Page 1 of 5 **PLUS** 

## PARENT PLUS BORROWER **DEFERMENT REQUEST William D**  **. Ford Federal Direct Loan (Direct Loan) Program**  **/ Federal Family Education Loan (FFEL) Program**  OMB No . 1845 -0011 DRAFT FORM Exp . Date XX/XX/XXXX **WARNING:** Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying document is subject to penalti es that 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 Name Address City, State, Zip Telephone – Primary Telephone – Alternate E- mail (optional) ___ ___ ___ - ___ ___ - ___ ___ ___ ___

_____________________________ _______ _______

____________________________________ _______

________________________ , _______ __________ (

____ ____ ___ )

___ ____ ____ - ___

_ _ ___ _________ (

_ ___ _ _ _____ )

_____

____ __ - _____

_ _ ___ _______

___________________________________________ **SECTION 2: DEFERMENT**  **ELIGIBILITY** This deferment request form covers two deferments . Carefully review the information for each deferment type to determine whether you qualify for that deferment . Read Section 8 before completing Section 2 . **1.** Provide the following information about the student on whose behalf you borrowed the PLUS Loans: a. Name: ___________________________________ b. SSN:

___ ___ ___ - ___ ___ - ___ ___ ___ ___ **2.** Interest will accrue on your PLUS Loan(s) during deferment. You may pay the interest that accrues on these loan(s) during deferment. If you do not pay this interest, it will capitalize. Do you wish to make interest payme nts on your PLUS Loan(s) during deferment? Yes – Continue with the remainder of this section . No – Continue with the remainder of this section . **PART A. IN**  **- SCHOOL**  **DEFERMENT 3.**  Is the student identified in Item 1 enrolled at least half time at an eligible school? Yes – Continue to Item 4 . No – You are not eligible this deferment. **4.** You may also be eligible to defer repayment of the PLUS Loan (s) for the 6- month period after the student from Item 1 ceases to be enrolled on an at least halftime basis, graduates, or withdraws. If eligible, d o you want to defer repayment for this 6- month period? Yes – Have an authorized official complete Section 3 and then continue to Section 4 . No – Have an authorized official complete Section 3 and then continue to Section 4 . **PART B. REHABILITATION TRAINING PROGRAM 5.**  Is the student from Item 1 in a program that is licensed, approved, certified, or recognized as providing rehabilitation training to disabled individuals by the Department of Veterans Affairs or a state agency responsible for drug abuse, treatment, mental health services, or alcohol abuse treatment programs? Yes – Continue to Item 6 . No – You are not eligible this deferment . **6.** Is the student from Item 1 in a program that provides services under a written, individualized plan that specifies the date the services are expected to end? Yes – Continue to Item 7 . No – You are not eligible this deferment . **7.** Is the student from Item 1 in a program that requires a substa ntial commitment by the student to his/her rehabilitation? Substantial commitment is a commitment of time and effort that would normally prevent someone from being employed 30 or more hours per week. Yes – Continue to Item 8 . No – You are not eligible this deferment. **8.** Is the student from in Item 1 receiving or scheduled to receive drug abuse, treatment, mental health services, or alcohol abuse treatment rehabilitation services? Yes – Have an authorized official complete Section 3 and then continue to Section 4 . No – You are not eligible this deferment .Page 2 of 5 

### Borrower Name: ______________________________ Borrower SSN:

**___ ___**  **___ -**  **___ ___**  **- ___**  **___ ___**  **___ SECTION**  **3 :**  **AUTHORIZED OFFICIAL’S CERTIFICATION Note: As an alternative to completing this section, you may**  **attach separate documentation from an authorized**  **official that includes all of the information requested below**. **9.** Did the borrower select “yes” in Item 3 ? Yes – Complete Items 11 –14 and Items 18 – 25 . No – Continue to Item 10 . **10.** Did the borrower select “yes” in Item 8 ? Yes – Skip to Item 15 . No – Do not complete this section. **11.** The student identified in Item 1 is enrolled: Full time At least h alf time but less than full time **12.** The academic period which I am certifying the student’s enrollment status begins/began on :

___ ___ - ___ ___ - ___ ___ ___ ___ **13.** The academic period which I am certifying the student’s enrollment status ends/ended on :

___ ___ - ___ ___ - ___ ___ ___ ___ **14.** The student is expected to complete his/her program requirements on:

___ ___ - ___ ___ - ___ ___ ___ ___ **15.** Is/was the student enrolled full time in a rehabilitation training program that meets the requirements outlined in Items 5 – 8 ? Yes – Complete Items 16 – 25 . No – Do not complete this section. **16.** The student begins/began a full -time rehabilitation training program on:

___ ___ - ___ ___ - ___ ___ ___ ___ **17.** The student will end/ended a full -time rehabilitati on training program on:

___ ___ - ___ ___ - ___ ___ ___ ___ **I certify, to the best of my knowledge and belief, that : (1)**  the borrower and the service meet all conditions indicated by the borrower’s responses in Section 2; and **(2)** t hat the information that I have provided in Section 3 is accurate. **18.** Name of Institution:

______ ______________________ **19.** Address:_____________________________________ **20.** Name/Title:__________________________________ **21.** Signature:____________________________________ **22.** OPEID (if applicable): __________________________ **23.** City, State, Zip Code:

______________ , ____ _______ **24.** Telephone: (

________ )

________ - ________ _ _____ **25.** Date:

___ ___ - ___ ___ - ___ ___ ___ ___ **SECTION 4**  **: BORROWER**  **REQUEST, UNDERSTANDINGS CERTIFICATIONS, AND AUTHORIZATION**  **I request** to deferment PLUS Loans(s) while the student on whose behalf I borrowed the loan is enrolled full -time or at least half-time in an eligible school or is enrolled in a rehabilitation training program, as described in Section 2. **I understand that: (1)**  I am not required to make payments of loa n principal o r interest during my deferment; **(2)** My deferment will begin, as certified by the authorized official, on the date the student meets the condition that qualifies me for the deferment and will end on the earli er of the date the student no longer meets the condition that qualifies me for the deferment or th e ending date of that condition; **(3)** If my deferment does not cover all my past due payments, my loan holder may grant a forbearance for all payments due befo re the begin date of my deferment; **(4)** My loan holder may grant a forbearance for up to 60 days for the collection and processing of documentation related to my deferment request. Interest that accrues during this forbearance will not be capitalized. **I certify that: (1)**  The information I have provided on this form is true and correct; **(2)** I will provide additional documentation to my loan holder, as required, to support my deferment status; **(3)** I will not ify my loan holder immediate ly when my qualification for the deferment ends; **(4)** I have read, understand, and meet the eligibility requires of the deferment for which I have applied. **I authorize** the entity to which I submit this request (i.e., the school, the lender, the guaranty agency, the U.S. Depart ment of education, and their respective agents and contractors) to contact me regarding my request or my loan(s) including repayment of my loan (s), at the number that I provide on this form or any future number that I provide for my cellular telephone or other wireless device using automated telephone dialing equipment or artificial or prerecorded voice or text messages. **Borrower’s Signature** : _____________________________________________ **Date** :

___ ___ - ___ ___ - ___ ___ ___ ___Page 3 of 5 **SECTION 5 :**  **INSTRUCTIONS** Type or print using dark ink. Enter dates as month -day-year (mm -dd -yyyy). Use only numbers. Example: March 14, 2015 = 03 - 14-2015. Include your name an account number on any documentation that you submit with this form. **SECTION 6 :**  **DEFINITIONS** An **authorized official** who may complete Section 4 is either: **(1)** an official of the Rehabilitation Training Program) or **(2)** and official of the school were the student is/was enrolled . **Capitalization** is the addition of unpaid interest to the principal balance of your loan. As a result of capitalization, more interest may accrue over the life of the loan and the monthly payment amount may be higher. The chart below (Table 1) provides estimates, for a $15,000 unsubsidized loan balance at a 6.8% interest rate, of the monthly payments due following a 12 - month deferment that started when the loan entered repayment. It compares the effects of paying the interest as it accrues, capitalizing the interest at the end of the deferme nt, and capitalizing interest quarterly and at the end of the deferment. Please note that the U.S. Department of Education (the Department) and many other holders do not capitalize interest on a quarterly basis . The actual loan interest cost will depend on your interest rate, length of the deferment, a nd frequency of capitalization. A **deferment** is a period during which you are entitled to postpone repayment of the principal balance of your loan(s). Interest does not accrue during a deferment on a Direct Subsidized Loan, a Direct Subsidized Consolidation Loan, a subsidized Federal Stafford Loan, or, in some cases, the subsidized portion of a Federal Consolidation Loan (see Note). Interest does accrue during a deferment on a Direct Unsubsidized Loan, a Direct PLUS Loan, a Direct Unsubsidized Consolidation Loan, an unsubsidized Federal Stafford Loan , a Federal PLUS Loan, or a Federal SLS Loan. **Note:** Interest does not accrue on a Federal Consolidation Loan during a deferment only if: **(1)** the application for the loan was received by your loan holder on or after January 1, 1993, but before August 10, 1993; **(2)** the application was received by your loan holder on or after August 10, 1993, and the loan includes **only** subsidized Federal Stafford Loans; or **(3)** the application was received by your loan holder on or after November 13, 1997, in which case interest does not accrue on the portion of the Federal Consolidation Loan that paid a subsidized Direct Loan or FFEL Program loan(s). A **dependent student** is a student who: (1) is under 24 years of age by December 31 of the award year (July 1 through June 30) in w hich the student is enrolled or is in a rehabilitation training program; (2) is not an orphan or ward of the court; (3) is not a veteran of the armed forces of the United States; (4) is not a graduate or professional student; (5) is not married; (6) has no legal dependents; and (7) has not been classified as independent by a financial aid administrator due to other unusual circumstances. The **Federal Family Education Loan (FFEL) Program**  includes Federal Stafford Loans, Federal PLUS Loans, Federal Consolidati on Loans, and Federal Supplemental Loans for Students (SLS). A **forbearance** is a period during which you are permitted to temporarily postpone making payments, allowed an extension of time for making payments, or temporarily allowed to make smaller payments than scheduled. The **holder** of your Direct Loan Program loan(s) is the Department . The holder of your FFEL Program loan(s) may be a lender, guaranty agency, secondary market, or the Department. The **William D. Ford Federal Direct Loan (Direct Loan) Program**  includes Federal Direct Stafford/Ford (Direct Subsidized) Loans, Federal Direct Unsubsidized Stafford/Ford (Direct Unsubsidized) Loans, Federal Direct PLUS (Direct PLUS) Loans, and Federal Direct Consolidation (Direct Consolidation) Loans. **Table 1. Capitalization Chart**  **Treatment of Interest Accrued During Deferment**  **Loan Amount**  **Capitalized**

**Interest Principal**  **Monthly Pmt.**  **Num.**

**Pmts. Total** 

**Repaid Total** 

**Interest Paid**  Interest is paid $15,000.00 $0.00 $15,000.00 $172.62 120 *$21,736.55 $6,730.66 Interest is capitalized at the end of deferment $15,000.00 $1,022.09 $16,022.09 $184.38 120 $22,125.94 $7,119.64 Interest is capitalized quarterly during deferment and at the end of deferment $15,000.00 $1,048.51 $16,048.51 $184.69 120 $22,162.41 $7,156.10

*Total amount repaid includes $1,022.09 of interest paid during the 12 - month period of deferment.Page 4 of 5 **SECTION 7**  **: WHERE TO SEND THE COMPLETED FORM** Return the completed form to : If you need help completing this form, call:

**SECTION 8**  **: ELIGIBILITY REQUIREMENTS**  For the i **n -** **school deferment**, you must be:  A parent borrower with a Direct PLUS Loan that was first disbursed on or after July 1, 2008;  A parent borrower with a Direct PLUS Loan who had an outstanding balance on a FFEL Program loan that was first disbursed before July 1, 1993 when you obtained your first Direct Loan;  A parent borrower with a Federal PLUS Loan that was first disbu rsed on or after July 1, 2008; or  A parent borrower of a Federal PLUS Loan who had a balance on a FFEL Program loan that was first disbursed before July 1, 1993 when you obtained a loan on or after July 1, 1993. For the **in -** **school deferment**, you may defer repayment on your Direct or Federal PLUS Loan while the student on whose be half you borrowed the PLUS Loan :  Is e nrolled full -time at an eligible school ;  Is enrolled at least half-time at an eligible school (if you are Federal PLUS Loan borrower, you are n ot eligible for this deferment if you had a balance on a FFEL Program loan that was first disbursed before July 1, 1987 when you obtained a Direct Loan or FFEL program loan that was first disbursed on or after July 1, 1987); or  For a Direct or Federal PLUS Loan first disbursed on or after July 1, 2008, for the 6 months following the date that the student on whose behalf you borrowed ceases to be enrolled at least half time at an eligible school. For the **in -** **school deferment**, to qualify for deferment of a Federal PLUS Loan that was first disbursed before July 1, 1993, the student must be a dependent student (as defined in Section 6) during the deferment period. For the **rehabilitation training deferment**, you must:  Have answered “yes” in Items 5 – 8; and  Be a Direct Loan borrower who had an outstanding balance on a FFEL Program loan that was first disbursed before July 1, 1993 when you ob tained your first Direct Loan; or  Be a FFEL Program borrower who had a balance on a FFEL Program loan that was first disbursed before July 1, 1993 when you obtained a loan on or after July 1, 1993.Page 5 of 5 **SECTION 9**  **: IMPORTANT NOTICES**  **Privacy Act Notice .**  The Privacy Act of 1974 (5 U . S . C . 552a) requires that the following notice be provided to you: The authorities for collecting the requested information from and about you are §421 et seq . and §451 et seq . of the Higher Education Act of 1965, as amended (20 U . S . C . 1071 et seq . and 20 U . S . C . 1087a et seq . ) and the authorities for collecting and using your Social Security Number (SSN) are §§428B(f) and 484( a)(4) of the HEA (20 U . S . C . 1078-2(f) and 1091(a)(4)) and 31 U . S . C . 7701(b) . Participating in the Federal Family Education Loan (FFEL) Program or the William D . Ford Federal Direct Loan (Direct Loan) Program and giving us your SSN are voluntary, but you mu st provide the requested information, including your SSN, to participate . The principal purposes for collecting the information on this form, including your SSN, are to verify your identity, to determine your eligibility to receive a loan or a benefit on a loan (such as a deferment, forbearance, discharge, or forgiveness) under the FFEL and/or Direct Loan Programs, to permit the servicing of your loan(s), and, if it becomes necessary, to locate you and to collect and report on your loan(s) if your loan(s) becomes delinquent or defaults . We also use your SSN as an account identifier and to permit you to access your account information electronically . The information in your file may be disclosed, on a case- by-case basis or under a computer matching program, to third parties as authorized under routine uses in the appropriate systems of records notices . The routine uses of this information include, but are not limited to, its disclosure to federal, state, or local agencies, to private parties such as relatives, present and former employers, business and personal associates, to consumer reporting agencies, to financial and educational institutions, and to guaranty agencies in order to verify your identity, to determine your eligibility to receive a loan or a be nefit on a loan, to permit the servicing or collection of your loan(s), to enforce the terms of the loan(s), to investigate possible fraud and to verify compliance with federal student financial aid program regulations, or to locate you if you become delin quent in your loan payments or if you default . To provide default rate calculations, disclosures may be made to guaranty agencies, to financial and educational institutions, or to state agencies . To provide financial aid history information, disclosures may be made to educational institutions . To assist program administrators with tracking refunds and cancellations, disclosures may be made to guaranty agencies, to financial and educational institutions, or to federal or state agencies . To provide a standardized method for educational institutions to efficiently submit student enrollment statuses, disclosures may be made to guaranty agencies or to financial and educational institutions . To counsel you in repayment efforts, disclosures may be made to g uaranty agencies, to financial and educational institutions, or to federal, state, or local agencies . In the event of litigation, we may send records to the Department of Justice, a court, adjudicative body, counsel, party, or witness if the disclosure is relevant and necessary to the litigation . If this information, either alone or with other information, indicates a potential violation of law, we may send it to the appropriate authority for action . We may send information to members of Congress if you as k them to help you with federal student aid questions . In circumstances involving employment complaints, grievances, or disciplinary actions, we may disclose relevant records to adjudicate or investigate the issues . If provided for by a collective bargaini ng agreement, we may disclose records to a labor organization recognized under 5 U . S . C . Chapter 71 . Disclosures may be made to our contractors for the purpose of performing any programmatic function that requires disclosure of records . Before making any su ch disclosure, we will require the contractor to maintain Privacy Act safeguards . Disclosures may also be made to qualified researchers under Privacy Act safeguards . **Paperwork Reduction Notice .**  According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number . The valid OMB control number for this information collection is 1845 -0011 . Public reporting burden for this collection of information is esti mated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . The obligation to respond to this collection is required to obtain a benefit in accordance with 34 CFR 682.210 or 685.204 . If you have comments or concerns regarding the status of your individual submission of this form, please contact your loan holder directly ( see Section 7 ) .