2016-2017 Asset Verification Form
** PLEASE COMPLETE WITH BLACK OR BLUE INK ONLY! **
H
Student’s Name
HGTC ID
Student’s Address (including apt #)
Student’s Date of Birth
City
State
Zip Code
Student’s Home Phone (include area code)
E-mail
Cell Phone (include area code)
Why am I am required to complete this form? On the FAFSA application you initially submitted, you were not asked by the
federal processor to complete the questions regarding asset information. This omission was an error on their part, as you are actually
required to provide this information.
Why is this important to me? This will stop you from being awarded financial aid and your bill will not be paid, it will not pay to
your student account to generate a refund because your FAFSA is considered incomplete by the Department of Education.
What do I do now? The Financial Aid Office has determined that the easiest way to update your FAFSA is to have you complete this
form so that we can process the correction for you. Once we receive the updated FAFSA from the federal processor and all other
outstanding requirements have been met (check your requirements on WaveNet), we can award you financial aid.
What happens if I don’t submit the form? Your FAFSA is considered
incomplete and the Financial Aid Office will not award you financial aid.
DO NOT LEAVE BLANKS.
Enter ‘0’ or N/A if not applicable.
STUDENT
PARENT(s)
Spouse if married
Required for Dependent Student
1. Total balance of cash, savings, checking as of the date you filed the FAFSA.
$
$
2. Net worth of investments as of the date you filed the FAFSA.
$
$
3. Net worth of business and/or farm investments as of the date you filed the
FAFSA.
Guide to determining investments:
$
$
Investments include real estate (i.e. rental property), trust funds, money market funds, mutual funds, certificates of deposit, stocks,
bonds, other securities, installment & land sale contracts (including mortgages held), commodities, etc. Investment value is the
market value of these investments. Don’t include the value of life insurance & retirement plans (pension funds, annuities, IRA
plans, Keogh plans, etc.) or the value of prepaid tuition plans. Investment debt includes only debt related to the investments.
Business value includes the market value of land, buildings, machinery, equipment, and inventory. Business debt includes only
those debts for which the business was used as collateral. Do not include the value of a small business that you (your spouse and/or
your parents) own and control and that has 100 or fewer full-time or full-time equivalent employees.
Certification Statement: I swear under penalty of perjury all of the information contained in this form is true to the best of my
knowledge. I understand that providing intentionally false or misleading information in an attempt to obtain federal financial aid
can result in a fine of up to $20,000 and/or incarceration.
______________________________________________
_________________________________
Student’s Signature
Date
_______________________________________________
_________________________________
Parent’s Signature (Required for Dependent Student)
Date
Submit this worksheet to:
Horry Georgetown Technical College
Financial Aid Office
PO Box 261966, Conway, SC 29528- 6066
1-855-544-HGTC (4482) Fax (843) 347-2962
MC 2/22/16