ASSET - 20/21
ASSET Information Request Form
Student Name:________________________ Student ID:_______________________
Please provide the current dollar amounts (in U.S. Dollars) for each of the following asset
categories. Put a ZERO if the amount is zero or a negative number.
STUDENT (& SPOUSE) INFORMATION:
Amount in Cash, Savings, Checking Accounts: $______________________
Investment Net Worth: $______________________
Examples include (but are not limited to): Stocks, Bonds, Certificates of
Deposit, Money Market Accounts, Mutual Funds, Trust Funds, College Savings Plans, Commodities, Precious Metals, Real
Estate (other than primary residence.) The net worth of an investment is the total current market value minus the associated
debts (for example, mortgages or other liens against 2
ND
homes or rental property.) If the net worth is negative, the student
reports a zero. (Do not include life insurance or retirement plans e.g., IRAs, Keogh, pensions, annuities, etc.)
Business Net Worth: $______________________
(Do NOT include a family-owned/controlled business with fewer than 100 employees.)
Student Signature:________________________________Date:___________________
PARENT INFORMATION:
Amount in Cash, Savings, Checking Accounts: $______________________
Investment Net Worth: $______________________
Examples include (but are not limited to): Stocks, Bonds, Certificates of
Deposit, Money Market Accounts, Mutual Funds, Trust Funds, College Savings Plans, Commodities, Precious Metals, Real
Estate (other than primary residence.) The net worth of an investment is the total current market value minus the associated
debts (for example, mortgages or other liens against 2
ND
homes or rental property.) If the net worth is negative, the student
reports a zero. (Do not include life insurance or retirement plans e.g., IRAs, Keogh, pensions, annuities, etc.)
Business Net Worth: $______________________
(Do NOT include a family-owned/controlled business with fewer than 100 employees.)
Parent Signature:________________________________Date:___________________
Office of Financial Aid
Please return this form within 10 days of receipt of this
request to:
Lehigh Carbon Community College
4525 Education Park Drive
Schnecksville, PA 18078
FAX# 610-799-1798
Revised 7/1/2011
WET SIGNATURE REQUIRED.
WET SIGNATURE REQUIRED.