2017---2018
Asset Information
Student ID
________________________________________________ ______________________________________ ______
Last Name
First Name M.I.
To receive financial aid, you must complete a process called Verification. Asset information is required when you and/or
your parents have filed (or will file) a 1040 Federal Tax Return for 2015. The Asset information was left blank on your
FAFSA, but we need the information to complete the application process. Please provide the information below and do
not leave any questions blank. If the question does not apply to you or your parents, please write in “0”.
Asse
t Inf
orm
ation
Student (& Spouse)
Pa
ren
t(s)
As of the day of your FAFSA was signed, what was the ba
l
ance
of your cash, sav
i
ngs and check
i
ng accounts?
As of the day your FAFSA was signed, what was the net worth of
investments including real estate (not including your home)?
Investment value
---
i
nvestment debt=net worth amount
As of the day your FAFSA was signed, what was the net worth amount
________________ ________________
________________ ________________
_________________ _______________
of your business and/or investment farm with 100 or fewer full
time employees?
Investment value
---
i
nvestment debt=net worth amount
You may be required to bring in proof such as bank statements, tax form schedule E, or other documents as required.
By signing this worksheet, you certify that all the information reported to qualify for federal student financial aid
i
s
complete and correct. For dependent students, at least one parent must sign the form.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be
se
nte
nce
d to jail, or both.
Student’s Signature
Date
Parent’
s Signature
Date
1570 East Colorado Blvd. L-114, Pasadena, California 91106
---
2003
18ASET
