2005-2006
STUDENT LOAN COUNSELING FOR RETURNING BORROWERSAdverse Credit History: ________________________________________________________________________________________________________________________________________________________________________________________________________________________
Borrower:_______________________________________________________________________________________________________________________________________________________________________________________________________________
Default:_________________________________________________________________________________________________________________________________________________________________________________________________________________
Deferment:______________________________________________________________________________________________________________________________________________________________________________________________________________
Direct Loan Servicing Center: ________________________________________________________________________________________________________________________________________________________________________________________________________________________
Direct Subsidized Loan:
_______________________________________________________________________
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Direct Unsubsidized Loan:
________________________________________________________________________________________________________________________________________________
________________________________________________________________________
Discharge:
________________________________________________________________________________________________________________________________________________
Forbearance:
________________________________________________________________________________________________________________________________________________
Grace Period:
________________________________________________________________________________________________________________________________________________
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NOTE: FAILURE TO COMPLETE THIS FORM ACCURATELY WILL
DELAY THE PROCESSING OF YOUR LOAN!
SIGNATURE:_________________________________________ DATE:________________________