Asset Information Form

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University of South Carolina Upstate
Office of Financial Aid and Scholarships
Health Education Complex, Suite 2081
800 University Way, Spartanburg, SC 29303
Phone: 864-503-5340 Fax: 864-503-5974
E-mail: finaid@uscupstate.edu
2015-2016 Asset Information
The following information is required to complete the processing of your 2015-2016 financial aid application. Complete each
item below as of the date you completed the FAFSA. Report assets owned by you, and your parents (if dependent) or
*
you and your spouse (if independent). Do not leave any item blank; if the question does not apply, write in “0”.
___________________________________________________________ ___________ _______________
Student’s Last Name, First, M.I.
VIP ID
USC UPSTATE ID
________________________________________________________________ _______________________
E-mail Address
Phone # (with area code)
Dependent Students Only: (Required Parental Information)
Age of older parent: _________
Marital Status: _________
State of Legal residence: _________
Dependent AND Independent Students:
Please read carefully. Complete each item below. Do not include:
the home you live in
the farm that you live on and operate
personal or consumer loans, or any debts not related to the assets listed below
the value of life insurance and retirement plans (pension funds, annuities, non-educational IRAs, Keogh Plans,
etc.), the value of prepaid tuition plans or student financial aid
As of the date you completed the FAFSA:
PARENT(S)
STUDENT
(and spouse if applicable)
$ _________________
$ _________________
Cash, savings, and checking accounts:
$ _________________
$ _________________
Net worth of current investments:
$ _________________
$ _________________
Net worth of your current business
and/or investment farms:
************************************** SIGNATURES **************************************
By signing below, where required, the student, spouse, and/or parent(s) attest to the accuracy of the
information given on this form.
STUDENT: ________________________________
SPOUSE: ________________________________
SIGNATURE
DATE
SIGNATURE
DATE
MOTHER: ________________________________
FATHER: ________________________________
SIGNATURE
DATE
SIGNATURE
DATE
WARNING: If you purposely omit or give false or misleading information
on this worksheet, you may be fined, be sentenced to jail, or both.

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