Section A: Borrower Section
APPROVAL DISCLOSURE STATEMENT
School Name & Address
William Penn University
201 Trueblood Avenue
Oskaloosa, IA 52577
Fixed Interest Rate
5%
Loan Amount
$2000.00
Loan Term
FA2025/SP2026
Terms and Conditions
REPAYMENT: if I do not complete an educational program at William Penn University (hereinafter called the university) I am obligated to repay the principal and the interest that accrues on the Forgivable Loan beginning six months after withdrawing or cease to be at least a half-time student. I understand that the school will report the amount of my installment payments, along with the amount of this loan to a national credit bureau. Interest on this loan shall accrue from the beginning of the repayment period. Upon my written request, my repayment period may be extended during periods of student deferment
CHANGE IN STATUS: I must notify the Loan Office at the university in writing if I change my Name, Address, Phone #, Social Security # Reference Information, or enrollment Status.
PROMISE TO PAY: I promise to pay the university the sum of amount(s) advanced to me under the terms of this Note, plus interest and other fees which may become due as provided in the Note if I do not complete, I promise to pay up to 100% collection costs plus legal fess and other charges necessary for the collection of any amount not paid when due. I will not sign the Note before reading the provisions on the reverse side. This loan has made to me with security or endorsement. My signatures certify I have read, understand, and agree to the terms and conditions of this Promissory Note. THIS IS A LOAN(S) THAT MUST BE REPAID.
GRACE PERIODS: My initial grace period before beginning repayment is 6 months. My payments will resume after a post-deferment grace period of 6 months that follows a student deferment.
PREPAYMENT: I may prepay all or any part of my unpaid loan balance, plus any accrued interest, at any time without penalty. if I repay more than the amount due for an installment, the excess will be used to repay principal unless I designate it as an advance payment of the next regular installment.
MINIMUM MONTHLY PAYMENT: I will make the minimum monthly repayment of $40 per month.
LATE CHARGES: William Penn University will impose late charges if I do not make a scheduled payment when due or if I fail to submit to the university on or before the due date of the payment, a properly documented written request that I qualify for a student deferment. The university may add the late charges to principal the day after the scheduled repayment was due or include it with the next scheduled repayment after I have received notice of the charge, and such notice is sent before the next installment is due.
REQUEST FOR DEFERMENT: To receive student deferment, I must make a written request to the university and must submit to the university any documentation the university requires to prove my eligibility for this benefit. I am responsible for submitting the appropriate request on time , and I may lose my benefit if I fail to file my rquest on time. Upon making the properly documented written request to the university, I may defer making scheduled installment payments and will not be liable for any interest that otherwise accrue during any period that I am enrolled and attending as a regular student in at lest half - time course of study at an eligible school.
DEFAULT: If I fail to make a scheduled payment when due: If I to submit to the university, on or before the due date of a scheduled payment, documentation that I qualify for a student deferment: or if I fail to comply with the terms and conditions of this promissory note or written repayment agreement, the school may, at its option, declare my loan to be in default and may accelerate my loan (demand immediate payment of the entire unpaid balance of the loan. including principal, interest, late charges, and up to 100% collection costs plus legal fees.
ENTRANCE/EXIT INTERVIEW
YOUR LOAN MAY BE REJECTED IF ALL PORTIONS OF THIS FORM ARE NOT COMPLETED - PLEASE READ CAREFULLY!
IF YOU ARE A DEPENDANT - PLEASE PROVIDE YOUR PARENT(S)/GUARDIAN(S) NAME, ADDRESS, AND OTHER INFORMATION BELOW. * If not, please complete with your information.
MUST PROVIDE 2 SEPARATE ADULT REFERENCES WITH DIFFERENT ADDRESSES
PLEASE Check, ACKOWLEDGING EACH ITEM AS YOU READ
E.C.S.I 181 Montour Run RD Coraopolis, PA 15108
Creditor: William Penn University 201 Trueblood Avenue Oskaloosa, IA 52577 641-673-1039
Loan Rates & Estimated total Costs
Section 3: Application Information
Full Name and Address of School WILLIAM Penn University, 201 Trueblood Ave, Oskaloosa IA 52577
Period of Enrollment Covered by the Loan 8/25/25 – 5/10/26
If the student is not the applicant, provide the student’s name and date of birth.
SECTION 4: APPLICANT SIGNATURE
I certify that I have read and understood the notices in Section 1 and, that to the best of my knowledge, the information provided on this form is true and correct.