MPN Supplemental Data Sheet

Name*

First Middle Last

SSN*

Primary Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Driver License

Parent/Spouse Information

Mother/StepMother/Spouse Name*

First Middle Last

Primary Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship To The Borrower*

FatherStepFather/Spouse Name*

First Middle Last

Primary Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship To The Borrower*

Reference Information

First Reference Name*

First Last

Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to the Borrower*

Enter Second Reference Name*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship To The Borrower*

Consent of Borrower*

Checking this box is my agreement to the terms below

Read This Section Carefully and check each. I understand the following information about my student loan(s):
___ I must start repaying my Federal Direct Stafford/Ford Loan, six month after I graduate, leave school, drop below half-time enrollment in school (6 core hours) and whether I graduate or not.
___A student loan is an obligation by signing the Master Promissory Note (MPN) I agreed to repay all loans in full even if I do not finish school, complete my program of study, or fail to complete my program of study within the regular time for program completion, if I am dissatisfied with my education, and If I am unable to get a job after I complete my program.
___I must repay my loan(s) until the loan principal and interest are paid (under a regular repayment schedule, this can take up to 10 years, depending on the total amount that was borrowed.), unless my loans are consolidated, or I have selected special repayment options-such as income-based, extended repayment, or have qualified for a deferment or forbearance.
___If I leave school before my money is received at the school, in some circumstances, the money may be used for educational expenses related to attendance at this school or the money will be returned to the lender.
___If I have questions about repayment and changing payment plans I must contact my loan servicer, lender and financial aid office at this school.
___If I am delinquent on my Federal Direct Stafford/Ford loans, there are steps I can take to avoid default.
___My minimum monthly payment will depend on the type of loan (s) I received, the repayment plan I select and the total amount owed, but generally will not be less than $50 per month.
___For each repayment option, I have been provided with sample information showing anticipated monthly payment amounts, interest costs and total payments based on a range of student levels of indebtedness or the average indebtedness of student and/or PLUS loan borrowers at my school or in my program of study. (See back of this form for repayment options and repayment related information specific to each type of loan.)
___The prevailing interest rate, fees and repayment terms and conditions are specified in the Master Promissory Note and/or the loan disclosure statement that I received. I may have multiple loans made under more than one MPN with different interest rates, fees, terms and conditions.
___I should contact my school, servicer or lender, if I leave school, enroll in another school, drop below half time (6 core hours) address change, get married (name changes), telephone number, references, Social Security number and employer.
___If I miss a payment on my student loans, it immediately becomes delinquent.
___I will be notified, in writing, if any of my loans are sold, transferred and assigned to another loan servicer. I must direct all future correspondence to that servicer.
___If I attend another school at least half time, I can apply for an in-school deferment, which delays my payments but does not cancel them. ___ I should complete the paperwork for a deferment to temporarily postpone my loan, when I am enrolled at least half time at an eligible school, unemployed and experiencing certain other economic hardships specified by federal law. (See back of this form for details on deferment options.)
___If I do not qualify for deferment, request forbearance, if I am experience financial hardship, affected by a local or national emergency and reside in an area that has been designated a disaster area. (See back of this form for details on forbearance.)
___Default means, I didn’t make the schedule payments on my loan for 360 days, the bank wants my entire loan balance plus interest now and seven years of bad credit.
__If I fail to repay my loan, I will be considered in default and the following may result:
*My default status will be reported to national consumer reporting agencies and have a negative effect on my credit rating.
*The entire unpaid amount of my loan, including interest, will become due and payable immediately.
*My federal and state income tax refunds and other federal payments may be withheld.
*I will lose deferment, forgiveness and repayment options.
*I may be sued by the government for collection of the loan. My wages may be garnished.
*I will be assessed collection costs, including attorney fees.
*I may be ineligible to receive any further federal or state financial aid.
*I may lose or be ineligible to obtain a state professional license in my field or be sued.
__ I have read and understand all the information on this form. I have completed all requested items truthfully and accurately, and I have received loan counseling, including repayment option and debt management information. Also, a copy of my NSLDS information about my federal student loans at https://NSLDS.ed.gov

Test

1. I must start repaying my Federal Direct Stafford/Ford Loan:*

a. Six months after I graduate, never if I don’t graduate.
b. Six months after I graduate, leave school, drop below half-time enrollment in school, whether I graduate or not.
c. Six months after I have a full-time job.
d. The loan does not have to be repaid.

2. If I leave school before my loan money is received at the school:*

a. The money can be sent to any other school I choose to attend.
b. I can use the money for anything I want.
c. In some circumstances, the money can be used to pay my balance at this school.
d. The money will be returned to the lender.
e. Either c or d.

3. I should contact my school, servicer or lender if*

4. If I have any questions about repayment of my loans, I should:*

a. Stop making payments on my loan until the Servicer contacts me.
b. Contact the Servicer or the Lender.
c. Contact the financial-aid office at this school.
d. Both b & c.

5. My payment on my Federal Direct Stafford/Ford loan will be at least:*

a. $10/month
b. $50/month or more depending on how much I borrow.
c. $1, 000/month
d. The amount I can afford to pay

6. I must make payments:*

a. For a maximum of five years.
b. Until the loan principal and interest are paid (under a regular repayment schedule, this can take up to 10 years, depending on the total amount that was borrowed).
c. Until I move to another state.

7. Default means:*

a. Nothing. The government made up the word to confused people.
b. I didn’t make the schedule payments on my loan for 360 days.
c. The bank wants my entire loan balance plus interest now.
d. I am no longer required to make monthly payments on my loan.
e. Seven years of bad credit
f. b, c, and e

8. How soon after you miss a payment does your loan become delinquent?*

a. Immediately
b. 30 days
c. 90 days

9. The money from my loan may be used for:*

a. Educational expenses related to attendance at this school.
b. Anything I want.
c. Payment for a car if I need a car to get to school.

10. If I default on my student loan:*

a. My default will be reported to credit bureaus.
b. My default will be reported to any school I have attended, am attending or will attend.
c. I may be sued by the government for collection of the loan.
d. My state and/or federal income tax refunds may be withheld.
e. My wages may be garnished.
f. All of the above.
g. None of the above.

11. If I attend another school at least half time:*

a. I will never have to repay my loan.
b. I can apply for an in-school deferment, which delays my payments but does not cancel them.
c. I never have to pay interest on my first loan.
d. The school I attend will repay my loan.

12. A student loan is an obligation that I must repay in full even if I:*

a. Do not finish school.
b. Cannot get a job upon completing or ending my studies.
c. Become dissatisfied with my program of studies.
d. All of the above.

13. I should complete the paperwork for a deferment when:*

a. I no longer wish to make payments on my loan.
b. I enroll at least half time at an eligible school.
c. I am unemployed.
d. I am experiencing certain other economic hardships specified by federal law.
e. b, c, and d

14. Even if I am delinquent on my Federal Direct Stafford /Ford loans, there are steps I can take to avoid default*

a. True
b. False

15. I should complete the paperwork for a forbearance if I meet one or more of the following conditions:*

a. I don’t want to repay my loans.
b. I am experiencing financial hardship.
c. I am serving on active duty in the U.S. Armed Forces or National Guard.
d. I reside in an area that has been designated a disaster area or affected by a local or national emergency.
e. b, c, and d

MPN Supplemental Data Sheet