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Loan Discharge Application: False Certification ...

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 9/30/2020 WARNING: 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 IDENTIFICATIONP lease 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.

Unauthorized signature means that the school, without the borrower's authorization, signed the borrower's name on the loan application or promissory note. Unauthorized payment means that the school, without the borrower's authorization, endorsed the borrower's loan check or signed the borrower's authorization for electronic

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