Parent Asset Verification Form
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1UID# _______________________________
PARENT ASSET VERIFICATION
Please report asset value for all that applies. Report all values as of the date the FAFSA was completed. Only list your
percentage of the value and debt of assets noted below. Attach additional pages if necessary.
INVESTMENTS
Investments include trust funds, money market funds, mutual funds, certificates of deposit (CD), stocks, stock-
options, bonds, other securities, Coverdell savings accounts, 529 college savings plans, commodities, Uniform Transfers
to Minors Act (UTMA)/Uniform Gifts to Minors Act (UGMA) Custodial Accounts, Partnerships/S corporations—only
report asset value if you own less than 50% of business. Do not include the value of life Insurance and retirement plans
(401[k] plans, pension funds, annuities, non-Education IRAs, Keogh plans).
Name of Account _______________________________________________ Total Asset Value $_________
Name of Account _______________________________________________ Total Asset Value $_________
Name of Account _______________________________________________ Total Asset Value $_________
Name of Account _______________________________________________ Total Asset Value $_________
BUSINESS/FARM—reference IRS 1040 form Schedule C and/or Schedule F
Business or farm value includes the current market value of land, buildings, machinery, equipment, inventory, etc. Busi-
ness debt means only the debts for which the business was used as collateral. Do not include family-owned and con-
trolled small businesses (50% or more ownership) with fewer than 100 full-time employees, or farm value if you reside
on the property and operate the farm.
Business/Farm address:_____________________________________________________________________
Current market value $_________________ Current debt owed $_________________
Business/Farm address:_____________________________________________________________________
Current market value $_________________ Current debt owed $_________________
REAL ESTATE—reference IRS 1040 form Schedule E (Part I)
Real estate such as rental property, land and second or summer homes. The value is the current market value. Debt equals
how much your parents owe on the property. Include the value of multifamily dwellings that you own
Address:_________________________________________________________________________________
Current market value $_________________ Current mortgage balance $________________
Address:_________________________________________________________________________________
Current market value $_________________ Current mortgage balance $________________
Address:_________________________________________________________________________________
Current market value $_________________ Current mortgage balance $________________
Address:_________________________________________________________________________________
Current market value $_________________ Current mortgage balance $________________
CERTIFICATION STATEMENT
I certify that all the information reported on this form is complete and accurate. I understand that I may be
required to provide additional documentation. Purposely providing false or misleading information on this worksheet,
may result in an investigation by the Inspector General for Student Aid Fraud.
___________________________________________________________________________________
Parent Signature
Date
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