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By completing and submitting this form, I am informing the Mount that I am currently unable to pay my Fall Term fee instalment to Mount Saint Vincent University as I am awaiting receipt of my student loan, for which I applied in the month indicated below.

Please note that students with Quebec loans or Ontario loans which do not give the University the ability to sign for fee payment to the University are not eligible for this extension.

I recognize that, by completing this agreement, I will be automatically granted an extension of the payment deadline until September 29th, 2017 to allow time for the receipt of my loan, unless notified by Financial Services to the contrary. If I receive notification that my loan application is rejected or is insufficient to cover my fees, I must contact Financial Services immediately to make alternative arrangements for prompt payment of the fees due.

After September 29th, 2017, a late payment fee of $50 will apply, plus interest at the rate of 1%
per month, compounded monthly, until payment is received in full.  I also promise to contact
Financial Services no later than September 29th, 2017, to advise on the status of my funding and discuss terms of any further extension, which is subject to the approval of Financial Services. I recognize that I may be deregistered as a student at the Mount if I violate the terms of this agreement.

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