2019-2020
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)
* 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 revise down to a lower amount.
□ Request to CANCEL loan: Indicate which loans you wish to cancel, and for which terms.
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.)
