Plus Loan Request Form - Thomas College

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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
MI
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

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