2021-2022 Real Estate Worksheet

To be submitted when requested by Student Financial Services

Student's Name Student's Name First Last
Simmons ID Number
Email
According to your FAFSA, are you an independent or dependent student?

According to your FAFSA, are you an independent or dependent student? Dependent Independent
List all real estate property for your parent(s) if you are a dependent student or for you if you are an independent student. Do not include values for your home (primary residence) unless you use a portion of your home as rental property.
Property
Current Value $ Dollars . Cents
Amount Owed $ Dollars . Cents
Purchase Price $ Dollars . Cents
Purchase Year
+Add

+Add Add another property Property list complete
Property
Current Value $ Dollars . Cents
Amount Owed $ Dollars . Cents
Purchase Price $ Dollars . Cents
Purchase Year
+Add

+Add Add another property Property list complete
Property
Current Value $ Dollars . Cents
Amount Owed $ Dollars . Cents
Purchase Price $ Dollars . Cents
Purchase Year
If any real estate property listed above is the primary address for you (or your parents if you are a dependent student) and is used as rental property, please provide the percentage of the property that is used for primary residence and the percentage that is considered rental property:
Home Percentage (%)
Rental Percentage (%)
I understand that by signing this form that all information provided is complete and correct to the best of my knowledge I understand that reporting incorrect or inaccurate information on this form may result in a change to my financial aid award. I understand that the omission of any information on this form may result in a delay in the receipt of my financial aid award.
Student's Name Student's Name First Last
Date Date / MM / DD YYYY
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Full Name

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Parent's Name Parent's Name First Last
(required if dependent student)
Date Date / MM / DD YYYY
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Full Name

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