Alternative Document Of Income Page 2

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SECTION 4: SPOUSE’S INCOME INFORMATION
If you are married, you must provide your spouse’s income information.
If you are required to complete this section, you must provide the same information for your spouse’s income that is required of
your own income, as explained above in Section 3.
Frequency of payment (Please Check the appropriate box)
Amount of
Employer or Source of Income
Income
Weekly
Bi-weekly
Semi-monthly
Monthly
Yearly
$
$
Check this box if your spouse does not have any taxable income and receive only untaxed income such as
Supplemental Security Income, child support, or federal or state public assistance.
SECTION 5: BORROWER AUTHORIZATION, UNDERSTANDINGS & CERTIFICATION
All borrowers must complete this section. If you are married, your spouse must sign and date below only if you and
your spouse file a joint federal tax return.
 I authorize the school, the lender, the guarantor, the U.S. Department of Education, and their respective agents and
contractors to contact me regarding my loan(s), including repayment of my loan(s), at the current or any future number that I
provide for my cellular telephone or other wireless device using automated telephone dialing equipment or artificial or
prerecorded voice or text messages.
 I understand that my income information may be requested from the IRS even if alternative documentation of my income is
accepted. I understand that if I am married and file a joint federal income tax return with my spouse, my spouse’s income
information, documentation, and signature are required. I understand I must agree to provide to the loan holder on an annual
basis documentation of my income for the purpose of determining my monthly payment amount under the IBR plan.
 I certify that all of the information I have provided on this form and in any accompanying documentation is true, complete, and
correct to the best of my knowledge and belief.
Borrower Signature ____________________________________________ Date (mm-dd-yyyy) __________________
Spouse Signature
_____________________________________ Date (mm-dd-yyyy) __________________
(if required)
Note: Your spouse’s signature is required if you completed Section 4.

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