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SmallBusinessForm

2016‐17

StudentFinancialServices

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StudentID# 

LastName 

FirstName 

Telephone# 

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Note:Usestudent’slegalname,notnicknames(i.e.Robert‐notBobby,Bob,Robby,orRob)

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OnyourFAFSAyouincludedanamountforBusiness/FarmInvestmentNetWorth.

Completethesectionsbelowthatapplytoyou/yourparent(s).

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BusinessOwnership:Completethissectionifyou/yourparent(s)ownabusiness

(Ifyour/yourparent(s)businessisafarm,skiptoInvestmentFarmsectionofthisform.)

Listthenameandtypeofbusiness

Ifyou/yourparent(s)own,controloroperatethebusinessMOREthan50%:

Providethenumberofemployees

Enterthebusinessvalueamount

Enterthebusinessdebtamount

Ifyou/yourparent(s)own,controloroperatethebusiness50%orLESS:

Providethepercentageof

ownership/control

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Listthename(s)ofowner(s)

Enteryour/yourparent(s)portionofthe

valueofthebusiness

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Enteryour/yourparent(s)portionofthe

debtagainstthebusiness

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Enterthebusinessvalueamount*

Enterthebusinessdebtamount*

*Ifyou/yourparent(s)arenotthesoleownerofthebusiness,reportonlyyourshareofitsvalueanddebt.

Businessvalueincludesthemarketvalueofbuildings,machinery,equipment,inventory,etc.

Businessdebtmeansonlythosedebtsforwhichthebusinesswasusedascollateral.

Doesyour/yourparent(s)business,listedabove,rentoutbuildings,machinery,

equipment,etc.tosomeoneotherthananimmediatefamilymember?

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IfYes,providetherelationshiptostudent,oftheperson(s)you/yourparent(s)rentto

SecondaryProperty:Completethissectionifyou/yourparent(s)ownmorethanonehomeforpersonaluse(ex.lakehome)

Listthetypeofsecondarypropertyyou/yourparent(s)own

Enterthevalueoftheproperty*

Enterthedebtagainsttheproperty*

*Valuemeansthecurrentmarketvalueofthepropertyasoftoday.Debtmeansonlythosedebtsthatarerelatedtotheproperty.

RentalProperty:Completethissectionifyou/yourparent(s)ownrealestateorcommercialrentalproperty

(Ifyour/yourparent(s)rentalpropertyisrentedforthepurposeoffarming,skiptotheInvestmentFarmsectionofthisform.)

Providetherelationshiptothestudent,oftheperson(s)you/yourparent(s)rentto

Enterthevalueoftherentalproperty

Enterthedebtagainsttheproperty

Valuemeansthecurrentmarketvalueofthepropertyasoftoday.Debtmeansonlythosedebtsthatarerelatedtotheproperty.

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