2018-2019
Undergraduate Student
Loan Modification or Cancellation Request
Office of Student Financial Aid
1021 Dulaney Valley Road
Baltimore, Maryland 21204-2794
P: 410-337-6141
F: 410-337-6504
E: finaid@goucher.edu
________________________________ _____________________ _____________________
Student Last Name Student First Name Goucher ID Number
Request to MODIFY loan:
Please note that you will not be able to increase a loan unless you have previously accepted the loan at
below the maximum eligibility. If you are changing your loan amount to cover a specific balance, please make sure you
calculate in the origination fee when choosing a new loan amount. For Direct (Subsidized or Unsubsidized), we suggest you multiply
the balance by 1.02 and round up to the nearest $10 increment. For a PLUS loan, multiply by 1.05 and round up to the nearest $10
increment. (Information on current origination fees is available here: https://studentaid.ed.gov/sa/types/loans/interest-rates#fees)
Fall 2018
Spring 2019
Loan
Current Amount
New Amount
New Amount
Direct Subsidized
Direct Unsubsidized
Parent PLUS*
Private/Alternative
* For parents increasing a PLUS loan, we will inform you if you need to do another credit check before we can process.
You may indicate “Max” for us to calculate your maximum eligibility. You will have the option to accept a lower amount.
Request to CANCEL loan: Indicate which loans you wish to cancel, and for which terms.
Direct Subsidized
Direct
Unsubsidized
Parent PLUS
Private/Alternative
Fall 2018
Spring 2019
By signing below, I/we understand that requesting a reduction or cancellation of the selected loan(s) may result in a balance owed
to Goucher College and that the student is responsible to pay the balance due. I/we understand that certain financial aid programs
require a minimum enrollment be maintained to receive funding. I/we certify that we have taken origination fees into account when
requesting a specific loan amount. I/we certify all information reported on this form is complete & correct.
_____________________________________________ _____________________________
Student Signature (Required for any changes to the student’s loans.) Date
_____________________________________________ _____________________________
Parent Signature (Required for changes to Parent PLUS loan.) Date
(ELECTRONIC SIGNATURES NOT ACCEPTED. Please print & sign in ink, then mail, fax, or scan and e-mail.)