Student Loan Consolidation -- Application Form

Your Information is Protected & Secured

I agree to let Golden Financial Services use this information to see if I qualify for a student loan repayment or debt consolidation plan. Golden Financial Services (GoldenFS.org) is a secured website -- secured by HTTPS -- or HyperText Transfer Protocol -- with Secure Sockets Layer, or SSL. HTTPS is a protocol to transfer encrypted data over the Web. When someone sends you financial information, social security numbers, or other sensitive data, HTTPS keeps that transmission secure.
Your Full Name*

First NameMiddle NameLast Name
Telephone Number*
Mobile Number*
E-mail*
Tell us about your situation and goals. How can we help you?
How much federal student loan debt do you need to consolidate? (estimate)*
$
Status of your student loan payments:*

LateGrace PeriodDefermentGarnishmentCurrent
Have you ever consolidated before?*

YesNo
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Is this the address listed on your most recent tax return?*

YesNo

To continue past this point;

You will NEED your Federal Student Aid (FSA-ID) Username & Password ***Make sure to double-check it's correct*** (Click image below -- to create your FSA-ID)
FSA-ID Username:*
Put Your FSA-ID Username
FSA-ID Password:*
Put Your FSA-ID Password
Spouse's FSA-ID Username and Password (if not married and filing joint -- SKIP THIS STEP

If you are married and plan to file a joint tax return for this next-year, your spouse will also need an FSA-ID. They will not be joined onto your loans in any way whatsoever, their FSA-ID is for the purpose of verifying income -- a requirement on the government website.
Spouse's FSA-ID Username:
Put Spouse's FSA-ID Username
Spouse's FSA-ID Password
Put Spouse's FSA-ID Password
Spouse's Birth Date

MonthDayYear
Social Security Number ***do not include the "–" (Numeric Only)***
Enter Full SS# Without Dashes
Back to YOUR personal details...

YOU ARE ALMOST DONE!
Birth Date*

MonthDayYear
Social Security Number ***do not include the "–" (Numeric Only)****
Enter Full SS# WIthout Dashes
Employment Information:

(We will not contact your employer)
Employer *
Employer Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone

Area CodePhone Number

References:
Name of referee 1
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Relationship to you
Name of referee 2
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Relationship to you
Supporting documents required: if you are basing your income on pay-stubs; email them to StudentLoanHelp@GoldenFS.org or fax to 619-773-0900
Declaration

I certify that, to the best of my belief, the information I have provided is complete and true.
Signature of Applicant

First NameLast Name
Date

yearmonthday
Should be Empty:

To continue past this point;