(9‐16‐19)
Parent Asset Worksheet 2020-2021
Please answer all lines with the total amounts for the year.
(If none, respond with 0. If not applicable, respond with N/A.)
Parent Student
Cash, Savings, Checking as of Today
$ $
Investment Net Worth as of Today
$ $
Business and Farm Net Worth as of Today
$ $
2018 Education Tax Credits
$ $
2018 Child Support Paid
$ $
2018 Need Based Employment (Work study)
$ $
2018 Grant and Scholarship Aid (amount
reported as income)
$ $
2018 Combat Pay
$ $
2018 Co-op Earnings
$ $
2018 Tax Deferred Pensions
$ $
2018 IRA Deductions and Payments
$ $
2018 Child Support Received
$ $
2018 Tax Exempt Interest
$ $
2018 Untaxed Portions of IRA Distributions
$ $
2018 Untaxed Portions of Pensions
$ $
2018 Military and Clergy Allowance
$ $
2018 VA Non-Education Benefits
$ $
2018 Other Non-Taxed Income
$ $
2018 Other Non-Reported Money
$ $
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
Print Student’s Name: __________________________ Student’s ID# __________________
Student’s Signature: __________________________ Date: ________________
Print Parent’s Name: __________________________
Parent’s Signature: __________________________ Date: ________________
WARNING: If you purposely give false or
misleading information, you may be fined,
sent to prison, or both.
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