2016-2017 Loan Cancellation Form printable pdf download

2016-2017 Loan Cancellation Form

1617 LNCNCL

Office of Student Financial Aid

Fax: (828) 262-2585

ASU Box 32059

financialaid@appstate.edu

Boone, NC 28608

2016-2017 Loan Cancellation Form

Student Name

Phone Number

Parent Name

(PLUS Loan only)

Banner ID Number

Date

What type of loan do you wish to cancel?

PLUS Loan

Unsubsidized Loan

Subsidized Loan

Private/Alternative Loan

Which semester do you wish to cancel?

Fall 2016 Only

Summer 1 2017 Only

Spring 2017 Only

Summer 2 2017 Only

Both Fall & Spring 2016-2017

Both Summer 1 & 2 2017

What amount do you wish to cancel? Must be in whole dollar amounts.

Full Amount Offered

Partial Amount (If partial enter amount) $

Initial Box

I understand that I may only cancel all or a portion of my loan within the first 21 days after the loan has been credited to

my Student Account. If the loan was credited to my Student Account more than 21 days ago, I must repay any loan

amount to my loan servicer.

Student Signature

Parent Signature

(PLUS Loan Only)

Rev. 12/08/2015

Electronic signatures will not be accepted.

2016-2017 Loan Cancellation Form