Private Student Loan Inquiry Sample Letter Page 4
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4Reduced Private Student Loan Repayment Request Worksheet
Borrower Name:
____________________________
Account Number:
___________________________
I am not able to make my monthly payment of ________ (amount currently due) on my student
loan because I am experiencing a financial hardship.
____ I have attached my most recent pay stubs, bank statement, or other documentation that may
help to verify the amounts listed on this worksheet (mark an X to the left if included).
INCOME: (ex. monthly take home pay)
$
$
A. Total Income:
$
Living Expenses: (ex. Housing, groceries, utilities, telephone, transportation, insurance)
$
$
$
$
$
$
$
$
$
B. Total Expenses:
$
Maximum Available for Student Loan Payment
$ __________
(Total Income Minus Total Expenses)
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