Form 9157p - Loan Interview

LOAN INTERVIEW

PERSONAL & CONFIDENTIAL

Name:

Social Security Number

Major

Local Address:

Permanent Address: (if different)

Apt. No.

Apt. No.

Street

Street

County

City/State

County

City/State

(

)

(

)

(

)

Zip Code

Phone No.:

Cell Phone No.:

Zip Code

Phone No.:

E-Mail

Student I.D. No.

Driver's

State of

Date of

Expected

Address

License No.

Issue of D/L

Birth

Grad Date

Plans for Two Years Beyond Graduation

Employer's Name

Address

City/State

Phone No.

Spouse's Social Security No.

Spouse's Work Phone No.

Spouses' Name

(

)

Address

City/State/Zip

Spouse's Employer

City/State/Zip

Banks

Father, Stepfather or Guardian

Address

City/State

Phone No.

Employer

(

)

Mother, Stepmother or Guardian

Address

City/State

Phone No.

Employer

(

)

TWO REFERENCES FROM HOME LOCALITY OTHER THAN RELATIVES OR STUDENTS

1. Name

Phone No. (

)

Address

City, State

Zip

2. Name

Phone No. (

)

Address

City, State

Zip

TWO RELATIVES OTHER THAN PARENTS WHO WILL ALWAYS KNOW YOUR ADDRESS

1. Name

Phone No. (

)

)

Address

City, State

Zip

2. Name

Phone No. (

)

Address

City, State

Zip

DID YOU RECEIVE A COPY OF THE LOAN PROMISSORY NOTE? ___________

I understand that:

1. I received a student loan and must repay my loan on a timely basis as called for in the repayment agreement that was mutually agreed upon by me and my lending institution.

2. I must contact the lending institution, prior to the due date, if any payment cannot be made for any reason.

3. I must inform my lending institution or billing agent, immediately, of any change in my name or address.

4. I must submit timely certification when requesting deferment, and/or cancellation benefits.

5. I can accelerate or make payments prior to the due date without penalty.

6. I can make payment in excess of the amount due. This can reduce the total amount of interest I will be required to pay over the life of my loan, but may not apply automatically to my next

scheduled payment.

7. I might be eligible to defer, postpone and/or cancel repayment of my loan. The appropriate form to request any one of these privileges can be obtained from the lending institution or billing agent.

8. Provisions of my promissory note may require payment of my loan in minimum monthly (or quarterly) installments.

9. My loan might be subject to late charges if payments are past due depending on the provisions of my promissory note.

10. I might be required to pay the total cost of collection and/or litigation if my loan(s) becomes past due and remains past due without appropriate arrangements to bring it current.

11. Depending upon the promissory note provisions, I might be subject to being reported to Credit Bureaus.

I understand that I will be contacted during the next few months, with further information and instructions.

THE BORROWER ACKNOWLEDGES RECEIPT OF AN EXACT COPY OF THIS LOAN INTERVIEW.

Signature ________________________________________________________________________ Date __________________________________________

RETAIN THIS COPY FOR YOUR RECORDS

9157p (01/02)