Form Fac16pld - Parent Loan Data Sheet printable pdf download

For Internal Use Only

Office of Financial Aid

Originated By: __________________

PARENT LOAN DATA SHEET

PLUS Answer/Date: _____________

Initial__________________________

This form is to be completed by parent(s) of dependent students who wish to borrow under the Federal Direct Parental Loan for

Undergraduate Students (PLUS) program.

Please print:

Student’s Name ____________________________________________ Student’s SSN or Lincoln University ID#_____________

----------------------------------------------------------------------------------------------------------------------------- --------------------------------------

NOTE: The following data refers to the parent borrower: (complete for ONE parent only)

Name of Parent Borrower ___________________________________________________________________________

Last

First

Permanent Address ________________________________________________________________________________

Street

_________________________________________________________________________________________________

City

State

Zip

Social Security Number ________________________

Date of Birth ____________________________

Phone Number (______) _____________________ Driver’s License State _____ DL number ______________________

U.S. Citizenship Status (check one):

1. ____ U. S. Citizen or national

2. ____ Permanent resident/other eligible alien: Alien Registration No.__________

3. ____ Neither 1 nor 2

Loan Amount:

Loan Period Requested:

Office Use Only:

Loan Amount requested $_________________

____Full Academic Year - 2016- 2017

Pt # ___________________

I request the minimum loan amount needed to cover charges (tuition,

fees, on campus room, meal plan) for the loan period indicated.

____ Spring Semester Only - 2017

Linked ________________

I request the maximum loan amount for the loan period indicated

Initials _________________

Credit Check Instructions

To be eligible to receive a Federal Direct PLUS Loan, the parent borrower must have a good credit history. If you are denied a PLUS

loan due to an adverse credit history, please indicate how you wish to proceed. A box MUST be checked for this form to be processed.

I request that Lincoln University cancel the PLUS loan and proceed to make a Federal Direct Unsubsidized Loan directly to my

son/daughter. I understand that dependent students may be eligible for up to $4000 as a freshman or sophomore, and $5000 as a

junior or senior. Consequently, the unsubsidized loan eligibility may not be the same as the PLUS loan amount. I understand the

interest starts to accrue immediately on a Federal Direct Unsubsidized Loan. I also understand that, if I select this option, my

PLUS loan application will be cancelled if denied, and I will not have the option of appealing the credit denial nor obtaining a

credit-eligible endorser. (The FAFSA must be on file for academic period you are requesting the loan.)

I will appeal the credit denial and/or obtain a credit eligible endorser for the PLUS loan. If I later choose to request an

unsubsidized loan for my student, I will notify the Office of Financial Aid.

Loan Proceeds Instructions (

You will need to contact the Office of the Bursar each semester to apply for the refund.)

All PLUS loan proceeds are released in two disbursements and will be applied to the outstanding balance the student owes Lincoln

University remaining proceeds will be disbursed in a check made payable to either the student or the parent. If neither box is checked,

we are required to disburse the check to the parent. If the loan is for one semester only, there may not be a refund available until mid-

semester.

Parent Signature __________________________________________________________________Date ____________________

Parent’s E-mail Address____________________________________________________________

FAC16PLD

Form Fac16pld - Parent Loan Data Sheet

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