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
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