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## Instructions for Completing **Federal Direct Consolidation Loan Application and Promissory Note**  **[ 60** **- DAY CLEARANCE DRAFT 1**  **2 /**  **1 9** **/2013]** Form Approved OMB No. 1845
- 0053 Exp. Date xx/xx/xxxx **BEFORE YOU BEGIN** Gather all of your education loan records, account statements, and bills so that you will have all the information needed to complete the Federal Direct Consolidation Loan Application and Promissory Note (Note). Print using a blue or black ballpoint pen. Enter dates as month

- day

-year (mm

- dd

-yyyy). Use o nly numbers. Example: June 1, 2014 = 06
- 01
- 2014
. Some of the items in the Borrower Information, Loans You W ant to Conso lidate, and Loans You Do Not Want to Consolidate sections may have been completed for you. If so, review these items carefully to make sure the information is correct. Cross out any information that is incorrect and enter the correct information. Put your initials next to any information that you change. **Incorrect or incomplete information may delay processing. BORROWER INFORMATION**  **Item 1.** Enter your last name, then your first name and middle initial. **Item 2:** Enter any former names (such as a maiden name) under which one or more or your loans may have been made. If none, enter N/A. **Item 3:** Enter your nine
- digit Social Security Number. **Item 4:** Enter your date of birth. **Item 5:** Enter your permanent address (number, street, apartment number, or rural route num ber and box number, then city, state, and zip code). If your mailing address is a post office box or general delivery, you must list **both** your permanent address and your mailing address. If you do not have a permanent street address or rural route number a nd box number, provide the physical location of your residence. **Item 6:** Enter the area code and telephone number at which you can most easily be reached. (Do not list your work telephone number here.) If you do not have a telephone, enter N/A. **Item 7 (opti onal):**  Enter your preferred e

- mail address for receiving communications. You are not required to provide this information. If you do, we may use your e - mail address to communicate with you. If you do not have an e

- mail address or do not wish to provide one, enter N/A. **Item 8:** Enter the two

- letter abbreviation for the state that issued your driver’s license, followed by your driver’s license number. If you do not have a driver’s license, enter N/A. **Item 9:** Enter your employer’s name and address (street, city, state, zip code). If you are self

- employed, enter the name and address of your business. If you are not employed, enter N/A. **Item 10:** Enter your work area code and telephone number. If you are self

employed, enter the area code and telephone number of yo ur business. **REFERENCE INFORMATION Item**  **s 11 and**  **12:** Enter the requested information for two adults with different U.S. addresses who do not live with you and who have known you for at least three years. References who live outside the United States are not acceptable. If a reference does not have a telephone number or e

- mail address, or does not wish to provide an e

- mail address, enter N/A. If you provide an e

- mail address for a reference, we may use it to communicate with the reference. **LOANS YOU WANT TO C ONSOLIDATE**  This section asks for information about your federal education loans that you want to consolidate. If you need more space to list loans, use the Additional Loan Listing Sheet included with your Note. To find the information you will need to prov ide for each loan you list in this section , you can look at the last monthly billing statement you received, your quarterly interest statement or annual statement, your coupon book, or the Internet site of your loan holder or servicer. You may also obtain information about your loans by accessing the National Student Loan Data System (NSLDS) at www.nslds.ed.gov. **Items 13 -**  **16:** Enter the requested information for all of your federal education loans that you want to consolidate, including any Direct Loans that you want to consolidate. **To receive a Direct Consolidation Loan, y ou must**  **consolidate at least one Direct Loan or FFEL Pr ogram loan.**  **Item 13:** Enter the code that corresponds to the loan type from the list of loan types and their codes in these instructions. If you are not sure about the loan type, leave this item blank. **Item 14:** Enter the full name and mailing address of the loan holder or the loan holder’s servicer. (This is the address to which you must send your payments.) You must provide at least the name, city, and state of the loan holder or servicer. **Item 15:** Enter the account number for each loan (the number should b e on your statement or in your payment book). If you cannot find the account number, leave this item blank. **Item 16:** Enter the estimated amount needed to pay off the loan, including any unpaid interest, late fees, and collection costs. **Item 17:** If you are in your grace period on any of the loans you wish to consolidate and you want to delay processing of your Direct Consolidation Loan until you have completed your grace period, enter the month and year of your expected grace period end date. If you provide this information, processing of your Direct Consolidation Loan will be delayed until approximately 30
- 60 days before the end of your grace period, and your consolidation loan will not enter repayment until after your grace period ends. If you leave Item 17 blank, processing of your consolidation loan will begin as soon as we receive your completed Note and any other required documents, and any loans listed in Section C1 that are in a grace period will enter repayment immediately upon consolidation. You will then lose the remaining portion of the grace period on these loans. **LOANS YOU DO NOT WANT TO CONSOLIDATE** This section asks for information about your education loans that you are not consolidating, but want to have considered when we determine your maximum repayment period. If you need more space to list loans, use the Additional Loan Listing Sheet included with your Not e. To find the information you will need to provide for each loan you list in this section , see the instructions for the Loans You Want to Consolidate section
. **Items 18 -**  **21:** Enter the requested information for all of your education loans that you do not want to consolidate or that are not eligible for consolidation, but that you want considered when we determine the maximum repayment period for your Direct Consolidation Loan. **Item 18:** Follow the instructions for Item 13. **Item 19:** Follow the instructions for Item 14. **Item 20:** Follow the instructions for Item 15. **Item 21:** Enter the current balance for each loan. Use the amount on your last statement or enter an approximate amo unt. **REPAYMENT PLAN SELECTION** See the instructions in this section of the Note
. **BORROWER UNDERSTANDINGS, CERTIFICAT I**  **ONS, AND AUTHORIZATIONS Items 22** **- 24:**  Carefully read these items.Page **2** of **2** 

## Instructions for Completing Federal **Direct Consolidation Loan Application and Promissory Note (continued) PROMISE TO PAY**  **This is a legally binding contract. Items 25** **- 29:**  Carefully read these items and the entire Note, including the Borrower Understandings, Certifications, and Authorizations in Section E, the Note Terms and Conditions section , and the Borrower’s Rights and Responsibilities Statement on pages 9

- 15. **Item 30:** Sign and date the Note. If you do not sign the Note, your application cannot be processed. **FINAL NOTES** Review all the information on your Note. When you have complete d the form , make a copy for your records and mail the original pages 1, 2, 3 , 4, and 5 to us in the envelope provided, along with the completed form(s) identified in the Repayment Plan Selection” section and any required additional forms or documentation. If you do not have the envelope we provided , mail the Note to the address shown below. As soon as we receive your completed Note and supporting documents, we will begin processing your application (unless you have entered your expected grace period end date in Item 17 of the Loans You Want to Consolidate section ). During this time, we might call you with questions. In the meantime, if you currently are required to make payments on your loans, continue to do so. You will need to continue making payments until you receive written notification that your loans have been successfully consolidated and it is time to start p aying your Direct Consolidation Loan. If you are having difficulty making payments on your loans, contact your loan holder or servicer at the correspondence address or telephone number on your current loan statements to find out ways you might be able to p ostpone loan payments; you should ask speci fically about your “deferment” and “forbearance” options. **IMPORTANT:** We will send you a notice before we pay off your loans. This notice will : 1. P rovide you with information about the loans and payoff amounts that w e have verified with your loan holder(s) or through NSLDS, and 2. Tell you the deadline by which you must notify us if you want to cancel the Direct Consolidation Loan, or if you do not want to consolidate one or more of the loans listed in the notice. The notice that we send will include information about the loans you listed in the Loans You Want to Consolidate section
. If you have additional loans that are with a holder of a loan listed in the Loans You Want to Consolidate section , but you did not list th ose loan s in that section , the notice may also include information about those additional loans. For example, if you have two Subsidized Federal Stafford Loans with Loan Holder A, but you listed only one of these loans in the Loans You Want to Consolidate section , the notice that we send will include information about both of your Subsidized Federal Stafford Loans that are with Loan Holder A. **You must inform us by the deadline**  **specified in the notice if**  **you do not want**  **all of the loans listed in the**  **notice to**  **be consolidated.** The notice may also include information about loans you listed in the Loans You Do Not Want to Consolidate section, but the se loans will **not** be consolidated. **LOAN TYPES AND THEIR CODES Code**  **Loan Type A**  Subsidized Federal Stafford Loans **B** Guaranteed Student Loans (GSL) **C** Federal Insured Student Loans (FISL) **D** Direct Subsidized Loans **E** Direct Subsidized Consolidation Loans **F** Federal Perkins Loans **G** Unsubsidized Federal Stafford Loans ( including Nonsubsidized Stafford Loans) **H** Federal Supplemental Loans for Students (SLS) **I** Direct PLUS Loans for Graduate/Professional Students **J** Unsubsidized Federal Consolidation Loans **K** Direct Unsubsidized Consolidation Loans **L** Direct Unsubsidized Loans **M** National Direct Student Loans (NDSL) **N** National Defense Student Loans (NDSL) **O** Subsidized Federal Consolidation Loans **P** Auxiliary Loans to Assist Students (ALAS) **Q** Health Professions Student Loans (HPSL) **R** Health Education Assistance Loans (HEAL) **S** Federal PLUS Loans for Graduate/Professional Students **T** Federal PLUS Loans for Parents **U** Direct PLUS Loans for Parents **V** Direct PLUS Consolidation Loans **Y** Nursing Student Loans (NSL) **Z** Loans for Disadvantaged Students (LDS) **W** Education loans ineligible for consolidation **WHERE TO SEND YOUR COMPLETED FEDERAL DIRECT CONSOLIDATION LOAN APPLICATION AND PROMISSORY NOTE**  **Mail pages 1, 2, 3, 4, and 5 of**  **your completed Note and any other required forms (see Final Notes, above) to the following address:**  **[INSERT SERVICER ADDRESS]**

**For help completing this form, call [INSERT SERVICER #]**  **. For the hearing impaired, the TDD number is**  **[INSERT SERVICER TDD #]**