Plus Loan Request Form - Thomas College printable pdf download

Plus Loan Request Form - Thomas College

DIRECT PLUS LOAN

REQUEST FORM

If you are interested in taking out a Parent PLUS Loan to help pay for your student's education, please complete

the following information and return this form to us as soon as possible so that we can begin processing the loan. If

this loan is approved, you will be sent instructions to complete an electronic Promissory Note and a Credit Balance

Authorization form which must be returned to Thomas College.

Please note only a PARENT of the student can complete this application

Student's Name

SSN

Name of Parent Borrower

Last

First

Address

Street

Town

State

Zip Code

Social Security Number

Date of Birth

Telephone Number

Driver's License Number

State

Number

U.S. citizen_____

Permanent Resident/Eligible Alien_____

Alien Registration_______________

Are you currently in default on a federal education loan or do you owe a refund on a federal

student

grant? Yes ____ No _____

Loan Amount Requested $

(must put an amount)

Please Note: This loan will be disbursed equally between the fall and spring semesters.

An origination fee of 4.292% will be deducted from the loan amount, as mandated by the federal

government.

By signing this form, I consent to the Department of Education and its agents to obtain a report of your credit record

and to use that report to determine whether to make a Direct PLUS Loan to me.

Signature

Date

Please return this form to:

Thomas College, Student Financial Services Office

180 West River Rd, Waterville, ME 04901

Plus Loan Request Form - Thomas College