Return of Funds Request

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					                                                                                                              Office of Financial Aid & Scholarships
                                      Return of Loan Funds Request Form                                             170 Bluestone Drive, MSC 3519
                                                                                                                            Harrisonburg, VA 22807
                                                                                                                                      (540) 568-7820
                                                                                                                               Fax: (540) 568-7994


Please read the following information carefully before completing your request form. You must complete the Student’s Full Legal Name,
Student ID and Expected Grad Date sections and then only the Loan Return section that pertains to your request as the borrower.

This form will be used to document the request for funds to be returned to the lender.



Student’s Full Legal Name:                                                        Student ID:              Expected Grad Date:



STUDENT Loan Return – Please note: If you are returning funds, you must submit a paper version of this form with the check.

      Please return to the lender $     on my Direct Stafford loan. A refund has been generated, and I have enclosed the original refund
      check. or a Cashier’s Check for this amount.

      Please return to the lender $     on my Grad PLUS loan. A refund has been generated, and I have enclosed the original refund
      check, or a Cashier’s Check for this amount.

      Please return to the lender $     on my Alternative loan. A refund has been generated, and I have enclosed the original refund
      check, or a Cashier’s Check for this amount.

Student’s Signature:                                                         Date:



PARENT Loan Return – Please note: If you are returning funds, you must submit a paper version of this form with the check.

      Please return to the lender $     on my Parent PLUS loan. A refund has been generated, and I have enclosed the original refund
      check, or a Cashier’s Check for this amount.

PLUS Borrower’s Full Legal Name:                                             Borrower’s SSN:    - -

Parent Borrower’s Signature:                                                 Date:

      The refund checks being returned are made payable to me, the student, and by signing below I, the student, am authorizing JMU to return
      these funds on the Parent PLUS Loan. (To be completed ONLY if refund checks are in student’s name but being applied to PLUS Loan; if
      this applies, PLUS funds cannot be returned unless both the parent borrower and the student have signed the form.)

Student’s Signature:                                                         Date:




* Important Note:
     Complete the form electronically, then print and sign. Faxed signatures are acceptable. Please include the check
        with this form.
     Make a copy of this form for your records.

Change Request Forms submitted without appropriate signature information will not be processed.

				
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