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Daniele

In: Business and Management

Submitted By Dwigfall
Words 2154
Pages 9
23Records Code: HDFRB-XFRB

GENERAL FORBEARANCE REQUEST
William D. Ford Federal Direct Loan Program
GFB

OMB No. 1845-0031
Form Approved
Exp. Date 12/31/2015

WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying document will be subject to penalties which may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C. 1097.

SECTION 1: BORROWER IDENTIFICATION
Please enter or correct the following information.
Check this box if any of your information has changed.
SSN
-

238`````````````63`````````````3859

Name
Daniele Wigfall
Address
8035
City, State, Zip Code Stratman Rd Baltimore
Telephone – Primary ( 4438827760
)
Telephone – Alternate (
)
E-mail Address (Optional)

Md 21222

SECTION 2: FORBEARANCE REQUEST
Before completing this form, carefully read the entire form, including the instructions and other information in Sections 3, 4, and 5.
I am willing but unable to make my current Direct Loan payments due to a temporary hardship. I am requesting this forbearance because I am experiencing a temporary hardship related to one of the following situations (check one):

xFinancial difficulties
Change in employment
Medical circumstances
Other (explain):

_________________________________________________________________________________________
_________________________________________________________________________________________

If this forbearance request is approved, I want to (check one): xTemporarily stop making payments; or
Temporarily make smaller payments of $ _____________ per month.
If this forbearance request is approved, I am requesting that the U.S. Department of Education (ED) grant a forbearance on my loan(s) beginning (MM-DD-YYYY)

05
01
2015
31
2016
|____| |____|-|____| |____|-|____| |____| |____| |____| and ending...

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