Application For Federal Direct Parent Plus Loan Page 2

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SECTION B --TO BE COMPLETED BY STUDENT
Student Name (last, first, middle initial): __________________________________________
Student ID: ________________________________________________________________
Social Security Number: _________________________ Date of Birth _________________
Citizenship status: U.S. Citizen ______
Permanent Resident/Eligible Non-citizen:______
Alien registration number (if applicable): _________________________________
______________________________________________________________________________
Signature of Student
Date
SECTION C --TO BE COMPLETED BY PARENT BORROWER
All of the information that I have given is correct to the best of my knowledge. I understand that this is an
APPLICATION for a Parent Plus Loan. The application will be subject to a credit check, which I authorize.
Approval or denial of the loan will be determined after the credit check has been performed. If approved, I
understand as the parent-borrower that I must sign an electronic promissory note using my FAFSA PIN. This
note will be available to sign at
I understand that I am applying for a Federal Loan,
which I must repay in accordance with the terms set forth in the promissory note.
____________________________________________________________________________
Signature of Parent-Borrower
Date
Parent Plus Loan Refund Authorization
By completing this section of the loan application, you are authorizing that excess funds from disbursement of
your Parent Plus Loan will be refunded to the student.
Student Name: _________________________________________Student ID#:_____________
Parent-Borrower Name: _________________________________________________________
_____________________________________________________________________________
Signature of Parent-Borrower
Date
This authorization will remain in effect at MSSU unless revoked by contacting the MSSU Bursar’s Office in writing.
MSSU Financial Aid Office 3950 E. Newman Rd. Joplin, MO 64801
Phone: 417.625.9325  Toll Free: 866.818.MSSU  Fax: 417.659.4474
Email:
finaid@mssu.edu

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