PROMISSORY NOTE – TO BE COMPLETED IN THE PRESENCE OF A FINANCIAL AID STAFF MEMBER
We _________________________________________, ______________________________________ promise to pay to
(Borrower) (Co-Signer)
the order of Southwest Virginia Community College on or before __________________, the sum of _________________,
(Date) (Amount)
representing an emergency loan received by us on _____________________. This loan is to be paid at the Business Office
(Date)
at Southwest Virginia Community College, Richlands, VA.
We understand that this loan constitutes our financial obligation to Southwest Virginia Community College. If we default on this
loan, we are subject to administrative and/or legal action by the College. The College reserves the right to advise credit investigate
and reporting agencies in the event that prior collection efforts are unsuccessful. We further understand that the College reserves
the right to authorize collection activities to collect all accumulated penalties and interest, and where applicable collection and
attorney fees as well as other administrative costs associated with the loan.
_________________________________________________ ___________________
(Borrower’s Signature) (Date)
Co-Signer: You are being asked to guarantee this debt. When signing this document, you are agreeing to pay for this debt if the
borrower defaults on this loan.
_________________________________________________ ___________________
(Co-Signer’s Signature) (Date)
Staff Member: I verify that I have confirmed the identity of both the applicant and the co-signer through an in-person meeting and
by reviewing the attached Driver’s License and Social Security Card for both individuals.
_____________________________________________ __________________
(Financial Aid Staff Signature) - Witness (Date)
