In-School Deferment Req printable pdf download

IN-SCHOOL DEFERMENT REQUEST

OMB No. 1845-0005

Form Approved

Federal Family Education Loan Program

Exp. Date 09/30/2005

WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying documents

shall be subject to penalties which may include fines, imprisonment or both, under the U.S. Criminal Code and 20 U.S.C. §1097.

SCH

SECTION 1: BORROWER IDENTIFICATION

Please enter or correct the following information.

SSN

Name __________________________________________________________

Address ________________________________________________________

City, State, Zip ___________________________________________________

Telephone - Home (

) _________________________________________

Telephone - Other (

) _________________________________________

E-mail Address (optional) __________________________________________

SECTION 2: DEFERMENT REQUEST

Before answering any questions, carefully read the entire form, including the instructions and other information in Sections 5 and 6.

I I meet the qualifications for the deferment checked below and request that my loan holder defer repayment of my loan(s):

❒ While I am enrolled at an eligible school as a FULL-TIME STUDENT. (For borrowers with a FFEL Program loan.)

❒ While I am enrolled at an eligible school as a LESS THAN FULL-TIME BUT AT LEAST HALF-TIME STUDENT. (For borrowers who, on the date they

signed the promissory note, did not have an outstanding balance on a FFEL Program loan made before July 1, 1987.)

NOTE: Your promissory note or other loan documents may state that a borrower with an outstanding balance on a FFEL Program loan made prior to

July 1, 1993, must receive another loan in order to qualify for a half-time student deferment. This requirement was eliminated by the Higher Education

Amendments of 1998. Effective October 1, 1998, no FFEL Program borrower who is eligible for a deferment based on enrollment as at least a half-time

student is required to receive another loan in order to qualify for this deferment.

SECTION 3: BORROWER UNDERSTANDINGS AND CERTIFICATIONS

I I understand that: (1) I am not required to make payments of loan principal during my deferment. Interest will not be charged on my subsidized loan(s)

during my deferment. However, interest will be charged on my unsubsidized loan(s). (2) I have the option of making interest payments on my unsubsidized

loan(s) during my deferment. (3) I may choose to make interest payments by checking the box below. Interest that I do not pay during the deferment period

will be capitalized by my loan holder.

❒ I wish to make interest payments on my unsubsidized loan(s) during my deferment.

(4) My deferment will begin on the date the condition that qualifies me for a deferment began, as certified by the authorized official who completes Section 4

of this form. (5) My deferment will end on the earlier of the date that I no longer meet the condition that qualifies me for the deferment, or the ending date of

that condition as certified by the authorized official. (6) If my deferment does not cover all my past due payments, my loan holder may grant me a forbear-

ance for all payments due before the begin date of my deferment or—if the period for which I am eligible for a deferment has ended—a forbearance for all

payments due at the time my deferment request is processed. (7) If I am eligible for a post-deferment grace period on loans made before October 1, 1981,

my loan holder may grant me a forbearance on my other loans for this period so that I can begin repayment of all my loans at the same time. I understand

that my loan holder may capitalize the interest that accrues on my other loans during the six-month period and that this will increase the principal balance of

my other loans. (8) My loan holder may grant me a forbearance on my loans for up to 60 days, if necessary, for the collection and processing of documenta-

tion related to my deferment request. Interest that accrues during the forbearance will not be capitalized.

I I certify that: (1) The information I provided in Sections 1 and 2 above is true and correct. (2) I will provide additional documentation to my loan holder, as

required, to support my deferment status. (3) I will notify my loan holder immediately when the condition(s) that qualified me for the deferment ends. (4) I have

read, understand, and meet the eligibility criteria of the deferment for which I have applied.

Borrower’s Signature _____________________________________________________________ Date ________________________________________

SECTION 4: AUTHORIZED OFFICIAL’S CERTIFICATION

NOTE: As an alternative to completing this section, the school may attach its own enrollment certification report listing the required information.

I certify, to the best of my knowledge and belief, that the borrower named above:

(1) is/was enrolled as (check the appropriate box) ❒ a full-time student ❒ at least a half-time student

during the academic period from

and

(2) is reasonably expected to complete his/her program requirements on

Name of Institution _______________________________________________________________ OPE-ID ______________________________________

Address ________________________________________________________________________ City, State, Zip _________________________________

Name/Title of Authorized Official _____________________________________________________ Telephone (

) _____________________________

Authorized Official’s Signature _____________________________________________________ Date ________________________________________

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In-School Deferment Req

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