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Loan Discharge Application: False Certification ...

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loan Discharge APPLICATION: False Certification (UNAUTHORIZED SIGNATURE/PAYMENT) William D. Ford Federal Direct loan (Direct loan ) Program Federal Family Education loan (FFEL) ProgramOMB No. 1845-0058 Form Approved Exp. Date 9/30/2020WARNING: Any person who knowingly makes a False statement or misrepresentation on this form or on any accompanying document is subject to penalties that may include fines, imprisonment, or both, under the Criminal Code and 20 1: BORROWER IDENTIFICATIONPlease enter or correct the following this box if any of your information has CodeTelephone - PrimaryTelephone - AlternateEmail (Optional)SECTION 2: UNAUTHORIZED SIGNATURE/PAYMENT INFORMATIONDo not use this application for allegations of identity theft.

eligibility to receive a loan or a benefit on a loan, to permit the servicing or collection of your loans, to enforce the terms of the loans, to investigate possible fraud and to verify compliance with federal student financial aid program regulations, or to locate you if you become delinquent in your loan payments or if you default.

  Loan, Default

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