Ffel Consolidation Loan Rebate Fee Report And Remittance Form printable pdf download

Ffel Consolidation Loan Rebate Fee Report And Remittance Form

FFEL CONSOLIDATION LOAN REBATE FEE

REPORT and REMITTANCE FORM

Collection Type – CLRF

1. Lender ID:

8 __ __ __ __ __

2. Servicer ID:

7 __ __ __ __ __ (Optional)

3. Reporting Period: __ __ / __ __ __ __

(MM)

(YYYY)

4. Consolidation Loans Subject to the 1.05% fee; applicable rate: 0 0 0 8 7 5 0

5. Number of Loans:

__ __ __ , __ __ __ , __ __ __

6. End-of-Month Principal Balance:

$ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

7. EOM Accrued Unpaid Interest Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

8. Consolidation Loans Subject to the 0.62% fee, applicable rate: 0 0 0 5 1 6 7

9. Number of Loans:

__ __ __ , __ __ __ , __ __ __

10. End-of-Month Principal Balance:

$ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

11. EOM Accrued Unpaid Interest Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

12. Total Consolidation Loan Rebate Fee: $ __ __ __ , __ __ __ , __ __ __ . __ __

13. Lender’s Check Number: __ __ __ __ __ __ __ __ __ __ __ __

14. Lender Name: _________________________________________________________________

15. Signature: _________________________________

16. Date: ____________________

17. Typed or Printed Name & Title: ___________________________________________________

18. Contact Name & Phone #: ________________________________________________________

ED Form 4-619

OMB No.: 1845-0046

Expiration Date: 05/31/2017

Ffel Consolidation Loan Rebate Fee Report And Remittance Form