Section D: Direct Loan Forms

SECTION D

Direct Loan Forms

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-1

Sample Master Promissory Note Manifest

Report Date: 99/99/9999 U.S. DEPARTMENT OF EDUCATION Page: 99

Report Time: 99:99:99 Federal Direct Loan Program

Promissory Note Shipping Manifest

THIS DOCUMENT CONTAINS SENSITIVE INFORMATION PROTECTED BY THE PRIVACY ACT

***********************************************************************************

PROMISSORY NOTE SHIPPING BATCH NUMBER: #AX99999999999999999999

BORROWER’S NAME LOAN MPN ID

STUDENT’S NAME

STUDENT’S CURRENT SSN

------

XXXXXXXXXXXXXXXX, XXXXXXXXX X 999999999XM99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

ABCDEFGHIJKLMNOP, QRSTUVWXY Z 999999999XM99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

BCDEFGHIJKLMNOPQ, RSTUVWXYZ A 999999999XM99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

NUMBER OF NOTES FOR SHIPPING ______

I hereby certify that each borrower named on the enclosed notes/disclosures is accepted for enrollment on at least a half-time basis and is making satisfactory progress in a program that is eligible for the loan type(s) awarded. I certify that each student is an eligible borrower in accordance with the Act. I further certify that each borrower's eligibility for a Pell Grant has been determined, that each borrower is not incarcerated, and that each borrower has been determined eligible for loan(s) in the amount(s) certified. I further certify that the disbursement schedules comply with the requirements of the Act and hereby authorize the Department of Education to adjust disbursement dates if necessary to ensure compliance with the Act. I further certify that, based on records available and due inquiry, each borrower has met the requirements of the Selective Service Act, that each borrower is not liable for an overpayment of any Federal grant made under the Act, and that the information provided in the Borrower and the School sections of the promissory notes/disclosures (including information supplied in electronic format) is true, complete and accurate to the best of my knowledge and belief.

SCHOOL CODE: X99999 NAME: XXXXXXXXXTXXXXXXXXXTXXXXXXXXXTXXXXX

SIGNATURE:______

FAA NAME: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

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February 2000 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-2

Sample PLUS Manifest

Report Date: 99/99/9999 U.S. DEPARTMENT OF EDUCATION Page: 99

Report Time: 99:99:99 Federal Direct Loan Program

Promissory Note Shipping Manifest

THIS DOCUMENT CONTAINS SENSITIVE INFORMATION PROTECTED BY THE PRIVACY ACT

***********************************************************************************

PROMISSORY NOTE SHIPPING BATCH NUMBER: #AX99999999999999

BORROWER’S NAME LOAN ID

STUDENT’S NAME

STUDENT’S CURRENT SSN

------

XXXXXXXXXXXXXXXX, XXXXXXXXX X 999999999X99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

ABCDEFGHIJKLMNOP, QRSTUVWXY Z 999999999X99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

BCDEFGHIJKLMNOPQ, RSTUVWXYZ A 999999999X99999999999

XXXXXXXXXXXXXXXX, XXXXXXXXX X

999999999

NUMBER OF NOTES FOR SHIPPING ______

I hereby certify that each student named on the enclosed

applications/promissory notes is accepted for enrollment on at least a half-

time basis and is making satisfactory progress in a program that is eligible

for the loan type certified. I certify that each borrower is an eligible

borrower in accordance with the Act and has been determined eligible for a

loan in the amount certified. I further certify that the disbursement

schedules comply with the requirements of the Act and hereby authorize the Department of Education to adjust disbursement dates if necessary to ensure compliance with the Act. I further certify that, based on records available

and due inquiry, each student has met the requirements of the Selective

Service Act, that each student is not liable for an overpayment of any

Federal grant made under the Act, and that the information provided in the Borrower, Student and School sections of the applications/promissory notes (including information supplied in electronic format) is true, complete and accurate to the best of my knowledge and belief.

SCHOOL CODE: X99999 NAME: XXXXXXXXXTXXXXXXXXXTXXXXXXXXXTXXXXX

SIGNATURE:______

FAA NAME: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-3

Borrower Information

1. Name (last, 1. Name (last, first, middle initial) and Address (street, city, state, zip code

2. Identification Number(s)

Trejo, Rosa A

111222333S01G99999001

4200 Wilson Blvd.

/ /

111222333U01G99999001

Arlington, VA 22033

/
/

3. Area Code/Telephone Number

(703) 741-9999

School Information

4. School Name and Address (street, city, state, zip code) / 5. School Code/Branch
Technical University
1111 Main St. / Fairfax, VA 22222 / G99999

Loan Information

6. Loan Period / From: MM/DD/YYYY / To: MM/DD/YYYY / 7. Date of This Disclosure Statement (MM/DD/YYYY)
06/01/1999 / 06/01/1999 / 05/05/1999
06/01/1999 / 04/15/2000

8. The chart below shows anticipated disbursement amounts and dates. Actual amounts and dates may vary.

NOTE: THE INTEREST RATE ON YOUR DIRECT SUBSIDIZED AND DIRECT UNSUBSIDIZED LOANS IS VARIABLE.

Anticipated Disbursement / Loan Fee
Dates (Month/Day/Year) / Loan Amount / Percentage / Loan Fee Amount / Net Disbursement
Direct / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Subsidized / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Loan / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Total: / $ 1200.00
Direct / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Unsubsidized / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Loan / 04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
04/01/2000 / $ 100.00 / 3.00 / $ 3.00 / $ 97.00
Total: / $ 1200.00
P IMPORTANT ADDITIONAL LOAN INFORMATION IS PROVIDED ON THE REVERSE SIDE. ANTICIPATED
Antic DISBURSEMENT AMOUNTS AND DATES MAY BE CONTINUED ON THE REVERSE SIDE OF THIS STATEMENT

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-4

Disclosure Statement (continued)

THIS DISCLOSURE STATEMENT REPLACES ANY PREVIOUS DISCLOSURES YOU RECEIVED FOR YOUR LOAN(S).

IF YOU HAVE ANY QUESTIONS ABOUT THIS STATEMENT OR YOUR PROMISSORY NOTE, CONTACT YOUR SCHOOL.

The total of the Loan Amount for both Direct Subsidized Loans and Direct Unsubsidized Loans is the total principal amount certified by

your school on the loan(s) as of the date of this Disclosure Statement. The Net Disbursement Amount reflects the amount you will

actually receive after loan fees are deducted.

For terms applicable to the loan(s), please refer to the Master Promissory Note and the Borrower’s Rights and Responsibilities Statement.

YOU WILL BE NOTIFIED BY YOUR SCHOOL AND BY THE DIRECT LOAN SERVICING CENTER WHEN DISBURSEMENTS ARE

MADE. BEFORE DISBURSEMENTS ARE MADE YOU MUST HAVE SIGNED A PROMISSORY NOTE.

IF YOU DO NOT WANT ALL OR A PORTION OF ANY DISBURSEMENTS REFLECTED ON THIS DISCLOSURE, YOU MAY DECLINE

THE LOAN(S) OR REDUCE THE AMOUNT OF THE LOAN(S) BY NOTIFYING YOUR SCHOOL IN WRITING OR BY RETURNING THE

FUNDS WITHIN THE FOLLOWING TIMEFRAMES:

IF YOUR SCHOOL CREDITS YOUR LOAN(S) TOYOUR STUDENT ACCOUNT, YOU MAY CANCEL ALL OR A PORTION OF THE LOAN(S) BY

INFORMING YOUR SCHOOL WITHIN 14 DAYS AFTER THE DATE YOUR SCHOOL SENDS YOU A DISBURSEMENT NOTICE, OR BY THE FIRST

DAY OF THE PAYMENT PERIOD, WHICHEVER IS LATER.(YOUR SCHOOL CAN TELL YOU THE FIRST DAY OF YOUR PAYMENT PERIOD.)

YOU MUST RETURN ANY FUNDS RECEIVED WITHIN 120 DAYS OF DISBURSEMENT TO AVOID INCURRING INTEREST CHARGES AND LOANS

FEES. (THE LOAN FEE WILL BE REDUCED OR ELIMINATED IN PROPORTION TO THE AMOUNT OF THE DISBURSEMENT RETURNED.)

NOTE: THE INTEREST RATE ON YOUR DIRECT SUBSIDIZED AND DIRECT UNSUBSIDIZED LOAN IS VARIABLE.

KEEP THIS DOCUMENT FOR YOUR RECORDS.

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-5

Sample Disclosure Statement Text Printed by EDExpress

Below is a sample of the Disclosure Statement text that EDExpress prints on a pre-printed Disclosure Statement form. The pre-printed form has a header with the Department logo, a footer with an instruction box, and a large blank space in the middle for EDExpress to print the Disclosure Statement text.

BORROWER INFORMATION------

1. Name (last, first, middle initial) 2. Identification Numbers(s)

and Address (street, city, state, zip code)

123456789012345678901

L234567890123456, F23456789, M. 111222333S01G99999001

A234567890123456789012345678

C234567890123456, ST 12345 3. Area Code/Telephone Number

(703) 741-9999

SCHOOL INFORMATION------

4. School Name and Address (street, city, state, zip code) 5. School Code/Branch

George Mason University

12345 Chain Bridge Road Fairfax, VA 22222 G99999

LOAN INFORMATION------

6. Loan Period From: MM/DD/YYYY To: MM/DD/YYYY 7. Date of This Disclosure Statement 09/01/1999 05/15/2000 (MM/DD/YYYY)

06/01/1999 04/15/2000 09/05/1999

------

8. The chart below shows anticipated disbursement amounts and dates. Actual amounts and

dates may vary.

NOTE: THE INTEREST RATE ON YOUR DIRECT SUBSIDIZED AND

DIRECT UNSUBSIDIZED LOANS IS VARIABLE.

Anticipated Disbursement Loan Fee

Dates (Month/Day/Year) Loan Amount Percentage Loan Fee Amount Net Disbursement

Direct 04/01/2000 $100.00 3.00 $3.00 $97.00

Subsidized 04/01/2000 $100.00 3.00 $3.00 $97.00

Loan 04/01/2000 $100.00 3.00 $3.00 $97.00

04/01/2000 $100.00 3.00 $3.00 $97.00

Total: $1200.00

Direct 04/01/2000 $100.00 3.00 $3.00 $97.00

Unsubsidized 04/01/2000 $100.00 3.00 $3.00 $97.00

Loan 04/01/2000 $100.00 3.00 $3.00 $97.00

04/01/2000 $100.00 3.00 $3.00 $97.00

Total: $1200.00

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-6

Sample Master Promissory Note

(The Sample MPN will be provided as soon as available.)

November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-7

Sample PLUS Promissory Note/Application

(The PLUS Prom Note/Application will be provided as soon as available.)

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-8

06/28/2000

Dear School/Borrower:

While processing the enclosed promissory note(s) batch, we identified the following missing or incorrect information:

_____Alterations to preprinted text without authorized initials

_____Invalid/Missing loan identification number

_____No original signature (Xerox or faxed copy)

_____Driver license incomplete

_____Document in pencil

_____Section/Block ___not completed

_____No signature on document

_____Manifest errors

_____Missing legal text

_____Student or Parent is in default

_____This is a duplicate; we already have a copy

_____This document was torn or damaged at LOC/DLSC

_____Year five loans must be on year five-promissory note

_____Section block numbers 20 and 21 on Plus note needs signature and date

_____Invalid signature. Please provide official state or federal document

to verify/validate signature provided on Promissory Note

_____Immediately, return promissory notes as they are generated and signed

_____Other______

Because we are not permitted by law to alter the original promissory note, we are enclosing it for correction(s) as noted above. Please assist the borrower in completing the promissory note, assuring that the correct information has been incorporated where needed. When the promissory note(s) has been completed and corrected, please return it to the Loan Origination Center so that processing of the loan may continue.

If you have any questions, the Loan Origination Center is available to assist you from 8:00 AM to 8:00 PM, Eastern Standard Time, Monday through Friday. We can be reached, toll-free, at 1-800-848-0978. Our toll-free TDD number for the hearing impaired is 1-800-557-7395.

Please return the corrected promissory note(s) to:

Regular Postal Delivery Express/Overnight Delivery

U.S. Department of Education U. S. Department of Education

Loan Origination Center Loan Origination Center

School Relations School Relations

P. O. Box 5692 474 South Court Street Suite 400

Montgomery, AL 36103-5692 Montgomery, AL 36104

LCEX1V01

Our Mission is to Ensure Equal Access to Education and to Promote Educational Excellence Throughout the Nation

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November 1999 (2000-2001) Direct Loan Technical Reference Appendix

(188 H) D-9