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
INDEPENDENT STUDENT
( ) -
STUDENT INFORMATION
________________________________________ ____ _______________________________________________
First Name M.I. Last Name
___________________ OR __________________ ______________________________________
FC19ISAI
Student ID Last 4 Digits of SSN Phone Number
STUDENT (& SPOUSE) 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). If you (and your spouse) have 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 spouse). Include information about the assets held in trust for you (and/or your spouse).
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 (& SPOUSE)
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 SIGNATURE
By signing below, 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
* 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.
