Asset Information Worksheet - 2015-2016

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FINANCIAL AID OFFICE
411 CENTRAL AVENUE  SALINAS, CA 93901  (831)755-6806  FAX (831) 759-6014
2015-2016 ASSET INFORMATION WORKSHEET
____________________________________________________________________
___________________________
Last Name
First
Middle
Social Security Number/Student ID
The following questions refer to questions 41, 42, 43, 90, 91, 92 on the FAFSA application. When you completed your 2015-2016 FAFSA
Application, these questions were left blank or amounts reported were inconsistent. Please complete the following as of the date you completed
the FAFSA Application.
TOTAL
TOTAL
STUDENT/
PARENTS
SPOUSE
As of today what is your (and spouse’s/parents, if applicable) total current balance of
1.)
cash, savings, and checking accounts? Do not include student financial aid.
$______
$______
As of today what is the net worth of the investments, including real estate? Don’t include
2.)
the home you live in. Net worth means current value minus debt. See Instructions on
the back of this form
1
2
3
4
Rentals/Investment:
$______
$______
Current Investment Value: $ ___________________________________________________________________________
Minus Debt
$___________________________________________________________________________
Net Worth
$___________________________________________________________________________
3.)
As of today what is the net worth of the current businesses and/or investment farms?
Don’t include family farm or family business with 100 or fewer full-time or full-time
equivalent employees. See Instructions on the back of this form.
1
2
3
4
Business/Farm:
$______
$______
Current Investment Value: $ ___________________________________________________________________________
Minus Debt
$___________________________________________________________________________
Net Worth
$___________________________________________________________________________
$______
$______
4.)
Additional Financial Information
Each person signing this form certifies that all the information reported on it is complete and correct. The student and at
least one parent must sign and date only if dependent student.
Student’s Signature: ___________________________________________
Date: ____________________
Spouse’s Signature: ___________________________________________
Date: ____________________
Parent’s Signature: ___________________________________________
Date: ____________________
All applications for financial assistance programs i.e., student loans, workers’ Compensation, grants, scholarships, special funds, subsidies,
prizes, etc., will be considered by the Hartnell College District / Local School District without regard to race, color, national origin, gender, marital
status or disability. Harassment of any employee/student with regard to race, color, national origin, gender, marital status or disability is strictly
prohibited.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

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