REQUEST FOR POSTPONEMENT OR
PARTIAL CANCELLATION OF LOAN
  NAME OF BORROWER
 
  ACCOUNT NUMBER ( AS SHOWN ON BILLING DOCUMENT
 
  PERMANENT ADDRESS (STREET, CITY, STATE, ZIP CODE)
 
  LOAN GRANTED BY (NAME OF SCHOOL)   DATE LEFT LENDING INSTITUTION
   
  SIGNATURE OF BORROWER
  X
  SOCIAL SECURITY NO.     PHONE NUMBER
   
  POSTPONEMENT OF PAYMENT FOR FULL-TIME TEACHING: (To Be Completed at the Beginning of the Academic year)
  I will be teaching full-time in a public or nonprofit elementary or secondary school or institution of higher education.
  ACADEMIC
  YEAR		 MONTH DAY YEAR
  STARTING
  ACADEMIC
  YEAR		 MONTH DAY YEAR
  ENDING
  AT                     (NAME OF SCHOOL) (COUNTY) (SCHOOL DISTRICT) (CITY AND STATE)
  DESCRIPTION OF EXACT DUTIES
  PARTIAL CANCELLATION FOR FULL-TIME TEACHING: (To Be Completed at the End of the Academic year)
  I will be teaching full-time in a public or nonprofit elementary or secondary school or institution of higher education.
  ACADEMIC
  YEAR		 MONTH DAY YEAR
  STARTING
  ACADEMIC
  YEAR		 MONTH DAY YEAR
  ENDING
  AT                     (NAME OF SCHOOL) (COUNTY) (SCHOOL DISTRICT) (CITY AND STATE)
  DESCRIPTION OF EXACT DUTIES
  CHECK APPROPRIATE BOXES FOR FULL-TIME TEACHER CANCELLATION ENTITLEMENT
TYPE PRE-
SCHOOL
ELEMENTARY
SCHOOL 		SECONDARY
SCHOOL 		INSTITUTION OF
HIGHER EDUCATION		   10 PER CENTRUM
RATE 		  ACCELERATED RATE
BY REASON OF
Public              High concentration of students
   from low-income families
Nonprofit              Teacher of handicapped children
   Headstart
   FOR TEACHER OF HANDICAPPED CHILDREN ONLY:
   A majority of my students are handicapped children as specified below:
    mentally retarded     visually handicapped     seriously emotionally disturbed AGES OF
HANDICAPPED
STUDENTS
    hard of hearing or deaf     orthopedically impaired     other health impairment (specify)
    speech impaired     specific learning disabled   __________________________
       
   PARTIAL CANCELLATION
   I DECLARE that I have completed one full year of duty as a member of the (   ) Peace Corp, (   ) VISTA, (   ) Armed Forces of the U. S.
   FROM    Mo_________________ / Yr___________________        TO    Mo____________________ / Yr_____________________
   (FOR OFFICE USE ONLY)
   Amt Cancelled Prin._____________________________  Int._____________________________   New Prin. Bal. ______________________________
CERTIFICATION OF STATUS
I certify that the information stated   above is true and correct. The person   named IS or WAS (indicate one):
Performing the teaching duties
described above, for the period indicated
A full-time staff member of the
Head Start program.
Member of the Armed Forces
Peace Corp or VISTA

OFFICIAL SEAL OR STAMP
If none available provide
official letter of certification
  SIGNATURE OF AUTHORIZED OFFICIAL
  X
  TITLE   DATE
  NAME OF INSTITUTION, SCHOOL, OR MILITARY ORGANIZATION
  ADDRESS (CITY, STATE, ZIP CODE)
 
  COUNTY
(FOR OFFICE USE ONLY)
AMOUNT CANCELLED
    For Defense Loans made prior to
    July 1, 1972
     10% per year     12 1/2 % per year
     15% per year
AMOUNT CANCELLED
    For Direct/Perkins Loans made after
    June 20, 1972
    1st year - 15%      5th year - 30%
    2nd year - 15%     12 1/2 % per year
    3rd year - 20%      Headstart 15%
    4th year - 20%
   TOTAL AMOUNT CANCELLED
   $ 		   PRINCIPAL BALANCE AFTER THIS TRANSACTION
   $
   DATE OF CURRENT POSTPONEMENT
LISTED IN FEDERAL REGISTER VOL. NO.
NOT LISTED IN FEDERAL REGISTER  PAGE NO.
  CODE NO.
   SIGNATURE OF APPROVING OFFICIAL:

   TITLE:

                           DATE:

 

NDSL/PERKINS STUDENT LOAN DETERMENT & CANCELLATION BENEFITS


   
Determent Privileges for Direct Loans Made Prior to
October 1, 1980
  1. The organization in which you serve is exempt from action under Section 501(c) of the Internal Revenue Code of 1954.:
  2. You provide service to low-income persons and their communities, and assist them in eliminating poverty-related human, social and environmental conditions.
  3. Your compensation, including allowances, does not exceed the compensation received by a full-time volunteer in the Peace Corps, or in an ACTION program.
  4. As a part of your service, you do not engage in religious activities, or fund raising to support religious activities.
  5. You have agreed to serve on a full-time basis for a term of at least a year.


TEMPORARY TOTALLY DISABLED: A three year deferment is provided if you are temporarily totally disabled, or unable to work as a result of caring for a spouse who is totally disabled. Both of these must be certified by a physician. Forms must be submitted quarterly while disabled.

INTERNSHIP: You can defer payments for up to two years if you are serving an internship which has been determined to be eligible for purposes of Direct/Perkisn loan deferments. You must submit a form each year.
Deferment Privileges for Perkins Loans Made on or After
July 1, 1987


Repayment of both the principal and interest on your student loan may be deferred (delayed) by submitting properly completed "Request for Deferment" forms. You are entitled to a six-month grace period following each period of deferment for studies, services, or internship. Forms should be completed for any conditions met above plus:

NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION: Three years of deferred repayment for active duty service with the National Oceanic and Atmospheric Administration. Forms must be submitted for each year of service.

PARENTAL LEAVE: Six months of deferred repayment for parental leave due to pregnancy, care of newborn, or care of an adopted child. This deferment may be used by either, or both parents.

WORKING MOTHERS: One year deferment for a mother with preschool age children, who is entering the work force, and is compensated at a rate of not more than one dollar over the minimum wage.

TEMPORARILY TOTALLY DISABLED: A three year deferment is provided if you are temporarily totally disabled, or unable to secure gainful employment because you are providing care, such as continuous nursing or other similar services, required by a dependant who is totally disabled. Forms must be submitted quarterly while disabled.
 

Repayment of both the principal and interest on your student loan may be deferred (delayed) by submitting properly completed "Request for Deferment" forms for the periods during which you meet the following conditions:

STUDENT DEFERMENT: Any borrower is eligible for a deferment who is enrolled as at least a half-time student at an accredited institution of higher education in the United States, or at a comparable institution outside the United States. A "half-time student" is defined as a student who is carrying at least one half of the normal full-time academic work load as determined by the institution where enrolled. You are required to submit a form each term you are enrolled.

ARMED FORCES: A deferment is available for up to three years provided you are a member of the United States Armed Forces on active duty. You are required to submit a form for each year of service.

PEACE CORPS, VISTA, or ACTION: A deferment is available for up to three years if you are a volunteer member of the Peace Corps, VISTA, or ACTION. You are required to submit a form for each year of service.

HARDSHIP: In cases of extreme financial hardship, deferment is sometimes allowed for short periods of time. CWU will determine whether or not you are entitled to a hardship deferment after considering your individual circumstances. During hardship deferments, interest continues to accrue and must be paid. Do not use this form for hardship deferment requests. You must request special hardship deferment forms from CWU.
Deferment Privilegesiviledges for Direct Loans Made on or After
October 1, 1980		  


Repayment of both the principal and interest on your student loan may be deferred (delayed) by submitting properly completed "Request for Deferment" forms. You are entitled to a six-month grace period following each period of deferment for studies, services, or internship. Forms should be completed when you meet the conditions stated above plus:

COMMISSIONED CORPS: A deferment is available for up to three years if you are an officer in the Commissioned Corps of the U.S. Public Health Service. Requires submitting a form for each year you will be serving.

SERVICE COMPARABLE TO PEACE CORPS: A deferment is available for up to three years if you are a volunteer member of a service which the Department of Education considers to be comparable to service in the Peace Corps or the ACTION programs.

If you are requesting deferment as a volunteer in service comparable to Peace Corps, or ACTION service, your request must be accompanied by documentation sufficient for the lending school to determine whether you qualify for deferment under the following terms: