Student Name: _______________________________ Debt to Income Student Banner ID: ____________________________ Ratio Worksheet Parent Name:_________________________________ for Direct PLUS Loan Appeal Please complete this form in its entirety. Monthly Income Monthly Gross Salary or Pay (father/stepfather): Monthly Gross Salary or Pay (mother/stepmother): Annual Bonuses: ____________ Divide by 12 for monthly amount: Monthly Alimony/Child Support: Other Monthly Income: TOTAL INCOME Amount __________________ __________________ Documentation Included [ ] [ ] __________________ __________________ __________________ [ ] [ ] [ ] __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ [ [ [ [ [ [ [ [ A. Fixed Monthly Debts Monthly Mortgage or Rent (include escrow pymt): Monthly Auto or Other Installment Loan Payments: Minimum Monthly Credit Card Payments: Minimum Credit Line Payments (home equity): Monthly Real Estate Non-Income Loan Payments: Monthly Alimony and Child Support Payments: Monthly Tax and Legal Assessments: Monthly Other Payments: Requested Loan amount $____________ 120 = TOTAL RECURRING MONTHLY DEBT DEBT TO INCOME RATIO (B DIVIDED BY A): ] ] ] ] ] ] ] ] B. C. I understand officials of the university will use the information submitted on this form to determine loan eligibility. By signing below, I authorize the university to verify the information I have provided. I certify the information on this application is complete and correct; I understand that the submission of false information is grounds for rejection of my application. Parent Signature: _______________________________________ Date: _____________________ Contact Email: ________________________________________ Phone: ____________________________ If Debt to Income Ratio (C.) is Contact us at: 38%, please submit this form along with documentation for each item listed. 806-742-3681 finaid.advisor@ttu.edu Student Financial Center, West Hall, Room 301 When the form is completed in full please submit to Student Financial Aid in West Hall Room 301 or fax to 806-880-0880.