2015-2016 ACADEMIC YEAR
Supplemental Verification WorkSheet
Please complete the sections below that pertain to you and/or your parent(s). Please make sure all appropriate
individuals sign at the bottom of the second page.
Full Name: ___________________________________
Drexel ID: ________________
Real Estate Information
Please fill in the information for all properties (other than family’s primary residence) that were reported on your and/or
your parent(s)’ 2014 IRS Schedule E.
Property Address
Current Value of Property
Current Mortgage on Property
Name of Property Owner
Business Value Information
Please fill in the information for all businesses that were reported on your and/or your parent(s)’ 2014 IRS Schedule C or E.
Business Name
Type of Business Number of
Full-Time
Employees
Current Value of
Business
Current Debt
Associated with
Business
Name of Business Owner
Farm Value Information
Please fill in the information below for all farms that were reported on your and/or your parent(s)’ 2014 IRS Schedule F.
Farm Name
Is this a Family
Farm that you
live on and
operate?
Current Value of Farm
Assets (including the
property of the farm)
Current Debt
Associated with
the Farm
Name of Farm Owners
Child Support Recieved Information
Please fill in the information for all child support recieved in 2014 by either yourself or your parent(s). Please make a
separate entry for every child for whom support was received.
Name of Person who Recieved the
Child Support
Name of Person Who Paid the
Child Support
Name of Child the Support was
Paid For
Page 1
Age of
Child
Amount of Child
Support Recieved in
2014
2015-2016 Academic Year
Supplemental Verification Worksheet
Child Support Paid Information
Please fill in the information for all child support paid in 2014 by either yourself or your parent(s). Please make separate
entries for every child for whom support was paid.
Name of Person Who Paid the
Child Support
Name of Person who Received the
Child Support
Name of Child the Support
was Paid For
Age of
Child
Amount of Child Support
Paid in 2014
Student Income Explanation
Please fill in the amounts below to explain the low or no-income the student reported on the 2015-2016 FAFSA (only for
independent students)
Cost
Monthly Amount of Money Received for this
Expense
Money Provided By
Rent/Mortgage
Utilities (including groceries)
Car Payment/Insurance
Other (credit cards, medical bills, etc.)
Parent Income Explanation
Please fill in the amounts below to explain the low or no-income the parent reported on the 2015-2016 FAFSA (only for
dependent students)
Cost
Monthly Amount of Money Received for this
Expense
Money Provided By
Rent/Mortgage
Utilities (including groceries)
Car Payment/Insurance
Other (credit cards, medical bills, etc.)
Student Bank Account and Cash Information
Please fill in the information below regarding the student’s balances of Bank Accounts and Cash Amounts as of the date
you signed your 2015-2016 FAFSA.
Source
Amount
Cash Available
Checking Account Balance
Savings Account Balance
Parent Bank Account and Cash Information
Please fill in the information below regarding the parent’s balances of Bank Accounts and Cash Amounts as of the date you
signed your 2015-2016 FAFSA.
Source
Amount
Cash Availability
Checking Account Balance
Savings Account Balance
Page 2
Drexel Central: Student Financial & Registration Services
Tel: 215.895.1600 • Fax: 215.895.2939 • Email via: ask.drexel.edu • Web: drexel.edu/drexelcentral