Mail, fax, email, or deliver the completed worksheet to the financial aid office using the contact information listed below.
EMAILED FORMS MUST BE SENT FROM THE IWU STUDENT EMAIL ACCOUNT
Financial Aid Office, IWU National & Global 1900 West 50
th
Street Marion, IN 46953-9393 indwes.edu
800.621.8667 option 4 765.677.2516 765.677.2030 Fax IWUfinaid@indwes.edu
DEPENDENT STUDENT
( ) -
STUDENT INFORMATION
________________________________________ ____ _______________________________________________
First Name M.I. Last Name
___________________ OR __________________ ______________________________________
FC19DSAI
Student ID Last 4 Digits of SSN Phone Number
STUDENT & PARENT(S) ASSET INFORMATION
The following asset information is needed for verification of your financial aid application. Answer the questions below as
they were the day you filed your Free Application for Federal Student Aid (FAFSA). For assets owned jointly with someone
else – such as a business or farm – list the portion of the asset’s value that is owned by you and/or your parent(s). Include
information about the assets held in trust for you and/or your parent(s).
Note that the net worth equals the value if it were sold minus the amount needed to pay off the debt
Negative amounts should be reported as “0”
Round all answers to the nearest dollar
STUDENT PARENT(S)
Value of cash, savings, and checking accounts combined
$________________
$________________
Net worth of other real estate and investments value
(do not include the home you live in)
$________________
$________________
Net worth of businesses and/or investment farms
(Net worth = value minus debt)
(Don’t include a farm that you live on)
$________________
$________________
Don’t Include:
a home, if it is your principal place of residence
a family farm, if it is your principal place of residence and you claimed on Schedule F of the tax
return that you “materially participated in the farm’s operation”
business equity if you have 100 or fewer full-time equivalent employees
the value of life insurance policies and retirement plans or
student financial aid
CERTIFICATION AND SIGNATURES
By signing this worksheet, I certify that all the information reported on this worksheet is complete and correct.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to
jail, or both.
_____________________________________________________________________________ _________________
Student Signature* Date
_____________________________________________________________________________ _________________
Parent Signature* Date
* Must be an actual “wet” signature. A digital signature or typed font signature is not acceptable. This form may be completed and “wet” signed via a tablet
or smartphone with PDF signing capability using a stylus pen. You may need to download an app to access this feature.
