Fillable Parent Plus Borrower Deferment Request (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 on the later of the date I am no longer eligible for the deferment or as requested following the

6-month period after the student is no longer enrolled on an at least half-time basis, graduates, or withdraws.

• Interest may capitalize on my loans during or at the expiration of my deferment or forbearance.

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.

• The student identified in Section 3 is enrolled:

• The academic period for which I am certifying the

student's enrollment ends/ended on:

Full time

At least half time, but less than full time

• The academic period for which I am certifying the

• The student is expected to complete his/her

student's enrollment status begins/began on:

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 Institution

OPEID

State

Zip Code

Address

City

Official's Name/Title

Telephone

Date

Official's Signature

SECTION 5: INSTRUCTIONS FOR COMPLETING THE DEFERMENT REQUEST

Type or print using dark ink. Enter dates as month-day-year (mm-dd-yyyy). Example: March 14, 2015 = 03-14-2015. Include

your name and account number on any documentation that you are required to submit with this form. If you want to apply

for a deferment on loans that are held by different loan holders, you must submit a separate deferment request to each loan

holder. Return the completed form and any required documentation to the address shown in Section 7.

Page 2 of 4

Parent Plus Borrower Deferment Request Page 2

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