Parent P.l.u.s. Loan Pre-Application Form Page 2

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Parent Borrower’s Information:
(4)
(All information MUST be completed. A copy of your social security card
and driver’s license will help us expedite processing.)
Borrower’s Name
_________________________________ ______-____-____
____________
Last
First
MI
SS#
Date of Birth
Permanent Address:
_____________________
Street
City
State
Zip
Daytime Telephone # (
)
Driver’s License Number: ___________ State: ____
Parent Borrower’s E-mail: _________________________________
(5)
Loan Amount Requested:
Fall 2015 $ _____________
Spring 2016 $ _____________
Please initial here if you do not know the amount, but would like to apply for the maximum amount eligible:
____________
A Fall/Spring loan must have equal amounts for each semester.
(6)
Please indicate the manner in which you would like the loan funds disbursed:
All funds will be
applied to the student’s charges in the order in which they were received. If multiple funds are received at the
same time, they are applied in alphabetical order. This means that Parent PLUS loan funds may apply to a
student’s charges before the student’s subsidized or unsubsidized loan funds. Parents should have an open
line of communication with the student and determine how any excess aid should be budgeted and spent.
[ _____ ] Apply the loan to the student’s charges and send any remaining PLUS Loan funds to the
Parent at the above address.
OR
[ _____ ] Apply the loan to the student’s charges and give any remaining PLUS Loan funds to the student.
(7)
Stale Date of Paper Excess Aid Check:
If you are issued an excess aid check, the check must be cashed within 180 days of issuance or the check will
be void and the funds will be returned to the lender, thus reducing your loan balance. Once the funds are
returned to the lender, they may not be re-disbursed.
(8)
Certify
: The undersigned Parent Borrower does hereby certify that the PLUS Loan proceeds will be used only
for authorized educational expenses related to the student’s education at the University of Central Arkansas. I
do not owe a refund on any grant or loan. I am not in default on any student or parent loan or have made
satisfactory arrangements to repay any defaulted loan and have not borrowed in excess of the loan limits under
Title IV programs at any institution. I understand the Lender will obtain a report of the parent borrower’s credit
record and the above loan cannot be finalized until the results are received and processed by the Lender and
U.C.A. Also, I understand that if credit is approved, I will need to complete a Master Promissory Note at
in order for the funds to process. (If one is not already on file.)
**NEW** Beginning with 2015-2016 all parent loans that are subsequently approved by an appeal process or
endorsers will require the parent borrower to do PLUS loan counseling. The loan counseling link will
be available on the studentloans.gov website.
Borrower’s Signature (Parent): _____________________________
Date:
OFFICE USE ONLY
RRAAREQ: ____________
RPAAWRD: __________
RLADBOR: __________
RLADLOR: __________
PLUS1

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