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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. If you believe that your identity has been stolen, contact your loan holder. Carefully read the entire application before completing it. Complete Section 2 in its are applying for this loan Discharge as a:Student borrower - Skip to Item PLUS borrower - Continue to Item 2.

SECTION 6: TERMS AND CONDITIONS FOR LOAN DISCHARGE BASED ON FALSE CERTIFICATION Only loans made on or after January 1, 1986 are eligible for this type of discharge. By signing this application, you are agreeing to provide, upon request, testimony, a sworn statement, or other documentation reasonably available to you that

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