2017-2018 Loan Cancellation Form

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1718 LNCNCL
Office of Student Financial Aid
Fax: (828) 262-2585
ASU Box 32059
financialaid@appstate.edu
Boone, NC 28608
2017-2018 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
Perkins Loan
Subsidized Loan
Private/Alternative Loan
Which semester do you wish to cancel?
Fall 2017 Only
Summer 1, 2018 Only
Spring 2018 Only
Summer 2, 2018 Only
Both Fall & Spring 2017-2018
Both Summer 1 & 2, 2018
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. 11/17/2016
Electronic signatures will not be accepted.

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