DIVISION OF ASSETS - DEPENDENT STUDENT
Student's Name:__________________________________USF ID or SSN:______________________
You indicated on your application that your parents are divorced, separated, or widowed. Please have
your supporting parent complete this form to clarify the division of assets reported on your application.
We have listed below the total assets reported under the parent section on your financial aid application.
Please note under mother or father, as appropriate, the portion which should be attributed to each
parent. Please answer each item for the amount which was accurate as of the date you filed your
application. Please feel free to contact Financial Aid Services if you have any questions regarding this
I certify this information reported above is true and correct to the best of my knowledge.
Parent’s Signature Date Student’s Signature Date
Please return the completed form to:
Financial Aid Services
500 Wilcox Street Joliet, IL 60435 | email@example.com
(815) 740-3403 | Toll-free: (866) 890-8331 | Fax: (815) 740-3822