ED Form 1189, 01/95 OMB NO. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part A - Reinsurance and Supplemental Preclaims Assistance Request

Number Principal, Lender & Non-Reinsured

of GA Claim Interest GA

\--Claims\-- \--Paid to Lenders\-- \--Interest\-\--

\(A\) (B) (C)

Reinsurance Request Section:

A-1 Defaults NA MR-1-A NA

A-2 Exempted Claims NA MR-1-B NA

A-3 Bankruptcy (Chapter 12 & 13 NA MR-1-E NA

A-4 Death and Disability NA MR-1-C NA

A-5 Bankruptcy (Chapter 7 & 11) NA MR-1-E NA

A-6 Closed Schools NA MR-1-D NA

A-7 False Certification NA MR-1-D NA

A-8 Lender Of Last Resort Loan NA MR-1-B NA

Number of Total Unpaid Principal

\--Accounts\-- -and Accrued Interest-

\(A\) (B)

Supplemental Preclaims Assistance Section:

A-9 Accounts With No Claim Filed

(SPA initiated On/After 10/1/93) NA NA

ED Form 1189, 01/95 OMB NO. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part B: Additional Reinsurance Request and Lender Referral Fees

Additional

Number Principal, Lender &

of GA Claim Interest

\--Claims\-- \--Paid to Lenders\--

\(A\) (B)

Additional Payment by Agency to Lender Section:

B-1 Defaults NA MR-1-A

B-2 Exempted Claims NA MR-1-B

B-3 Bankruptcy (Chapter 12 & 13) NA MR-1-E

B-4 Death and Disability NA MR-1-C

B-5 Bankruptcy (Chapter 7 & 11) NA MR-1-E

B-6 Closed Schools NA MR-1-D

B-7 False Certification NA MR-1-D

B-8 Lender of Last Resort Loan NA MR-1-B

ED Form 1189, 01/95 OMB NO. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ Of \_\_\_\_ Pages

Part B: Additional Reinsurance Request and Lender Referral Fees
(Continued)

Increase \--Increase in Amounts of Reinsurance Due\-\--

in Number for

Claims Principal, Lender &

\-\--Paid\-\-- -GA Claim Interest-

\(A\) (B)

Understated Reinsurance Claims Section:

B-9 Defaults NA MR-1-A

B-10 Exempted Claims NA MR-1-B

B-11 Bankruptcy (Chapter 12 & 13) NA MR-1-E

B-12 Death and Disability NA MR-1-C

B-13 Bankruptcy (Chapter 7 & 11) NA MR-1-E

B-14 Closed Schools NA MR-1-D

B-15 False Certification NA MR-1-D

B-16 Lender of Last Resort Loan NA MR-1-B

Number of Principal Amount

\-\--Loans\-\-- \-\-\--of Loans\-\-\--

\(A\) (B)

Lender Referral Fee Section:

B-17 Lender Referral Fee NA NA

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims And Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part C: Change in Status Supplemental Reinsurance Request

\-\-\--Account Balance at Conversion\-\-\--

of

Unpaid Principal,

Interest Purchased

Number Additional After Date of Interest &

of Unpaid Reinsurance Pre-11/90 Accrued Other

\--Claims\-- -Principal- \-\--Payment\-\-- \-\-\--SPA\-\-\--
-Interest\-- \--Charges\--

\(A\) (B) (C) (D) (E) (F)

Original Reinsurance Paid for 98%, 90%, 88%, 80%, or 78% of Principal
and Interest Section:

C-1 Death or Disability

NA MR-3-A MR-3-A MR-20 MR-20 MR-20

C-2 Bankruptcy (Chapter 12 & 13)

NA MR-3-C MR-3-C MR-22 MR-22 MR-22

C-3 Bankruptcy (Chapter 7 & 11)

NA MR-3-C MR-3-C MR-22 MR-22 MR-22

C-4 Closed Schools

NA MR-3-B MR-3-B MR-21 MR-21 MR-21

C-5 False Certification

NA MR-3-B MR-3-B MR-21 MR-21 MR-21

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part D: Full Refund of Reinsurance Claims

Outstanding Number Principal Net Outstanding Outstanding of of any
Accrued Interest Non-Reinsured

\--Claims\-- \--Complement\-- \-\-\-\--Due ED\-\-\-\-- -GA Interest- (A)
(B) (C) (D)

Reinsurance Claims Paid in Current Fiscal Year Section:

D-1 Defaults NA MR-5-A MR-5-A MR-5-A

D-2 Exempted Claims NA MR-5-B XXX MR-5-B

D-3 Bankruptcy (Chapter 12 & 13)NA MR-5-E XXX MR-5-E

D-4 Death and Disability NA MR-5-C XXX MR-5-C

D-5 Bankruptcy (Chapter 7 & 11) NA MR-5-E XXX MR-5-E

D-6 Closed Schools NA MR-5-D XXX MR-5-D

D-7 False Certification NA MR-5-D XXX MR-5-D

D-8 Lender of Last Resort Loan NA MR-5-B NA MR-5-B

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part D: Full Refund of Reinsurance Claims

Outstanding Number Principal Net Outstanding Outstanding of of Any
Accrued Interest Non-Reinsured

\--Claims\-- \--Complement\-- \-\-\-\--Due ED\-\-\-\-- -GA Interest- (A)
(B) (C) (D)

Reinsurance Claims Paid in Previous Fiscal Year Section:

D-9 Defaults NA MR-6-A MR-6-A MR-6-A

D-10 Exempted Claims NA MR-6-B XXX MR-6-B

D-11 Bankruptcy (Chapter 12 & 13) NA MR-6-E XXX MR-6-E

D-12 Death and Disability NA MR-6-C XXX MR-6-C

D-13 Bankruptcy (Chapter 7 & 11) NA MR-6-E XXX MR-6-E

D-14 Closed Schools NA MR-6-D XXX MR-6-D

D-15 False Certification NA MR-6-D XXX MR-6-D

D-16 Lender of Last Resort Loan NA MR-6-B NA MR-6-B

ED Form 1189, 01/95 OMB No. 0840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Month Reinsurance Claim Paid by ED
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part E: Refunds for Overpayment and Overbilling

Number Refund

of Net of Any

\--Claims\-- \-\-\--Complement\-\-\-\--

\(A\) (B)

Partial Refund of Reinsurance Claims Section:

E-1 Defaults NA MR-7-A

E-2 Exempted Claims NA MR-7-B

E-3 Bankruptcy (Chapter 12 & 13) NA MR-7-E

E-4 Death and Disability NA MR-7-C

E-5 Bankruptcy (Chapter 7 & 11) NA MR-7-E

E-6 Closed Schools NA MR-7-D

E-7 False Certification NA MR-7-D

E-8 Lender of Last Resort Loan NA MR-7-B

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Month Reinsurance Claim Paid by ED
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part E: Refunds for Overpayment and Overbilling (Continued)

Decrease \--Decrease in Amounts of Reinsurance Due\-\--

in Number for

Claims Principal, Lender &

\-\--Paid\-\-- -GA Claim Interest-

\(A\) (B)

Overstated Reinsurance Claims Section:

E-9 Defaults NA MR-9-A

E-10 Exempted Claims NA MR-9-B

E-11 Bankruptcy (Chapter 12 & 13) NA MR-9-E

E-12 Death and Disability NA MR-9-C

E-13 Bankruptcy (Chapter 7 & 11) NA MR-9-E

E-14 Closed Schools NA MR-9-D

E-15 False Certification NA MR-9-D

E-16 Lender of Last Resort Loan NA MR-9-B

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Collections Received in Month Of
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part F: Default and Bankruptcy Collections

Number Applied to Principal,

of Total Purchased Interest & Applied to

-Accounts- \--Collected\-\-- \--Pre 11/90 SPA\-- -Accrued Interest-

\(A\) (B) (C) (D)

Default Collection Section:

F-1 100%/98% Reinsurance Reimbursement

NA MR-13-A MR-13-A MR-13-A

F-2 90%/88% Reinsurance Reimbursement

NA MR-13-A MR-13-A MR-13-A

F-3 80%/78% Reinsurance Reimbursement

NA MR-13-A MR-13-A MR-13-A

F-4 Lender of Last Resort Loan Collections

NA MR-13-A MR-13-A MR-13-A

Borrower Payment Returned - Status Change Default to Closed School/False
Certification Section:

F-5 Closed Schools

NA MR-2 MR-2 MR-2

F-6 False Certification

NA MR-2 MR-2 MR-2

ED Form 1189, 01/95 OMB No.1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Collections Received in Month Of
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part F: Default and Bankruptcy Collections

Number Applied to Principal,

of Total Purchased Interest & Applied to

-Accounts- \--Collected\-\-- \--Pre 11-90 SPA\-- -Accrued Interest-

\(A\) (B) (C) (D)

Bankruptcy Recovery Section:

F-7 Chapter 12 & 13 Bankruptcies

NA NA MR-14 MR-14

F-8 Chapter 7 & 11 Bankruptcies

NA NA MR-14 MR-14

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Loan Type Code: \_\_\_\_

Part G: Activity on Accounts: Federal Tax Refund Offset

Number Total Applied to

of Collected/ Principal & Applied to

-Accounts- \-\--Activity\-\-- -Purchased Interest- -Accrued Interest-

\(A\) (B) (C) (D)

G-1 IRS Offset

NA NA MR-17 MR-17

G-2 Non-Federal Share Offset

NA NA MR-18 MR-18

G-3 Overpayment Refunds

NA NA MR-4 MR-4

G-4 Injured Spouse Claims

NA NA MR-19 MR-19

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Loans Rehabilitated in Month Of
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part H: Rehabilitated Loans

Outstanding

Principal & Outstanding Outstanding Outstanding

Purchased Accrued Pre-11/90 Other

\--Number\-- \-\--Interest\-\-- \--Interest\-- \-\-\--SPA\-\-\--
\--Charges\--

\(A\) (B) (C) (D) (E)

H-1 100%/98% Reinsurance Reimbursement

NA MR-10

H-2 90%/88% Reinsurance Reimbursement

NA MR-10

H-3 80%/78% Reinsurance Reimbursement

NA MR-10

H-4 Rehabilitated Lender of Last Resort Loan

NA MR-10

**NOTE: MR-10-A Rehabilitated Loans - Principal, Interest and Other
Amounts is the portion that the GA retains.**

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part I: Non-Payment Activity

(This Part **Must** Always Be

Submitted For All Loan Types)

\-\-\--Account Balance at Conver­sion\-\-\--

of

Principal,

Purchased

Number Interest &

of Pre-11/90 Accrued Other

\--Claims\-- \-\-\--SPA\-\-\-- -Interest\-- \--Charges\--

\(A\) (B) (C) (D)

Change of Status for Default and Lender-of-Last-Resort Loan Claims Paid
at 100% Section:

I-1 Bankruptcy (Chapter 12 & 13) NA MR-22 MR-22 MR-22

I-2 Death and Disability NA MR-20 MR-20 MR-20

I-3 Bankruptcy (Chapter 7 & 11) NA MR-22 MR-22 MR-22

I-4 Closed Schools NA MR-21 MR-21 MR-21

I-5 False Certification NA MR-21 MR-21 MR-21

Change of Status Bankruptcy (Chapter 12 and 13) Not Discharged:

I-6 Defaults NA MR-23 MR-23 MR-23

I-7 Lender of Last Resort Loan NA MR-23 MR-23 MR-23

ED Form 1189, 01/95 OMB No. 1840-0582

(Previous Editions Obsolete.) Expiration Date: 9/30/99

Guaranty Agency Monthly Claims and Collections Report

Guaranty Agency State Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For Month
Of (MM-CCYR): \_\_\_-\_\_\_

Guaranty Agency Code: \_\_\_\_\_ Collections Received in Month Of
(MM-CCYR): \_\_\_-\_\_\_

Loan Type Code: \_\_\_\_ Page \_\_\_\_ of \_\_\_\_ Pages

Part J: GA Administrative Wage Garnishment Collections

Number Applied to Principal,

of Total Purchased Interest & Applied to

-Accounts- \--Collected\-\-- \--Pre 11/90 SPA\-- -Accrued Interest-

\(A\) (B) (C) (D)

Default Collection Section:

J-1 100%/98% Reinsurance Reimbursement

NA MR-12-A MR-12-A MR-12-A

J-2 90%/88% Reinsurance Reimbursement

NA MR-12-A MR-12-A MR-12-A

J-3 80%/78% Reinsurance Reimbursement

NA MR-12-A MR-12-A MR-12-A

J-4 Lender of Last Resort Loan Collections

NA MR-12-A MR-12-A MR-12-A

Borrower Payment Returned - Status Change Default to Closed School/False
Certification Section:

J-5 Closed Schools

NA MR-2 MR-2

J-6 False Certification

NA MR-2 MR-2