Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 Fax 419-267-5587 finaid@northweststate.edu
Name:___________________________ NSCC ID number: N________________
I am requesting an additional: ___ Subsidized Direct Loan
___ Unsubsidized Direct Loan
Total Additional Loan Amount: $_____________ (amount will be split equally between semesters)
Please INITIAL the lines below to acknowledge that you have read and understand the
following statements:
____ According to the National Student Loan Data System (NSLDS) I have borrowed an
aggregate (total combined) amount of $_____________ in federal student loans. All students
borrowing history can be found at https://nslds.ed.gov/.
____ I understand that based on the current interest rate and the total loan debt that I have
accrued, my expected monthly payment will be $___________ (see reverse side) for a period of
10 years according to the standard repayment plan.
____ I understand that I must be attending 6 or more credit hours in order to receive student
loan funds.
____ I understand if my loan is processed for a single semester (i.e. spring only) the loan funds
will be disbursed in two separate payments to my student account. This may have an impact on
the timing and/or the amount of your financial aid refund.
____ I acknowledge the federal student loan funds I receive electronically through the school
are proceeds of a loan, which I must repay, to the lender or the holder according to the terms of
the Master Promissory Note.
____ I understand that my loan may not be forgiven by filing for bankruptcy.
By signing this form, I certify that all the information reported to qualify for federal and state student aid is
complete and correct. WARNING: If you purposely give false or misleading information on this form, you
may be subject to fines and/or other penalties.
Student Signature: ___________________________ Date:___________________
Northwest State Community College does not discriminate on the basis of race, color, national origin, sex, gender identity, disability, religion
or age in its programs or activities.
2019-2020 Supplemental
Loan Request
Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 Fax 419-267-5587 finaid@northweststate.edu
Monthly Repayment Table
Directions: Locate your total aggregate amount plus the amount you are requesting to borrow under the Total
Amount Borrowed Column. Follow the line over to the 4.53% column to determine your estimated monthly
payment amount.
TOTAL
AMOUNT
BORROWED
4.45%
4.53%
6.00%
6.80%
7.00%
8.00%
1,000
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
2,000
$50.00
50.00
50.00
50.00
50.00
50.00
3,000
$50.00
50.00
50.00
50.00
50.00
50.00
3,500
$50.00
50.00
50.00
50.00
50.00
50.00
4,000
$50.00
50.00
50.00
50.00
50.00
50.00
4,500
$50.00
50.00
50.00
52.00
52.00
55.00
5,000
$52.00
52.00
56.00
58.00
58.00
61.00
5,500
$57.00
57.00
61.00
63.00
64.00
67.00
6,000
$62.00
62.00
67.00
69.00
70.00
73.00
7,000
$72.00
73.00
78.00
81.00
81.00
85.00
8,000
$83.00
83.00
89.00
92.00
93.00
97.00
8,500
$88.00
88.00
94.00
98.00
99.00
103.00
9,000
$93.00
93.00
100.00
104.00
105.00
109.00
10,000
$103.00
104.00
111.00
115.00
116.00
121.00
11,000
$114.00
114.00
122.00
127.00
128.00
133.00
12,000
$124.00
125.00
133.00
138.00
139.00
146.00
13,000
$134.00
135.00
144.00
150.00
151.00
158.00
14,000
$145.00
148.00
155.00
161.00
163.00
170.00
15,000
$155.00
156.00
167.00
173.00
174.00
182.00
18,000
$186.00
187.00
200.00
207.00
209.00
218.00
20,000
$207.00
208.00
222.00
230.00
232.00
243.00
25,000
$258.00
259.00
278.00
288.00
290.00
303.00
30,000
$310.00
311.00
333.00
345.00
348.00
364.00
35,000
$362.00
363.00
389.00
403.00
406.00
425.00
40,000
$414.00
425.00
444.00
460.00
464.00
485.00
45,000
$465.00
467.00
500.00
518.00
522.00
546.00
50,000
$517.00
519.00
555.00
575.00
581.00
607.00
55,500
$569.00
576.00
616.00
639.00
644.00
673.00
57,500
$595.00
597.00
638.00
662.00
668.00
698.00