19617543 - Federal Direct Stafford/Ford Loan Federal Direct...

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Page 1 of 8 Revised 03/2009 Federal Direct Stafford/Ford Loan Federal Direct Unsubsidized Stafford/Ford Loan Master Promissory Note William D. Ford Federal Direct Loan Program Warning: Any person who knowingly makes a false statement or misrepresentation on this form will be subject to penalties which may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C. 1097. OMB No. 1845-0007 Form Approved Exp. Date 05/31/2011 SECTION A: BORROWER INFORMATION READ THE INSTRUCTIONS IN SECTION F BEFORE COMPLETING THIS SECTION 1. Driver’s License State and No. 2. Social Security No. MD T253112080686 218719205 3. E-mail Address (optional) cb.tchinda@gmail.com 4. Name and Address TCHINDA , CEDRIC B 1309 NYE ST CAPITOL HEIGHTS , MD UNITED STATES 207430000 5. Date of Birth 09/03/1989 6. Area Code/Telephone No 3014374921 7. References: List two persons with different U.S. addresses who have known you for at least three years. The first reference should be a parent or legal guardian. Name 1. thibaut b tchinda 2. mouthe l samantha Permanent Street Address 1309 Nye st 728 w marshall st #13 City, State, Zip Code capitol Heights , MD UNITED STATES 20743 RICHMOND , VA UNITED STATES 23220 Area Code/Telephone No. 2404133062 2025312912 Relationship to Borrower Brother FRIEND SECTION B: SCHOOL INFORMATION – TO BE COMPLETED BY THE SCHOOL 8. School Name and Address UNIVERSITY OF MARYLAND, COLLEGE PARK 0102 LEE BUILDING OFFICE OF STUDENT FINANCIAL AID COLLEGE PARK , MD 207425145 9. School Code/Branch G02103 10. Identification No. 218719205M11G02103998 SECTION C: BORROWER REQUEST, CERTIFICATIONS, AUTHORIZATIONS, AND UNDERSTANDINGS – READ CAREFULLY BEFORE SIGNING BELOW 11. This is a Master Promissory Note (MPN) for one or more Federal Direct Stafford/ Ford (Direct Subsidized) Loans and/or Federal Direct Unsubsidized Stafford/Ford (Direct Unsubsidized) Loans. I request a total amount of Direct Subsidized Loans and/or Direct Unsubsidized Loans under this MPN not to exceed the allowable maximums under the Act (“the Act” is defined in Section E under Governing Law). My school will notify me of the loan type and loan amount that I am eligible to receive. I may cancel a loan or request a lower amount by contacting my school. Additional information about my right to cancel a loan or request a lower amount is included in the Borower’s Rights and Responsibilities Statement and in the disclosure statements that will be provided to me. 12. Under penalty of perjury, I certify that: A. The information I have provided on this MPN and as updated by me from time to time is true, complete, and correct to the best of my knowledge and belief and is made in good faith. B.
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This note was uploaded on 03/08/2011 for the course ECON 602 taught by Professor Chugh during the Spring '11 term at Johns Hopkins.

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19617543 - Federal Direct Stafford/Ford Loan Federal Direct...

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