Psicologia

ECONOMIC HARDSHIP DEFERMENT REQUEST
Federal Family Education Loan Program

HRD

Use this form only if all of your outstanding Federal Family Education Loan Program loans were made on or after July 1, 1993, or if you had no balance on loans made before July 1, 1993, when you obtained a loan disbursed on or after July 1, 1993. WARNING: Any person who knowingly makes a false statement ormisrepresentation on this form or on any accompanying documents is subject to penalties that may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C. 1097.

OMB No. 1845-0005 Form Approved Exp. Date 05/31/2012

SECTION 1: BORROWER IDENTIFICATION
Please enter or correct the following information. SSN |__|__|__|-|__|__|-|__|__|__|__| Name Address City, State, Zip CodeTelephone - Home ( ) Telephone - Other ( ) E-mail Address (Optional)

SECTION 2: DEFERMENT REQUEST
Before answering any questions, carefully read the entire form, including the instructions and other information in Sections 4, 5, and 6.  I meet the qualifications stated in Section 6 for the Economic Hardship Deferment checked below and request that my loan holder defer repayment of my loan(s)beginning

|__|__|-|__|__|-|__|__|__|__|. (You must provide this date regardless of which condition you check below.)

To qualify, I must meet one of the conditions listed below and must provide the required documentation, as described in Section 6, for only that condition. Check one: (1) (2) (3) (4) I have been granted an economic hardship deferment under the William D. Ford Federal Direct Loan(Direct Loan) Program or the Federal Perkins Loan Program for the same period of time for which I am requesting this deferment. I have attached documentation of the deferment. I am receiving or received payments under a federal or state public assistance program, such as Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps, or state general publicassistance. I have attached documentation of these payments. I am serving as a Peace Corps volunteer. I have attached documentation certifying my period of service in the Peace Corps. I work full time and my monthly income does not exceed the larger of (A) the Federal Minimum Wage Rate or (B) 150% of the poverty guideline for my family size and state. I have attached documentation of this income. Mymonthly income (as defined in Section 5) is $ ____________. My family size (as defined in Section 5) is ____________. (A) Federal Minimum Wage Rate (monthly amount, based on $7.25 an hour): $1,256.67 (B) 150% of the poverty guideline for my family size and state: This amount is listed in Section 6.

SECTION 3: BORROWER UNDERSTANDINGS, CERTIFICATIONS, AND AUTHORIZATION
 I understand that: (1) I amnot required to make payments of loan principal during my deferment. Interest will not be charged on my subsidized loan(s) during my deferment. However, interest will be charged on my unsubsidized loan(s). (2) I have the option of paying the interest that accrues on my unsubsidized loan(s) during my deferment. (3) I may choose to make interest payments by checking the box below. My loan holder maycapitalize interest that I do not pay during the deferment period. I wish to make interest payments on my unsubsidized loan(s) during my deferment. (4) My deferment will begin on the date the deferment condition began. (5) My deferment will end on the earlier of the date that the condition that establishes my deferment eligibility ends or the certified deferment end date. (6) My maximum cumulativeeligibility for an economic hardship deferment is 36 months. Except for a deferment based on condition (3), as described in Section 2, I must reapply every 12 months if I continue to meet the criteria for an economic hardship deferment. (7) If my deferment does not cover all my past due payments, my loan holder may grant me a forbearance for all payments due before the begin date of my...