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

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Page 1 of 8 Revised 07/2010 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. FL J520075921220 257832068 3. E-mail Address (optional) [email protected] 4. Name and Address JONES , BRIAN P 277 meadow beauty terrace Sanford FL 32771 UNITED STATES 5. Date of Birth 04/02/1992 6. Area Code/Telephone No 4075475870 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. Stuart W Jones 2. Charles H Patterson Permanent Street Address 277 meadow beauty terrace 3255 Brunswick Lane City, State, Zip Code Sanford , FL 32771 UNITED STATES Sarasota , FL 34239 UNITED STATES Area Code/Telephone No. 4074742304 9419235436 Relationship to Borrower FATHER GRANDFATHER SECTION B: SCHOOL INFORMATION – TO BE COMPLETED BY THE SCHOOL 8. School Name and Address UNIVERSITY OF CENTRAL FLORIDA-MAIN 4000 CENTRAL FLORIDA BOULEVARD ORLANDO , FL 328160001 9. School Code/Branch G03954 10. Identification No. 257832068M12G03954999 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. I will use the proceeds of loans made under this MPN for authorized educational expenses that I incur and I will immediately repay any loan proceeds that cannot be attributed to educational expenses for attendance on at least a half-time basis at the school that certified my loan eligbility. C.
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This note was uploaded on 09/16/2011 for the course ECO 2023 taught by Professor Underwood-caputo during the Spring '08 term at University of Central Florida.

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

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