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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.

refers to the student the parent borrower obtained a Direct PLUS Loan or Federal PLUS Loan for. Third party refers to any entity that may provide reimbursement for a refund owed by the school, such as a State or other entity offering a tuition recovery program.

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