Public Interest Loan Repayment Assistance Program I (Page 6 of 6) in pdf

Public Interest Loan Repayment Assistance Program I Page 6

PILRAP APPLICATION CHECKLIST

(to be submitted with your application)

Please read and initial each item to ensure completion of your application and to avoid processing delays.

All Applicants

1. I have filled out all sections of my PILRAP application.

__________

2. I have filled out the “Educational Debt” section of my application and

__________

understand that attaching loan statements does not replace the

requirement to fill out this section.

3. I have attached a statement for each of my student loans that are currently in

__________

repayment or will be on January 1, 2013. The attached statements include my

balance, interest rate, repayment plan and monthly payment amount for each loan.

For any loans that are in the consolidation process, I have attached the most recent

statements available from my lender(s) prior to consolidation if I have not yet

received updated loan statements. I will submit the updated loan statements once they

are available.

4. I have attached an Employment Verification form signed by my employer.

__________

2011 Tax-Filers

1. I have attached a signed copy of my 2011 federal income tax return. I

__________

understand that my tax return must be signed on the signature line

even if it was originally filed electronically.

2. If I am married and filed separately from my spouse, I have

__________

attached a signed copy of my spouse’s 2011 federal tax return.

2011 Non-Tax Filers

1. I have attached a 2011 WCL non-tax-filer statement.

__________

(the form is available on the PILRAP website)

2. If I am married and my spouse filed a tax return, I have attached a signed copy

__________

of my spouse’s 2011 federal tax return.

Public Interest Loan Repayment Assistance Program I Page 6