The Consequences of Student Loan Default
Student Borrower Certifications and Signature
ThestudentsigningbelowcertifiesthatyouhavereadandunderstandtheConsequencesofStudentLoanDefaultandthat
alloftheinformationreportediscompleteandcorrect.
_____________________________________________________
Student’sSignature Date
PleaseuseyourNewRiveremailtosubmitthecompletedformto
finaid@newriver.edu.
Financial Aid Office Use Only!
FA Counselor FA Manager
(03-26-20)
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to
ail
or both.
Credit report damage (7 year minimum)
Wage garnishment
Seizure of federal & state tax refunds
Seizure of portion of any federal payment
Legal action in federal district court
No Federal Financial Aid (Title IV ineligible)
May lose state occupational license
No mortgage loans
May have difficulty obtaining car loans
May be unable to rent an apartment
May be turned down for jobs
Collection costs
Circle one: Offering of the loan APPROVED / DENIED
Notes:________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Loan Amt. Offered:
Summer1 Summer2
SUBLOAN
UNSUBLOAN
____________________________ _______
LoanAuthorizingFAAdministratorSignatureDate
FACounselorLEJA–UinRRAAREQwhenformreceived&
completeSATPROsection.
Inst.Attempted_____Inst.Passed________
%_________Inst.CumulativeGPA________
#HoursEnrolled:_______
SATPRO
LoanOffered
Date & time for Loan Ed. Counseling
(COUEDU–RinRRAAREQ)
__________________ _________
DateTime
DateLoanEd.CounselingComplete:
COUEDU–SRRAAREQ
Loanacceptanceformcomplete:LOAN–SRRAAREQ,ACPTloan
RPAAWRD.)
_________________ ___________
CounselorInitialDate
LoanDenied
‐NotificationsentviaNRemail
_________________ ___________
CounselorInitialDate
click to sign
signature
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