Temporary Hardship Forbearance Form - Pantheon Student Solutions printable pdf download

ED-TEMP FORB 12/03

TEMPORARY HARDSHIP FORBEARANCE FORM

Edfinancial Services wants to work with you to ensure the repayment of your student loan(s) is as easy as possible. We offer

a variety of repayment plans and options, such as forbearance, which can temporarily delay the repayment of your loans. If

you are unable to afford the monthly payments on your loan(s) please contact us immediately or read and complete this form

and return it using the enclosed return envelope or by faxing it to (865) 692-6386.

RETURN COMPLETED FORM TO

SOCIAL SECURITY NUMBER ___ ___ ___/ ___ ___/ ___ ___ ___ ___

Edfinancial Services

CUSTOMER’S NAME ________________________________________

P.O. Box 31549

ADDRESS

________________________________________

Knoxville, TN 37930-1549

Fax: 865-692-6386

________________________________________

Please check here for

change of address

________________________________________

TELEPHONE NUMBER (_____)______-____________ALTERNATE TELEPHONE (____)_____-__________

Due to my current financial situation, I am unable to afford the monthly payments on my student loan account(s). I authorize

Edfinancial Services to grant the forbearance for the dates requested below and backdate it as needed to cover any of the

delinquency on my loan(s) at the time the form is processed* (a maximum of twelve (12) months). I authorize Edfinancial

Services to grant forbearance on all of my loans that fall under the guidelines for federally insured loans. I also understand

that during the forbearance period, I am responsible for the interest that accrues on my account. If I do not make payments,

any unpaid interest at the end of the forbearance period will be added to my principal balance (capitalized).

I will resume repayment of this debt within forty-five (45) days of the forbearance end date as determined by Edfinancial

Services. The exact amount of the monthly payments calculated at the end of the forbearance will be in accordance with all

applicable laws governing student loans. I understand that should my situation under which I applied for this forbearance

change, I must notify Edfinancial Services.

* Borrowers are permitted a maximum of 36 months of Temporary Hardship Forbearance throughout the life of the loan(s)

to be processed in no more than 12-month increments.

I understand and agree to the terms and conditions contained on this form.

I am requesting a forbearance to be placed on my loans from __ __ /__ __ /__ __ OR date of delinquency

whichever is earlier not to exceed 12 months. If you wish forbearance to be shorter than the maximum of 12

months, please specify end date of forbearance here: __ __ /__ __ /__ __

The reason I am requesting a forbearance is: (If no reason is given you will be assumed to have financial

hardship.)

I currently am unable to pay the monthly payments on my loan(s).

I will be going back to school within a few months.

Other (please explain)

X________________________________________________________________________________

________________________

CUSTOMER’S SIGNATURE

DATE

Temporary Hardship Forbearance Form - Pantheon Student Solutions

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