In-School Deferment Request Form (Page 2 of 4) in pdf

Borrower Name

Borrower SSN

SECTION 3: BORROWER REQUESTS, UNDERSTANDINGS, CERTIFICATIONS, AND AUTHORIZATION (CONTINUED)

I understand that:

• I am not required to make payments of loan principal or interest during my deferment.

• My deferment will begin, as certified by the authorized official, on the date I became eligible for the deferment.

• My deferment will end, as certified by the authorized official, on the date I no longer qualify for the deferment.

• If I am a Perkins Loan borrower, I will receive a 6-month post-deferment grace period beginning on the date I no

longer qualify for the deferment.

• If I am a graduate or professional student borrower of a Direct or Federal PLUS Loan, I will also receive a deferment on

my Direct or Federal PLUS Loan(s) first disbursed on or after July 1, 2008 during the 6-month period after I cease to be

enrolled on at least a half-time basis.

• If I am a parent borrower of a Direct or Federal PLUS Loan first disbursed on or after July 1, 2008, and I request it

above, another deferment will begin on the date after I cease to be enrolled on at least a half-time basis and will end

6 months after that date.

• Interest may capitalize on my loans during or at the expiration of my deferment or forbearance, but interest never

capitalizes on Perkins Loans.

I certify that:

• The information I have provided on this form is true and correct.

• I will provide additional documentation to my loan holder, as required, to support my deferment eligibility.

• I will notify my loan holder immediately when my eligibility for the deferment ends.

• I have read, understand, and meet the eligibility requirements in Section 2.

I authorize the entity to which I submit this request and its agents to contact me regarding my request or my loans at any

cellular telephone number that I provide now or in the future using automated telephone dialing equipment or artificial or

prerecorded voice or text messages.

Date

Borrower's Signature

SECTION 4: AUTHORIZED OFFICIAL'S CERTIFICATION

Note: As an alternative to completing this section, you may attach separate documentation from an authorized official that

includes all of the information requested below or have your school report your enrollment to the National Student Loan

Data System (NSLDS) at nsldsfap.ed.gov.

• The student is/was enrolled at the school below:

• The student's enrollment status begins/began on:

Full time

At least half time, but less than full time

• The student's enrollment status ends/ended on:

•

Is the student enrolled at the school below as a

regular student?

• The student is expected to complete his/her

Yes

program requirements on:

I certify, to the best of my knowledge and belief, that the information that I have provided in this section is accurate.

Name of School

OPEID

Address

City

State

Zip Code

Official's Name/Title

Telephone

Date

Official's Signature

Page 2 of 4

In-School Deferment Request Form Page 2

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