the full capital cost of purchasing the loans on accounts that are returned to repayment status. On accounts that do not resume repayment, the Federal government will have deferred the payment of the full cost of default purchases. On accounts that return to repayment status, the repayment terms would include repayment of the advances made to the lenders. Participation in such a program would be at the option of the lenders. Similar techniques are used in the Government National Mortgage Association. LIST ALL INDEBTEDNESS INCLUDING NYSHESC LOANS (If additional space is necessary, continue on a separate sheet.) 48. Education Loans Name of Lender. City and State Name of Program NYSHE SC NOSUNURSING Fed. Ins Student La Date of Loan Employer (firm name, street city and state) CREDIT AND CHARACTER REFERENCES (These Persons Must Be Employed And Be Residents Of The Same State As The Student) WARNING: "Criminal Penalties". Any person who knowingly and willfully embezzles, misapplies, steals, or obtains by fraud, false statement, or forgery any funds, assets or property provided or insured under Part IV of the Higher Education Act of 1965, as amended shall be fined not more than $10,000 or imprisoned for not more than five years, or both, but if the amount so embezzled, misapplied, stolen or obtained by fraud, false statement, or forgery does not exceed $200, the fine shall be not more than $1,000 and imprisonment shall not exceed one year, or both. (each of the undersigned) certify that I have read this application and that the information previded by me is accurate and complete to the best of my knowledge I authorize the United States Commissioner of Education or his representative o obten, from the District Director of Internal Revenue with whom it was (they were) filed, a copy of the pertinent Federal Income Tax returns) in order to verify any financial information reported on this form or submitted to another party in connection with this application further agree to provide. if requested any other documentation necessary to verity such information. I further authorize the Educational institution to release to the Lending institution or the Guarantor any information requested by such persons pertinent to this loan Be, Employment, Enrollment Status Current Address, etc.), the student, affirm that the proceeds of this loan will be used solely for expenses related to attendance at the Educational institution named herein and that, the student, am not in default on any loan made under the Guaranteed Student Loan Program for attendance at the school listed on this application. I hereby certify that the above named student is accepted for enrollment or is enrolled in good standing and is making satisfactory progress in a program determined to be eligible for the Guaranteed Student Loan Program and that the student does not owe a refund on grants previously received at this insti tution under Title IV of the Higher Education Act of 1965, as amended, or is not in default on any loan from a student loan fund at this institution provided for in Port E of the above named act, or a loan made under the Guaranteed Student Loan Program for attendance at this institution. I further certify that the information given above is true, complete, and correct to the best of my knowledge and belief. (37) *RRERENCE MUST BE COFLOWERS NEAREST LIVING ADULT RELATIVE NOT RESIDING AT THE ADDRESS INDICATED IN ITEM 24 26 REFERENCE MUST BE AN ADULT WITH WHOM BORROWER HAS FREQUENT CONTACT-Students and School Personnel are not acceptable Full Telephone Number (Include Aree Code) imanent Street Address (Include Box or Apt. Number) City, Town or Village Employer's State Zip Code WARNING "C. unal Pentities". Any person who knowingly and willfully embezzles, misopplies, steals, or obtains by fraud, false statement, or forany fulde, essets of property provided of insured under Port IV of the Higher Education Act of 1965, as amended shall be fined not more than mprisoned fo not more than five years, or both, but if the amount so embelled, misapplied, stolen or obtained by fraud, folse statement, ar furgery does not exceed $200, the fine shall be not more than $1,000 and imprisonment shall not exceed one year, or both. the SUBSCRIBED AND SWORN BY STUDENT (Notarize NYSHESC Copy) BEFORE ME THIS MONTH. BAT. YEAR |