Tpd Disharge Assignment Form - U.s. Department Of Education - 2010 Page 10
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24GUARANTY AGENCY TPD DISCHARGE ASSIGNMENT FORMAT
ASSIGNMENT FORM
SECTION B – COSIGNER AND REFERENCE INFORMATION (continued)
NOTE: IF REFERENCE 1 INFORMATION IS NOT AVAILABLE, ALL REFERENCE 1 BOXES (#25 –
#33) MUST BE BLANK.
Box
Box Title
Description and Remarks
25
Reference 1 Name
Name of the first reference individual for the borrower
(Last, First, Middle)
as it appears on the application. May not be blank if
there is a reference. Must begin with a letter of the
alphabet. Must be entered Last, First, Middle (if any).
26
Reference 1 Type
Relationship of the first reference individual to the
borrower:
PAR
=
parent
REL
=
relative
FRI
=
friend
EMP
=
employer
COS
=
cosigner
OTH
=
other
May not be blank if reference data is provided.
27
Reference 1 Street Address
Last known street address (house/apartment number
and street name) of the first reference, even if it is
known to be a bad address. If unknown, enter NO
STREET ADDRESS.
28
Reference 1 City
Last known city in which the first reference resided. If
unknown, leave blank.
29
Reference 1 State
Last known state in which the first reference resided
(standard two-letter abbreviation or FC if the address
is a foreign country). If unknown, leave blank.
30
Reference 1 Zip Code
Nine-digit (or five-digit) zip code of the first
reference’s last known address. If foreign country,
enter zeros. May be blank.
Page 10 of 24
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