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.