Parent Plus Loan Application
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11516:PPL
Name:
_________________________________________
Parent PLUS Loan Application
UMID:
__________________________________________
This Parent PLUS application is to be completed by either the parent or step-parent of the student whose information was
reported on the FAFSA.
•
Parent must have sign the Parent PLUS Master
•
Student must have a completed FAFSA on file.
Promissory Note (MPN) online.
•
Incomplete or illegible forms will not be processed.
•
The same FSAID from the students FAFSA must be used.
Student Information
(response required)
Loan Period: Please indicate the semester in which this loan will be applied.
Fall/Winter
Fall Only
Winter Only
Winter/Summer
Summer Only
Loan amount: Please indicate the amount you wish to accept over the loan period indicated.
•
If blank, the maximum will be processed.
$
•
The maximum amount can be calculated by subtracting the current financial aid from the
cost of attendance.
Parent Information
(response required)
Parent Name: ________________________________________________________ Birthdate: ______________________
Yes
No
Social Security Number:________________________________________ Current U.S. Citizen:
Street Address: ____________________________________________________________________________________
City: ________________________________________________ State: ________________ Zip Code: _______________
Contact Number: ______________________________ Email Address: _______________________________________
Refund Authorization
I authorize the Cashiers / Student Accounts Office to issue any refund generated from the disbursement of this Parent
PLUS loan to be issued to the student beneficiary indicated above.
Parent Certification
(response required)
I, the parent/step-parent of the student on this application, am not currently in default on any federal student loan.
I certify that I am the parent/step-parent of the student on this application and that all information provided on this form is
accurate. I understand that the information I provide on this application will be electronically transmitted to the U.S.
Department of Education, its servicer and/or agents and my credit history will be reviewed to determine my eligibility for
the parent PLUS loan.
Parent Signature: _________________________________________________________ Date: __________________________
Authorization for Unsubsidized Increase
In the event the PLUS loan is denied, the student may be eligible for an additional Unsubsidized loan up to $4,000 as a
freshman or sophomore, and $5,000 as a junior or senior. The student, by signing below, authorizes an increase in the
Unsubsidized loan for the maximum amount, without exceeding the cost of attendance.
Student Signature: _______________________________________________________ Date: ___________________________
Office of Financial Aid & Scholarships
1183 University Center
@
Phone : 1 (313) 593-5300
umd-ask-ofa@umich.edu
University of Michigan-Dearborn
Fax
: 1 (313) 593-5313
4901 Evergreen Road
Dearborn, Michigan 48128
- Incomplete forms will not be processed -
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