SFN 530, Identification and Part I, Assets 415-65-10-05

(Revised 10/00 ML #2629)

 

 

  1. Identification Information

  2. New Application: Enter the month of application.

Re-computation: Enter the month of re-computation.

  1. Part I, Assets

Determine which of the declared assets as shown in Part III of the SFN 529 Application are counted assets and enter the total counted assets in Part I of SFN 530. If this amount is less than $6,000.00, check that the family does not have excess assets.

 

Use the extra space in the box to indicate whether the applicant's statement of assets was accepted, or whether additional verification was necessary. If additional verification was secured, identify the verification source. In the event the verification inquiry validates that the amount of household assets declared was not accurate, enter the accurate amount of verified assets.

 

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms.