Asset Verification Gsu

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ASET17
Panther ID Number
P.O. Box 4040
Atlanta
GA 30302-4040
Atlanta Campus: 404-413-2600
PC Campuses: 678-891-3535
A S S E T V E R I F I C A T I O N
678-891-3427
Fax:
Student’s Last Name
First
MI
Parent’s Last Name
First
MI
Your 2016-2017 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called “Verification.” The investment, business,
and/or investment farm asset information portion of the 2016-2017 FAFSA was incomplete. Please complete the following section of this form.
Read the instructions below and complete the chart according to your dependency status.
INDEPENDENT STUDENTS: Complete the “Student/Spouse Assets” column. You must provide information about your (and your
spouse’s) assets. If you are divorced or separated and you and your spouse have jointly-owned assets, provide only your portion of the assets and
debts. Be sure to list assets held in trust for you (and your spouse).
DEPENDENT STUDENTS: Complete the “Parent Assets” and “Student/Spouse Assets” column, if parent/stepparent information was
required on the 2016-2017 FAFSA. If you are providing information for only one parent (parent is single and/or has not remarried) and that
parent has jointly owned assets, provide only that parent’s portion of the assets and debts.
DO NOT LEAVE ANY BLANKS. If the correct amount is zero, write in (0). If an amount is left blank the form will be considered
incomplete and will not be processed.
ASSETS
PARENT(S)/ STEPPARENT
STUDENT/SPOUSE
CASH, SAVINGS, CHECKING BALANCE
What was your TOTAL account balance in cash, savings, and checking as of
$
$
the day you completed the FAFSA?
Do not include student aid.
INVESTMENT NET WORTH
What is the net worth of investments, including real estate?
Do not include the home you or parent lives in, value of life insurance, or retirement plans.
Net worth means current value minus debt.
$
$
BUSINESS NET WORTH
What is the net worth of your current businesses and/or investment farms?
Do not include a family farm that you live on and operate; or a family business that you own
more than 50% and have less than 100 full-time (equivalent) employees.
Net worth means current value minus debt.
$
$
CERTIFICATION STATEMENT
I certify that this information is true and correct to the best of my knowledge. Additionally, I understand that I am responsible
for returning all student financial aid monies received due to inaccurate, false or misleading information provided on this form
and/or any other documents submitted.”
Student Signature
_______ Date
(Required)
Parent Signature
Date
(Required)
Print (Don't forget to sign form!)
Asset Verification
Page 1 of 1
rev. 01.29.2016

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