SC-NGSC-PS 12/20
AES GRANTS SPECIAL PROGRAMS
In-School 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
Section 1 - Deferment Request
- 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: AES will not grant this deferment request unless all applicable sections of this form are completed and 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 loan.
Section 2 - Authorized Official's Certification
I certify, to the best of my knowledge and belief, that the borrower named above:
- - - -
from (MM-DD-YY)
to (MM-DD-YY)
Signature of Authorized Official/Date
Name/Title of Authorized Official
Date
Name of School
Address
City, State, Zip
Telephone
School Code
I consent to the lender and any other owner, holder, servicer, guarantor or insurer of my account to contact me about my account via autodialer or similar device and/or
using a prerecorded or artificial voice or message for any lawful purpose utilizing any cellular telephone number(s) I provide, even if I am charged for the call under my
phone plan. Providing my mobile or alternative telephone number(s) and electronic mail address(es) to the lender is voluntary and I am under no obligation to do so. If I
do not elect to provide a mobile or alternative telephone number, or electronic mail address, it will not affect the consideration or disposition of my deferment request.
(1) Is/was enrolled at least half-time during the academic period:
(2) Is reasonably expected to complete his/her program requirements on (MM-DD-YY)
- -
Instructions for School Official: Item (1) and item (2) of this section must be completed. The school official, in lieu of completing this section, may attach its own
enrollment certification report listing the required information.
- Please print or type.
