2019 2020
Federal Direct Parent
PLUS Release of Funds to
Student Authorization
Lansing Community College
Financial Aid Office
Gannon Building Suite #2306
411 N. Grand Ave.
Lansing, MI 48933
Ph: (517) 483-1200 (Option 1)
Fax: (517) 483-1170
Parent Signature:
Parent Borrower Release of Funds Authorization
I certify that I, , authorize LCC to refund Federal Direct Parent PLUS loan funds to the
student. I understand that only funds not used to pay direct LCC costs will be refunded.
This document must have a physical, wet signature from the applicant of the Federal Direct Parent PLUS Loan, and it
must be witnessed by a notary. The signature cannot be electronic/computer generated.
***For Notary Use Only***
State of City/County of:
On , before me, personally appeared ,
(date) (Notary’s Name) (printed name of signer)
and proved to me on the basis of satisfactory evidence of identification
(type of unexpired Government-Issued photo ID provided)
to be the above named person who signed the foregoing instrument.
WITNESS my hand and official seal
Notary Signature: My Commission Expires On: