Complete this form electronically using Adobe Reader.

* You must type in the student’s name, 8-Digit UFID, and FAFSA
Division of Enrollment Management sign date before printing!
Office for Student Financial Affairs
Clear Form

14/15
S107 Criser Hall
PO Box 114025
Gainesville, FL 32611-4025
352-392-1275/352-392-1275 TDD
352-392-2861 Fax www.sfa.ufl.edu Statement of Student Assets

*UFID

Student’s Name

Dear Student:

We are unable to continue processing your 2014-15 financial aid application because your Free Application For Federal
Student Aid (FAFSA) contains incomplete or conflicting information.
Your asset information must be correct as of the date you signed your original 2014-15 FAFSA. This date can be found on your Financial Aid Status page in ISIS. The date you signed the FAFSA was:
.
You must enter FAFSA sign date here.

Complete all the items below. If any value or debt is zero, please write “0” in the appropriate space. Please give us an exact amount. If you give a range, we will use the higher amount. Sign, date, and return this form to us.
As of the date the FAFSA was signed, my/our total assets were:


Cash, savings and checking
Do not include financial aid.

$



Do you, the student, own any Qualified Education
Benefit plans such as Prepaid Tuition or a 529 plan?

YES

NO

Independent students must report accounts owned by themselves
(or their spouse). Dependent students should not report accounts in their name here. They should report their accounts as parental investments.





If YES – Cash out (or refund) value of all Qualified