2019–2020 Dependent Asset Information Form
The Department of Education has requested that the Financial Aid Office verify certain information reported on your FAFSA.
BRCC is required by federal law to compare your FAFSA with the information on this worksheet. You, your parent, and if married
parent’s spouse, must complete this form. You and your parent must sign and submit the form to the Financial Aid Office to
determine eligibility for federal student aid. Incomplete forms or conflicting information will cause delays in the processing
of your aid. Instructions for looking up your Student I.D. can be found here: Find your student ID here.
A. Student Information
Last Name: _____________________________________ First Name: __________________________________________
Student ID (required): ________________Date of Birth: __________________ Phone Number: _____________________
B. Asset Information
Please enter the dollar amount for the market value of each asset type listed below. Answers should reflect the amounts as of
the day you completed your FAFSA. Provide an amount for you and your parent(s). (Market value = total asset value minus any
debt against the asset.) If the market value is negative, the item does not apply, or the debt is greater than the value enter “0” in
the associated space.
Cash, Savings, and Checking Account Balances:
Enter exact amounts, not averages, and do not include student aid.
Real Estate Investments:
This includes rental properties or vacation properties that you do not live in year round
and/or that generate income. Do not include the home you live in
Investment Market Value:
This includes stocks, bonds, stock options, certificates of deposit, money market
accounts, educational savings plans including the refund value of a 529 plan, trust
funds, land sale contracts, UGMA and UTMA accounts unless you are custodian and
not the owner. Do not include Life insurance plans, 401K, pensions, annuities, non-
education IRA’s, etc.
Business Market Value:
This includes 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:
Do not include a family farm that you live on and operate. 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.)
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 in blue or black ink.
WARNING: If you purposely give false or misleading information on this worksheet you may be fined, sentenced to jail,
or both.
Student Signature: ________________________________________ Date Signed: _____/______/_______
Parent Signature: _________________________________________ Date Signed: ____/______/________
Please return this completed form in one of the following ways: upload it using the link to the form on your To-Do list in SIS, fax
to 540-234-8189, scanned e-mail attachment to finaid@brcc.edu, or mail to Blue Ridge Community College, Office of Financial
Aid, Box 80, One College Lane, Weyers Cave, VA 24486. Please call 855-844-3631 if you have questions.
