Book Loan Application/Promissory Note

Applications must be accurate, and complete by selecting the SUBMIT BUTTON BELOW.

1Book Loan Application > 2Student Accounts
Name as Enrolled
University ID
Select a Choice

Select a Choice M F
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Permanent Address Permanent Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Local Phone Number Local Phone Number - ### - ### ####
Permanent Phone Number Permanent Phone Number - ### - ### ####
Have you ever had a Book Loan from Tarleton State University before?

Have you ever had a Book Loan from Tarleton State University before? Yes No
Are you in good standing with Financial Aid?

Are you in good standing with Financial Aid? Yes No
Will you be using financial aid to cover the balance for this loan?

Will you be using financial aid to cover the balance for this loan? Yes No
If yes, then student will need to authorize the University to apply the amount of Federal Title IV funds that exceed the allowable charges to cover non-allowable charges (such as parking, library fines, book loan, etc.) on your student account by completing the attached Federal Title IV Student Authorization Form.

List the name and complete address of your closest relative (excluding your parents) who will always know your address,( i.e., aunt, uncle), if no other relative is available, a close friend of the family is acceptable.
No Student is allowed to be used as a Reference!
Name Name First Last
Relationship
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Loan is requested for (check only one):

Loan is requested for (check only one): Fall Spring Summer
Past due loans are subject to all necessary collection fees, late fees, higher interest rates, as well as a report to a national credit bureau.

A service charge of 1.25% on the Tuition and Fees Loan, a flat fee of $15.00 on the Book Loans and the Tarleton Loan Fund will be assessed. Loans five days past due are subject to an additional $10.00 late fee. The students registration, grades and transcripts will be blocked until paid in full. Payments on all short-term loans may be made thru Texan Bill Pay or at the Cashier's office. Once the student's loan file (i.e. list of loans is received for the student's entire enrollment at Tarleton) contains two(2) late payments, the student will lose Short Term Loan privileges for one academic year.
Installment Agreement (Payment Plan) for Students Choosing Tuition/Fee Loans and/or Room/Board Loans

I agree to the terms and conditions of this agreement, and elect to pay tuition and fees on an installment basis. A $20.00 processing fee will be assessed upon enrollment. In the event of withdrawal form Tarleton State University, all payments will immediately become due and payable. Installment payments received after the due dates are subject to a $10.00 late fee per late payment.
Promissory Note

I promise to pay to Tarleton State University an amount equal to all loan funds advanced plus required service charges and fees. I understand that failure to repay the loan(s) as agreed will result in the blocking of my grades, transcript, and registration. I hereby waive my right to Short Term Loans should I fail to carry out my responsibilities in regard to any loan granted. Furthermore, I understand this loan represents an obligation to Tarleton State University and to the loan fund from which the loan is made. If the borrower withdraws from Tarleton State University for any reason the amount of the loan(s) is due immediately. I also understand that my signature represents that I have read and am in full agreement with the loan requirements.
Applicant's Signature
Date Date / MM / DD YYYY

Book Loan Application/Promissory Note

Book Loan Application/Promissory Note

Past due loans are subject to all necessary collection fees, late fees, higher interest rates, as well as a report to a national credit bureau.

Installment Agreement (Payment Plan) for Students Choosing Tuition/Fee Loans and/or Room/Board Loans

Promissory Note