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In: Business and Management

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

William D. Ford Federal Direct Loan Program

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.

Please enter or correct the following information.
Check this box if any of your information has changed.


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

Md 21222

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)

|____| |____|-|____| |____|-|____| |____| |____| |____| and ending...

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