Federal Family Education Loan Program (Page 2 of 8) in pdf

Borrower Name

Social Security Number

Please print.

Section D.1. Education Loan Indebtedness — Loans You Want to Consolidate

Read the instructions before completing this section. List each federal education loan you want to consolidate, including each loan (if any) currently held by the lender that will be

consolidating your loans. Use the Loan Codes listed in the instructions. The loan holder/servicer is the entity to which you send your payments. If you need to list additional loans, use the

Additional Loan Listing Sheet included in this package. (If an Additional Loan Listing Sheet is not included, you may obtain one from your consolidating lender.) List each loan separately.

Please print. ONLY LIST LOANS THAT YOU WANT TO CONSOLIDATE IN THIS SECTION.

15. Loan Code

16. Loan Holder/Servicer Name and Mailing Address

17. Loan Account Number

18. Interest Rate 19. Estimated Payoff Amount

(See Instructions)

20. Grace Period End Date – If any of the loans that you have selected for consolidation are in a grace period, you can delay

the processing of your Federal Consolidation Loan until the end of your grace period by entering your expected grace period end

(month/year)

date in the space provided. If you leave this field blank, your Federal Consolidation Loan will be processed and any selected loans

that are in a grace period will enter repayment immediately upon consolidation.

Section D.2. Education Loan Indebtedness — Loans You Do Not Want to Consolidate

Read the instructions before completing this section. List each education loan that you are not consolidating but want considered in calculating your maximum repayment period.

Remember to include each loan (if any) held by the lender that will be consolidating your loans, but that you do not want to include in your Federal Consolidation Loan. Use the Loan Codes

listed in the instructions. The loan holder/servicer is the entity to which you send your payments. If you need to list additional loans, use the Additional Loan Listing Sheet included in this

package. (If an Additional Loan Listing Sheet is not included, you may obtain one from your consolidating lender.) List each loan separately. Please print. ONLY LIST LOANS THAT YOU DO

NOT WANT TO CONSOLIDATE IN THIS SECTION.

21. Loan Code

22. Loan Holder/Servicer Name and Mailing Address

23. Loan Account Number

24. Interest Rate 25. Current Balance

(See Instructions)

Submit pages 1, 2, and 3

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