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Direct Loans
William D. Fond Federal Direct Loan Program
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Federal Direct Consolidation Loan Instructions for Promissory Note Endorser Addendum
OMBNo. 1840-0693 Form Approved Exp. Date 1/31/2002
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Under the Federal Direct Consolidation Loan Program (Direct Consolidation Loan Program), parents may consolidate federal loans obtained to pay the costs of a dependent child who is or was an undergraduate student. If the parent borrower has an adverse credit history and does not document to the satisfaction of the U.S. Department of Education (ED) that extenuating circumstances exist, the parent may only receive a Direct Consolidation Loan if the parent obtains an endorser.
The endorser must complete the Federal Direct Consolidation Loan Promissory Note Endorser Addendum (addendum) and promise to repay the Direct Consolidation Loan if the parent does not repay it.
The addendum should be completed in blue or black ink or typewritten and must be signed and dated by the endorser. If you cross out anything and write in new information, put your initials beside the change.
Section A: Parent Borrower Information
Information in Section A about the parent borrower has been provided by ED. If any information provided in Section A is incorrect, you should contact the Loan Origination Center’s Consolidation Department immediately. You can call Monday through Friday 8 a.m. - 8 p.m. Eastern Time, at 1-800-557-7392 [TDD: 1-800-557-7395].
Section B: Endorser Information
Section B should be completed by the endorser. All references to “you” and “your” in this section refer to the endorser.
Items 7-9: Enter the information requested.
Item 10: Enter your permanent home street address.
If your mailing address is an RFD, post office box, or general delivery, you must list both the street address and mailing address.
Items 11 and 12: Enter the information requested.
Note, Item 11 is optional.
Item 13: First, enter in the parentheses the two letter^^ abbreviation for the state that issued your license. Then, enter your driver’s license number. (If none, enter “none.”)	' " f
Item 14: Enter the information requested. NoteUftNtetRS/y item is optional.	AT URBAN/
Item 15: Place a check in the box that corresponds with your citizenship status. If you checked box 2, enter your Alien Registration Number.
The term “U.S. citizen” includes citizens of the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, and the Northern Mariana Islands. The term “National,” includes, not only all U.S. citizens, but also citizens of American Samoa or Swain’s Island.
A “permanent resident” of the United States must provide documentation of this status from the U.S. Immigration and Naturalization Service.
An “eligible noncitizen” is an individual who can provide documentation from the U.S. Immigration and Naturalization Service that he or she is in the United States for a purpose that is not temporary, with the intention of becoming a citizen or permanent resident. This category includes refugees, persons granted asylum, Cuban-Haitian entrants, temporary residents under the Immigration Reform and Control Act of 1986, and others.
Items 16-18: Enter the information requested. (If none, enter “none.”)
Item 19: Enter the requested information for two relatives or acquaintances who do not live with you and who have known you for at least three years. References may not live outside the United States.
Section C: Endorser’s Certification
Item 20: This item has been provided by ED.
Item 21: After reviewing the information and terms of this addendum and reading the Endorser’s Certification and Borrower’s Rights and Responsibilities carefully, the endorser must sign and date the addendum in blue or black ink.
The Direct Consolidation Loan borrower must return this form to:
°$itory 07 1399
U.S. Department of Education Consolidation Department Loan Origination Center P.O. Box 1723
Montgomery, AL 36102-1723Direct
Loans
William D. Ford Federal Direct Loan Program
3 0112 041286680
Federal Direct Consolidation Loan Important Notices
The Privacy Act of 1974 (5 U.S.C. 552a) requires that we disclose to you the following information:
The authority for collecting this information is §451 et seg. of the Higher Education Act of 1965, as amended (the HEA) (20 U.S.C.
§1087a gt §eg.). The principal purposes for collecting this information are to determine your eligibility as an endorser, to document your agreement to repay a Federal Direct PLUS Consolidation Loan that is made under the William D. Ford Federal Direct Loan (Direct Loan) Program in the event the identified parent borrower does not repay the loan, and to identify and locate you if it is necessary to enforce the loan.
We ask that you provide the information requested on this Federal Direct Consolidation Loan Promissory Note Endorser Addendum (addendum) on a voluntary basis. However, you must provide all of the requested information that is available to you so the Department may process this addendum because the Department needs the information to consolidate the identified parent borrower’s loan(s) into a Federal Direct PLUS Consolidation Loan.
The information in your file may be disclosed to third parties as authorized under routine
Privacy Act Disclosure Notice
uses in the Privacy Act notices called “Title IV Program Files” (originally published on April 12,1994, Federal Register. Vol. 59, p. 17351) and “National Student Loan Data System” (originally published on December 20,1994, Federal Register. Vol. 59, p. 65532). Thus, this information may be disclosed to parties that we authorize to assist us in administering the Federal student aid programs, including contractors that are required to maintain safeguards under the Privacy Act. Disclosures may also be made for verification of information, determination of eligibility, enforcement of conditions of the loan or grant, debt collection, and the prevention of fraud, waste, and abuse and these disclosures may be made through computer matching programs with other Federal agencies. Disclosures may be made to determine the feasibility of entering into computer matching agreements. We may send information to members of Congress if you ask them in writing to help you with Federal student aid questions. If we are involved in litigation, we may send information to the Department of Justice (DOJ), a court, adjudicative body, counsel, or witness if the disclosure is related to financial aid and certain other conditions are met. If this information, either alone or with other information, indicates a potential violation of law, we may send it to
the appropriate authority for consideration of action and we may disclose to DOJ to get its advice related to the Title IV, HEA programs or questions under the Freedom of Information Act. Disclosures may be made to qualified researchers under Privacy Act safeguards. In some circumstances involving employment decisions, grievances, or complaints or involving decisions regarding the letting of a contract or making of a grant, license, or other benefit, we may send information to an appropriate authority. In limited circumstances, we may disclose to a Federal labor organization recognized under 5 U.S.C. Chapter 71.
Because we request your social security number (SSN), we must inform you that we collect your SSN on a voluntary basis, but section 484(a)(4) of the HEA (20 U.S.C.
1091 (a)(4)) provides that, in order to receive any grant, loan, or work assistance under Title IV of the HEA, a student must provide his or her SSN. Your SSN is used to verify your identity, and as an account number (identifier) throughout the life of your loan(s) so that data may be recorded accurately.
Financial Privacy Act Notice
Under the Right to Financial Privacy Act of 1978 (12 U.S.C. 3401-3421), ED will have access to financial records in your student loan file maintained in compliance with the administration of the Direct Loan Program.
Paperwork Reduction Notice
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for this information collection is 1840-0693. The time required to complete this information collection is estimated to average .15 hour (9 minutes) per response, including the time to review instructions, search existing data resources, gather and maintain the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4651. If you have any comments or concerns regarding the status of your individual submission of this form, write directly to:
U.S. Department of Education Consolidation Department Loan Origination Center P.O. Box 1723 Montgomery, AL 36102-1723
'U.S. Government Printing Office: 1999 — 449-958