Borrower Name Home Phone
Borrower Address
Daytime Phone
City State Zip Code Reference or Social Security No.
Borrower Signature Date
Degree Title
/ /
/ / Number of Credit Hours Earned
Number of Years Required for Degree
/
/
Print Name and Title of Authorized School Official Telephone Number of School Official
Signature of Authorized School Official Date
Email address for Authorized Official Registrar Seal
Page 1 of 2 rev 20150415
Texas Higher Education Coordinating Board
P O Box 12788, Austin, TX 78711
Toll-free 1(800) 242-3062 or (512) 427-6340 Austin Area
TEXAS B-ON-TIME LOAN
The individual named above is seeking forgiveness of his/her B-On-Time loan(s) obtained through the Texas Higher
Education Coordinating Board. Please assist us by completing the required information below. See administrative
rule §21.129 Forgiveness of Loans on the reverse of this form.
APPLICATION FOR FORGIVENESS
SECTION ONE - TO BE COMPLETED BY LOAN RECIPIENT
I am applying to have my Texas B-On-Time loan(s) forgiven. I have enclosed an official high school and college
transcript for each college attended. I authorize my school to provide any additional documentation required to
complete the forgiveness process. I understand that any forgiveness I receive will be considered taxable
income within the year forgiveness occurs. Additional tax information will be provided to me at the end of the
year.
SECTION TWO - TO BE COMPLETED BY THE REGISTRAR'S OFFICE OR AUTHORIZED SCHOOL OFFICIAL
For additional forms please visit our website at www.hhloans.com
I certify that the information I provided above is true and correct to the best of my knowledge and belief.
Return the completed form to Texas Higher Education Coordinating Board.
Initial Enrollment Date
Name of Institution Fice Code
Cumulative GPA upon Graduation
Number of Transfer Hours
High School Graduation Date
Number of Credit Hours Required for Degree
Number of Credit Hours by Exam
Number of Dual Credit Hours
Graduation Date
§ 21.129 Forgiveness of Loans
A Texas B-On-Time loan shall be forgiven if the student is awarded an undergraduate degree or certificate from an eligible
institution, and the student either:
(1) graduated with a B average, or the equivalent of a cumulative grade point average of at least 3.0 on a four-point
scale, and received:
(A) a baccalaureate degree within four calendar years after the date the student initially enrolled in an
eligible institution;
(B) a baccalaureate degree within five calendar years after the date the student initially enrolled in an
eligible institution, if the degree is in architecture (Texas CIP code, category 04.0201), engineering (Texas
CIP code, category 14), or any other program determined by the Board to require more than four years to
complete;
(C) a degree or certificate from a two-year program within two calendar years after the date the student
initially enrolled in an eligible institution
(D) a certificate from a one-year program within one calendar year after the date the student initially
enrolled in an eligible institution; or
(2) graduated with a B average, or the equivalent of a cumulative grade point average of at least 3.0 on a four-point scale, with
a total number of credit hours earned, including transfer credit hours and excluding hours earned exclusively by examination,
dual credit course hours, and hours earned for developmental coursework that an institution required the student to take
under Texas Education Code, §51.3062 (relating to Success Initiative), or under the former provisions of Texas Education Code,
§51.306 (relating to Texas Academic Skills Program), that is not more than:
(A) six hours more than the number of credit hours required to complete a two-year certificate or a
baccalaureate degree; or
(B) three hours more than the number of credit hours required to complete a one-year certificate.
Source Note: The provisions of this §21.129 adopted to be effective December 7, 2003, 28 TexReg 10757; amended to be
effective August 16, 2004, 29 TexReg 7975; amended to be effective November 28, 2005, 30 TexReg 7856
rev 20150415
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome