Federal Direct Parent PLUS Loan Request Form

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THE UNIVERSITY OF GEORGIA
Office of Student Financial Aid
www.uga.edu/osfa
Form
LNS194
2015-16
Print
Return Completed Form To:
Office of Student Financial Aid
220 Holmes/Hunter Academic Building
Athens, Georgia 30602-6114
Fax: (706) 542-8217
Federal Direct Parent PLUS Loan Request Form
81
Student's Full Name
Student's UGA ID
Student's Email Address
Student's Telephone Number
· Step 1: The student must complete the 2015-16 FAFSA (www.fafsa.gov)
· Step 2: Complete the Parent PLUS Application through the Federal Direct Loan website at http://studentloans.gov. This will enable the
U.S. Department of Education to perform your credit check.
· Step 3: Complete the Parent PLUS Master Promissory Note also through the Federal Direct Loan website at http://studentloans.gov.
· Step 4: Complete and return this form (Parent PLUS Loan Request Form) to the Office of Student Financial Aid at the address above.
Incomplete forms will not be processed.
Parent Borrower's Section
Parent Borrower's Name
Parent's Social Security #
Parent's Email Address
Phone Number
Permanent Address
Street
State
City
Zip
Parent's Date of Birth
Parent's Citizenship Status
Please see osfa.uga.edu/international.html for information on
eligible non-citizens. Eligible non-citizens must provide a copy
of their citizenship documentation with this form.
U.S. Citizen
Eligible Non-Citizen
Alien Registration Number
Parent's Driver's License Number
Relationship to the Student
Parent's Driver's License State
Mother
Step Mother
Father
Step Father
Step parent must be listed on the FAFSA.
Are you currently in default on a federal education loan, or do you owe a refund on a federal student grant?
Yes
No
Are you currently incarcerated in a local, state, or federal penal institution?
Yes
No
Do you currently have property that is subject to a judgement lien for a federal debt?
Yes
No
If your credit is denied (check only one)
I will appeal the credit decision or pursue an endorser (co-signer) through the U.S. Department of Education.
I will NOT appeal the credit decision. Your student may request additional Federal Direct Unsubsidized Loan funds by completing a
Change in Aid Request at https://my.osfa.uga.edu/forms/133.
I certify that all information provided here is true and complete. I also certify that the Federal student financial assistance I may
receive will only be used to pay the cost of attending The University of Georgia for 2015-16.
Parent Borrower Signature
Date
Created: May 5, 2015