Business/farm Supplement Form
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1BUSINESS/FARM SUPPLEMENT
2016 - 2017
STUDENT INFORMATION
1. Student's Name
SSN#
Last
First
MI
PARENT BUSINESS/FARM INFORMATION (related to FAFSA parent asset information) – If you own and control at least
51% of a business with 100 or fewer full-time employees or if you live on and operate a family farm, only complete #5 and #6 and
sign below.
2. Name of Business/Farm
3. Location of Business/Farm
Street Address
City
State
Zip
4. Type of Business/Farm
___Sole proprietor
___Partnership ___Corporation
(Indicate type)
5. Your percentage of ownership ________%
6. Number of employees _____
7. Describe principal product or service
8. Farm owners:
Be sure to include a copy of Schedule F from your 2015 1040 tax return.
Business owners:
Is the business a part of your home? ___Yes ___No
If yes, what percentage of home is claimed for business use? ___________%
ASSETS AS OF 12-31-15
INDEBTEDNESS AS OF 12-31-15
9.
Current Assets:
14.
Current Debts:
a.
Cash
$____________
a.
Accounts Payable
$_____________
b.
Short-term
b.
Other current debts
$_____________
investments
$____________
c.
Total current debts
c.
Receivables (net of
(Add 14a and 14b)
$_____________
reserve for bad debts)
$____________
d.
Inventories (Include hay,
grain, livestock, & other
15.
Long-Term Debts: (Don't include
products.)
$____________
any amount listed above.)
e.
Other current assets not
a.
Mortgages on land & buildings
included above
$____________
(Don't include home mortgages.)
$_____________
f.
Total current assets
b.
Debts secured by equipment
$_____________
(Add 9a thru 9e)
$____________
c.
Loans from partner(s) or stock-
holder(s)
$_____________
10.
Fixed Assets: (Current market value)
d.
Other debts
$_____________
a.
Land & buildings (Don't
e.
Total long-term debts
include home.)
$____________
(Add 15a thru 15d)
$_____________
b.
Machinery & equipment
$____________
c.
Other fixed assets
$____________
16.
Total lndebtedness:
d.
Total fixed assets
(Add 14c and 15e)
$_____________
(Add 10a thru 10c)
$____________
11.
Other Assets:
17.
Multiply Total Indebtedness by
a.
Loans to partner(s) or
Percentage of Ownership:
$_____________
stockholder(s)
$____________
b.
Other loans
$____________
c.
Investments
$____________
d.
All other assets
$____________
e.
Total other assets
SIGNATURES:
(Add 11a thru 11d)
$____________
12.
Total Assets: (Add 9f, 10d, and 11e) $____________
Father or Stepfather's Signature
Date
13.
Multiply Total Assets by
percentage of Ownership:
$____________
Mother or Stepmother's Signature
Date
Please mail FAX or email to: Taylor University, Financial Aid Office, 236 W. Reade Ave., Upland, IN 46989
FAX: (765) 998-4910 / Email: finaid@taylor.edu.
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