PURDUE
UNIVERSITY
®
NORTHWEST
[II] [II] [II] [II]
[II] [II] [II] [II]
[II] [II] [II] [II]
Asset Information for 2021-2022
DIRECTIONS: Complete all items below and return this form to the Office of Financial Aid. ASSET INFORMATION SHOULD
REFLECT VALUE AT THE TIME THE FAFSA WAS COMPLETED. For each question, if net worth is one million dollars or
more, enter $999,999. If net worth is negative, enter 0. Round all figures to the nearest whole dollar. Do not leave any amount
blank.
SECTION 1: ASSET INFORMATION
Student & Spouse
(if married)
What was your (and spouse’s), or your parent’s total balance of cash, savings, and
checking accounts? (Don’t include student financial aid)
What was the net worth of your (and spouse’s), or your parent’s investments,
including real estate (not your/your parents’ home)? Net worth means current value
minus debt. If net worth is negative, enter 0.
Investments include real estate (do not include the home you live in), trust funds, UGMA and
UTMA accounts, money market funds, mutual funds, certificates of deposit, stocks, stock options,
bonds, other securities, installment and land sale contracts (including mortgages held),
commodities, etc.
Investments also include qualified educational benefits or education savings accounts (e.g.,
Coverdell savings accounts, 529 college savings plans and the refund value of 529 prepaid tuition
plans). For a student who does not report parental information, the accounts owned by the student
(and/or the student’s spouse) are reported as student investments. For a student who must report
parental information, the accounts are reported as parental investments, including all accounts
owned by the student and all accounts owned by the parents for any member of the household.
Investment value means the current balance or market value of these investments as of the day you
filed the FAFSA. Investment debt means only those debts that are related to the investments.
Investments do not include the home you live in, the value of life insurance, retirement plans
(401[k] plans, pension funds, annuities, non-education IRAs, Keogh plans, etc.) or cash, savings,
and checking accounts already reported on the FAFSA.
Investments also do not include UGMA and UTMA accounts for which you are the custodian,
but not the owner.
What was the net worth of your (and spouse’s), or your parent’s businesses and/or
investment farms? (Don’t include a family farm or family business with 100 or fewer full-time
or full-time equivalent employees)
Business and/or investment farm value includes the market value of land, buildings,
machinery, equipment, inventory, etc. Business and/or investment farm debt means only those
debts for which the business or investment farm was used as collateral.
Business value does not include the value of a small business if your family owns and controls
more than 50% of the business and the business has 100 or fewer full-time or full-time equivalent
employees. For small business value, your family includes 1) persons directly related to you, such as
a parent, sister or cousin, or 2) persons who are or were related to you by marriage, such as a
spouse, step-parent, or sister-in-law.
Investment farm value does not include the value of a family farm that you (your spouse
and/or your parents) live on and operate.
SECTION 2: CERTIFICATION (Provide all required signatures and PUID below)
Individuals indicated below must sign and date this form, certifying that all information provided is complete and correct.
If parent signature was required on FAFSA, at least one parent must sign.
Student Signature: ______________________________________ Date: ___________________
PUID: _______________________________________________
Parent Signature: _______________________________________ Date: ___________________
Office Use Only_RRAAREQ____ VSAI22 (R)
2200 169
th
Street Hammond, IN 46323
(219) 989-2301 fax (219) 989-2141
1401 S. U.S. Hwy. 421 Westville, IN 46391
(219) 785-5460 fax (219) 785-5653
click to sign
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