not
include the value of your home, even if it is part of the business.
$
$
Investment Farm Market Value*. Only include the value of the farm if it is not your
principal place of residence, and you and your family materially participated in the
farming operation. Include the value of the land, buildings, machinery, equipment,
livestock, inventories, etc. (This amount is usually indicated by a Schedule F and included
on line E of the IRS Form 1040.)
$
$
*Market Value is the total value of the asset(s) minus any debts related to the asset(s) as of the day you completed your FAFSA. If the
market value is negative or the item does not apply enter “0” in the associated space.
C. Certification and Signatures
Each person signing below certifies that all the information reported on this worksheet is complete, correct, and any additional information is
attached. The student and one parent MUST sign and date this section.
WARNING: If you purposely give false or misleading information on this worksheet you may be fined, sentenced to jail, or both.
______________________________________________________________________ _______________
Student Signature Date
______________________________________________________________________ _______________
Parent Signature Date
HOW TO SUBMIT THIS FORM
Upload this form directly into the Student Information System (SIS) by logging into MY VWCC. Once logged in, go to the Student Center and select
the ‘VWCC 20/21 Dep Asset Info from the ‘To Do List list to attach and upload the form. You can also upload the form at www.virginiawestern.com
by clicking ‘Contact Us, and then clicking the 24/7 Student Support icon. Once you log in you can submit documents.
Fax forms to 540-857-6208
Phone: (855)874-6690
First Name
MI
Last Name
VWCC Student ID - REQUIRED