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2001 EXIT HANDBOOK

APPLICATION FOR FORBEARANCE FOR UMDNJ
(You must complete both sides of this form)
*Please return completed form to UMDNJ–Student Loan Dept.‚ 335 Georze St. 4th Fl. Liberty Plaza‚ New Brunswick‚ NJ 08903 Telephone (732) 235–9181

 

Name

Account Numbers(s)

Address

City‚

State‚

Zip

Telephone –Home

Telephone – Other

SSN

I request forbearance of my student loan(s) payments‚ beginning _____ and ending _____. I meet the qualification(s) I have checked below‚ and I have attached the required documentation. I understand that I must pay the interest that continues to accrue during this period of forbearance‚ and that the maximum benefit is three years‚ which will be granted to me in periods of not more than six months at a time.

REASON FOR FORBEARANCE: (Check one)

____

Poor health/prolonged illness‚ starting _ _ – and ending Attach explanation of how your health affects your ability to pay this loan(s). Provide physician statement of diagnosis‚ and complete the attached Income & Expense Summary and submit with this application.

____

The total amount of payments I must make on all my Title IV federal education loans is 20% or more of my total monthly gross income. To determine your eligibility for forbearance of payments under this provision‚ provide the following:

Total monthly gross income (the gross amount you receive from employment and other sources before taxes and other deductions): $____________________ (attach copies of last income tax return and most recent pay statement); AND

Total monthly payments on federal education loans. List below‚ or on a separate sheet‚ each federal loan lender (school/financial institution)‚ type of Title IV federal loan (Perkins/NDSL‚ Stafford‚ Direct‚ Consolidation loan‚etc.). the amount you borrowed‚ and the amount of monthly payment for each one. Attach copy of monthly bill for each loan.

Lender:

Type of Loan:

Amount Borrowed

Monthly Payment

1.

 

$

$

2.

 

$

$

3.

 

$

$

4.

 

$

$

5.

 

$

$

_____

Internship/Residency or Other reason. Please attach a description of the conditions) that affects your ability to pay this loan(s)‚ as well as documentation to support your claim.

FORM OF FORBEARANCE (Select one option):

____

Temporarily stop making payments during the period I have indicated above. I am aware that interest will continue to accrete‚ and I wish to pay this interest:

 

____MONTHLY

 

____QUARTERLY

____

Temporarily reducing the amount of my payments from $ to $ during the period I have indicated above.

Signature:

Date:

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