Deadline: This completed application form and all other required documentation must be completed by June 1st of each year.
Before beginning this application, please have your most recent statement from your loan company ready to be uploaded. You will not be able to save the form and continue at a later time.
Questions? Call 402-643-2961 or e-mail: joyceb@ndlcms.org
Please select one option.
Please select one option.
Institution Where Most Recent Debt Incurred
Financial Institution or Loan Company
Certification Statement
By submitting this application you are confirming that all of the information provided above and in the accompanying documents is true and correct to the best of your knowledge.
Please consult your tax advisor for income and tax implications. A 1099 will be issued by the NDLCMS.