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Last four digits of SSN XXX-XX- EMPL ID PRINT NAME Last First M. I Student s Signature Date I UNDERSTAND THAT BY SIGNING THIS DOCUMENT AND SUBSEQUENTLY UPON MY RECIEPT OF AN ALTERNATIVE NON-FEDERAL LOAN I AM ELIMINATING AVAILABILITY FOR FUTURE TITLE IV DIRECT LOAN AID DURING THE INDICATED TERM/2017-2018 ACADEMIC YEAR LOAN PERIOD. Fafsa.ed.gov. Submitting the appropriate documentation if selected for verification such as copies of my parents and/or my tax returns and W-2 forms for the 2015...

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