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California State University, Chico
Chico, CA 95929-0705                                                                          09-10
Financial Aid and Scholarship Office                                                     E-mail: finaid@csuchico.edu
Phone: 530-898-6451                                                                     Web site: www.csuchico.edu/fa
Fax: 530-898-6883

                                        BANKRUPTCY FILING INFORMATION


 RETURN TO:                             Student’s Last Name:
 CSU, CHICO
 Financial Aid and Scholarship Office   Student’s First Name:                                     M.I.
 Chico, CA 95929-0705                   Chico State ID:                      Phone:
 Student Services Center 250
 FAX: 530-898-6883                      E-mail:




The National Student Loan Data System (NSLDS) indicates you have one or more student loans in an active
bankruptcy status. Before you can receive additional federal student loans, you must complete and submit this form
to the Financial Aid and Scholarship Office. Based on the information you provide and the NSLDS information, we
will determine if you are eligible for additional federal educational loans.
Indicate all that apply to your bankruptcy filing:


        I have not included any federal educational loans (Stafford, Perkins, Parent PLUS, Graduate PLUS) or
        grant overpayment in my bankruptcy filing.


        I have included at least one federal educational loan (Stafford, Perkins, Parent PLUS, Graduate PLUS) or
        grant overpayment in my bankruptcy filing. Attach documentation showing the debt or grant
        overpayment is dischargeable.


        I have included at least one defaulted federal educational loan (Stafford, Perkins, Parent PLUS, Graduate
        PLUS) or grant overpayment in my bankruptcy filing. Attach documentation showing the debt or grant
        overpayment is dischargeable.




         Signature                                                                    Date




      Bankr10

								
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