Dear Financial Aid Office:



Request for Additional Unsubsidized Direct Loan 2015-2016

Dear Financial Aid Office:

I request that you consider my son/daughter _________________________(Student name) for an additional Unsubsidized Direct loan. I am financially unable to acquire added educational debt at this time due to my current level of monthly expenses or because of a court order. Please review the list of my current monthly obligations, outlined below and/or the court order provided which prevents me from applying for additional debt.

Complete the following in full, including totals:

Gross Monthly Income

Attach a copy(s) of each parent(s) current pay stub(s) or Social Security, Public Assistance monthly benefits statement.

Earned Income: $

Social Security: $

Public Assistance: $

Child Support: $

Total Monthly Income: $

Monthly Expenses

Mortgage/Rent: $

Utilities:

Electric: $

Gas: $

Water: $

Telephone: $

Car Insurance: $

Loans:

Car: $

Educational: $

Personal: $

Credit Cards: $

Food: $

Gas and Car Expenses: $

*Taxes: $

(Income, fed, state, etc)

*FICA $

*Health Insurance $

*from paystub

Other:

$

$

$

________________ $_____________________

Total Monthly Expenses: $

I certify that the above income and expenses are true and accurate and can be verified with proper documentation if requested.

Parent Signature Date Parent Signature Date

Return To:

Office Of Financial Aid, Roberts Wesleyan College

2301 Westside Drive, Rochester, NY 14624

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download