DIVISION OF ASSETS - INDEPENDENT STUDENT
Student's Name:__________________________________USF ID or SSN:___________________
You indicated on your application that you are divorced, separated, or widowed. Complete this form
to clarify the division of assets reported on your application.
We have listed below the total assets reported on your financial aid application. Please note under
student or spouse, as appropriate, the portion which should be attributed to each of you. Answer
each item for the amount which was accurate as of the date you filed your application. Feel free to
contact Financial Aid Services if you have any questions regarding this information.
I certify this information reported above is true and correct to the best of my knowledge.
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