Instructions: fill out form, choose ‘print’ icon then ‘save as pdf’ and email form from your device to financialaid@rpcc.edu
2021-2022 Asset Verification Form
After a review of your FAFSA data, we must verify your/your parent(s) asset information because discrepancies exist with the reported asset information.
Please provide the student asset amounts below, as of the date you originally completed your FAFSA. Note: If you were required to provide parent
information on the FAFSA, you must also provide parent asset information below.
Name: ____________________________________ Student ID #: _________________________________
Mailing Address: _____________________________ Telephone Number: __________________________
Email Address:___________________________________________________________________________
ASSETS
As of Date You Originally Completed 2021-2022 FAFSA
What is the total current balance of your cash, savings, and checking accounts?
(Do not include financial aid refunds)
What is the net worth of your investments, including real estate (not your home)? (Net
worth means current balance or market value minus investment related debt)
If you have a current business and/or investment farm, what is the current net worth?
Real estate (other than the home you live in), rental property, 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. Also include qualified educational benefits
or educational savings accounts and distributions from a 529 plan
that the student receives.
The home you live in, the value of life insurance, retirement plans
(pension funds, annuities, non-education IRAs, Keogh plans, etc.) or
cash savings and checking listed in question 1 above. Investments
also do not include UGMA and UTMA accounts for which you are
the custodian, but not the owner.
Business and/or Investment Farm Value Include:
The market value of land, buildings, machinery, equipment,
inventory, etc. Business and/or investment farm debt means only
those debts for which the business or investment farm was used as
collateral.
The value of a small business if your family owns and controls more
than 50% of the business and the business has 100 or fewer full-
time or full-time equivalent employees.
The value of a family farm that you (your spouse and/or your
parents) live on and operate.
Certification Statement
By signing this form, I certify that all of the information on this form is complete and accurate to the best of my knowledge. Warning: Purposely giving false
or misleading information may result in a fine, imprisonment, or both.
Student Signature Date
Parent Signature Date
Office of Financial Aid & Scholarships
Gonzales-Westside-Reserve-St. Charles Campuses
Financialaid@rpcc.edu
