SC-NGPB-PS 12/20
AES Special Programs
Public Service Deferment Request
AES Graduate and Professional Services
P.O. Box 2461
Harrisburg, PA 17105-2461
Fax: 717-720-3916
Please enter or correct the following information. If correction, check this box:
Account Number
Name
Address
City, State, Zip
Telephone -- Home
Telephone -- Mobile
Must be completed by borrower. See definitions and eligibility criteria in the preceding cover letter.
I meet the qualifications for the deferment checked below and request that AES defer repayment of my grant.
If checked, to make interest payments on my loans during my deferment.
I certify that: (1) The information provided in Section 1 above is true and correct; (2) I will provide additional documentation, as required, to AES to support my
continued deferment status; (3) I will notify AES immediately when the condition that qualified me for the deferment ends; and (4) I have read, understand, and meet the
conditions of the deferment for which I have applied.
Borrower Signature
Return completed form to address listed above
Borrower Understandings and Certifications
I understand that: (1) My deferment will begin no more than six months before the date AES receives this request or the date the deferment condition began, whichever
is later; (2) AES will not grant this deferment request unless all applicable sections of this form are completed and any additional documentation required is provided and;
(3) Principal and interest payments will be deferred. I understand that any interest which accrues during my deferment period will be capitalized to the extent such
amounts are not paid by me prior to the conclusion of any approved deferment periods. This will increase the principal balance of my privately insured loans.
Section 2 - Authorized Official's Certification - Please print or type.
I certify, to the best of my knowledge and belief, that the borrower named above is/was engaged in the service indicated in Section 1, and that the borrower and the
borrower's service meet the eligibility requirements specified in the cover letter.
- - - -
The borrower's service began (MM-DD-YY)
and is expected to end (ended) (MM-DD-YY)
.
Signature of Authorized Official
Name/Title of Authorized Official
CHECK ONE
While I am on active duty in the Armed Forces of the United States. (unlimited).
I have enclosed copies of my military orders.
While I am a member of VISTA or the Peace Corps. (Maximum Eligibility is three years.)
I have enclosed copies of my military orders.
Date
Name of Organization
Address
City, State, Zip
Telephone
Date
Section 1 - Deferment Request -
