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H-18 Private Education Loan Application and Solicitation Model Form
Page 1 of 2

[Creditor Name]
[Creditor Address}

Rates & Loan Terms
Current Starting Interest Rates between:

%

Your starting rate

%

and

[Description of how rate is determined, if applicable]

Maximum Interest Rate
Your interest rate will vary with the market based on the [Index] Rate (a

Term of Loan:

publicly available interest rate we use to set the variable rate) but [descrip-

[Applicable loan term or terms]

tion of maximum rate or lack thereof]. The rate can change [frequency of
rate changes] and [description of limit on rate increase at any one time, or lack
thereof].

Fees
[Itemization of fees]

Repayment Options & Sample Costs
In-School Repayment options

Sample Loan
amount

(available while continuously enrolled in School)

Sample Interest Rate

Sample Total Paid

(highest possible starting rate)

(over [term of loan], including fees)

1. [REPAYMENT OPTION]

$10,000.00

[Rate]

[Total Cost]

$10,000.00

[Rate]

[Total Cost]

$10,000.00

[Rate]

[Total Cost]

[Description]

2. [ADDITIONAL REPAYMENT OPTION]
[Description]

3. [ADDITIONAL REPAYMENT OPTION]
[Description]

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students

PLUS
for Parents

Current Interest Rates

[Rate] fixed

You may qualify for Federal education loans.
For additional information, contact your

[Rate] fixed

Undergraduate subsidized

[Rate] fixed

Undergraduate unsubsidized & Graduate

[Rate] fixed

Federal Family Education Loan

[Rate] fixed

Federal Direct Loan

school’s financial aid office or the Department of Education at:
federalstudentaid.ed.gov

Page 2 of 2

Next Steps
1. Find Out More About Other Loan Options.
Some schools have school-specific student loan benefits and terms not detailed
on this form. Contact your school’s financial aid office or visit the Department
of Education’s web site at federalstudentaid.ed.gov for more information about
other loans.

2. To Apply for this Loan, Complete the Application and the School
Certification Form.
You may get the certification form from your school’s financial aid office. If you
are approved for this loan, the loan terms will be available for 30 days (terms will
not change during this period, except the variable interest rate may change based
on adjustments to the index).

REFERENCE NOTES

Variable Interest Rate
[Variable interest rate information, if applicable]
Eligibility Criteria
[Description of eligibility criteria]
About the Repayment Example
[Description of repayment example assumptions]

H-19 Private Education Loan Approval Model Form
Page 1 of 2

BORROWER:
[Name]
[Address]

CREDITOR:
[Name]
[Address]

Loan Rates & Estimated Total Costs
Amount Financed

Interest Rate

The amount of credit provid-

Your current interest rate

ed to you or on your behalf.

Finance Charge

Total of Payments

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

YOUR RATE IS VARIABLE
[Description that rate varies and how it is determined, if applicable] For more information on this variable rate, see
notes on next page.
Based on the current interest rate, your [estimated] annual percentage rate (APR), which is the cost of your loan
as a yearly rate, is [APR]%.

ITEMIZATION OF AMOUNT FINANCED

OTHER FEES
• [Itemization of fees]

Total Amount Financed

Estimated Repayment Schedule & Terms
PAYMENT SCHEDULE

[Loan Term]

[PAYMENT PERIOD, e.g. MONTHLY PAYMENTS)
at [Interest Rate]%

at [Maximum Rate]%

the current rate of your loan

[Maximum rate description]

The estimated Total of
Payments at [Maximum
rate description] would be

[Dates of deferment period,
if applicable]
deferment period

No payment required

No payment required

($[Amount of accrued interest] in

(interest will accrue during this

interest will accrue during this time)

time)

[Payment due dates]
[number of monthly payments]

[Payment Amount]

[Payment Amount]

[Payment Amount]

[Payment Amount]

monthly payments

[Payment due dates]
[number of monthly payments]
monthly payments

$[total payment amount].

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students

PLUS
for Parents

Current Interest Rates

You may qualify for Federal education loans.

[Rate] fixed

For additional information, contact your
school’s financial aid office or the Depart-

[Rate] fixed

Undergraduate subsidized

[Rate] fixed

Undergraduate unsubsidized & Graduate

[Rate] fixed

Federal Family Education Loan

[Rate] fixed

Federal Direct Loan

ment of Education at:
federalstudentaid.ed.gov

Next Steps & Terms of Acceptance
This offer is good until:

1. Find Out More About Other Loan Options.
Some schools have school-specific student loan benefits and terms
not detailed on this form. Contact your school’s financial aid office
for more information.

[Date of acceptance deadline]
If you have not accepted by [Date of acceptance
deadline] we may change the terms of this offer.

2. The Terms of this Loan Offer Are Good for 30 days.
You have 30 days from the approval date to accept this offer. The
terms of this offer will not change, except that the interest rate may
vary with the market rate listed above. To accept the terms [Description of method of acceptance].

REFERENCE NOTES
[Variable] Interest Rate:

Repayment Options:

• [Variable rate information, if applicable] The interest rate may be higher

• [Description of deferment options, if applicable]

or lower than your Annual Percentage Rate (APR) because the APR
accounts for the Interest Rate and certain fees you must pay to obtain

Prepayments:

this loan, and whether you defer (postpone) payments while in school.

• [Prepayment disclosure]

• [Description of limitations on rate increases, or lack thereof]

Security
• You are giving a security interest in [description, if applicable]

• [Description of effect of an increase]
See your contract documents for any additional information about nonBankruptcy Limitations

payment, default, any required repayment in full before the scheduled

• If you file for bankruptcy you may still be required to pay back this

date, and prepayment refunds and penalties.

loan.

H-20 Private Education Loan Final Model Form
Page 1 of 2

BORROWER:
[Name]
[Address]

RIGHT TO CANCEL
You have a right to cancel this transaction, without penalty, by
midnight on [Deadline for cancellation]. No funds will be disbursed to you or to your school until after this time. You may
cancel by [Method of cancellation].

CREDITOR:
[Name]
[Address]

Loan Rates & Estimated Total Costs
Amount Financed

Interest Rate

The amount of credit provid-

Your current interest rate

ed to you or on your behalf.

Finance Charge

Total of Payments

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

YOUR RATE IS VARIABLE
[Description that rate varies and how it is determined, if applicable] For more information on this variable rate, see
notes on next page.
Based on the current interest rate, your [estimated] annual percentage rate (APR), which is the cost of your loan
as a yearly rate, is [APR]%.

ITEMIZATION OF AMOUNT FINANCED

OTHER FEES
• [Itemization of fees]

Total Amount Financed

Estimated Repayment Schedule & Terms
PAYMENT SCHEDULE

[Loan Term]

[PAYMENT PERIOD, e.g. MONTHLY PAYMENTS)
at [Interest Rate]%

at [Maximum Rate]%

the current rate of your loan

[Maximum rate description]

The estimated Total of
Payments at [Maximum
rate description] would be
$[total payment amount].

[Dates of deferment period,
if applicable]
deferment period

No payment required

No payment required

($[Amount of accrued interest] in

(interest will accrue during this

interest will accrue during this time)

time)

[Payment due dates]
[number of monthly payments]

[Payment Amount]

[Payment Amount]

[Payment Amount]

[Payment Amount]

monthly payments

[Payment due dates]
[number of monthly payments]
monthly payments

Page 2 of 2

REFERENCE NOTES

[Variable] Interest Rate:

Repayment Options:

• [Variable rate information, if applicable] The interest rate may be higher

• [Description of deferment options, if applicable]

or lower than your Annual Percentage Rate (APR) because the APR
accounts for the Interest Rate and certain fees you must pay to obtain

Prepayments:

this loan, and whether you defer (postpone) payments while in school.

• [Prepayment disclosure]

• [Description of limitations on rate increases, or lack thereof]

Security
• You are giving a security interest in [description, if applicable]

• [Description of effect of an increase]
See your contract documents for any additional information about nonBankruptcy Limitations

payment, default, any required repayment in full before the scheduled

• If you file for bankruptcy you may still be required to pay back this

date, and prepayment refunds and penalties.

loan.

H-21 Private Education Loan Application and Solicitation Sample
Page 1 of 2

First ABC Bank
12345 1st St
Anytown, CA 93120
(800) 555 - 5555

Rates & Loan Terms
Current Starting Interest Rates between:

7.375%

and

Your starting rate
Your specific rate will be determined based upon your creditworthiness and

17.375%

other factors.

Maximum Interest Rate
Your interest rate will vary with the market based on the LIBOR Rate (a

Term of Loan:

publicly available interest rate we use to set the variable rate) but will never go

amounts up to $20,000:
amounts more than $20,000:

20 years

above 25%. The rate can change once a month and there is no limit on how

30 years

much the rate can increase at one time.

Fees
Application Fee: $15. Origination Fee: The fees that we charge to make this
loan range from 0% to 6%. Late Charge: 5% of the amount of the past due
payment, or $25, whichever is greater. Returned check charge: up to $25.

Repayment Options & Sample Costs
In-School Repayment options

Sample Loan
amount

(available while continuously enrolled in School)

1. MAKE NO PAYMENTS

Sample Interest Rate

Sample Total Paid

(highest possible starting rate)

(over 20 years, including fees)

$10,000.00

17.375%

$67,780.47

$10,000.00

17.375%

$46,332.56

$10,000.00

17.375%

$38,044.68

Interest will be charged and added to your loan

2. PAY THE INTEREST ONLY
Defer payments on the principal amount

3. MAKE FULL PAYMENTS
Pay principal and interest

See reference notes on next page for more information about this example.

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students

PLUS
for Parents

Current Interest Rates

5% fixed

You may qualify for Federal education loans.
For additional information, contact your
school’s financial aid office or the Depart-

6% fixed

Undergraduate subsidized

6.8% fixed

Undergraduate unsubsidized & Graduate

8.5% fixed

Federal Family Education Loan

7.9% fixed

Federal Direct Loan

ment of Education at:
federalstudentaid.ed.gov

Page 2 of 2

Next Steps
1. Find Out More About Other Loan Options.
Some schools have school-specific student loan benefits and terms not detailed
on this form. Contact your school’s financial aid office or visit the Department
of Education’s web site at federalstudentaid.ed.gov for more information about
other loans.

2. To Apply for this Loan, Complete the Application and the School
Certification Form.
You may get the certification form from your school’s financial aid office. If you
are approved for this loan, the loan terms will be available for 30 days (terms will
not change during this period, except the variable interest rate may change based
on adjustments to the index).

REFERENCE NOTES
Variable Interest Rate

• Must be 18 years or older at the time of loan application.

• This loan has a variable interest rate, that is based on a publicly available index, the London Interbank Offered Rate (LIBOR). Your rate will

More information about loan eligibility is available in your loan ap-

be calculated each month by adding a margin between 3% and 14%

plication and promissory note.

to the LIBOR.
Eligibility Criteria
Borrower
• Must be enrolled at an eligible school at least half-time
• Must be 18 years or older at the time of loan application.
Co-signers
• A co-signer is not required, but rates are typically higher without a
co-signer

About the Repayment Example
The repayment example above is based on the highest starting rate
currently available and associated fees. It assumes that the borrower
remains in school for 4 years and has a 6 month grace period before
beginning repayment. Repayment will last 20 years.

H-22 Private Education Loan Approval Sample
Page 1 of 2

BORROWER:
Christopher Smith Jr.
1492 Columbus Way
Plymouth, MA 02360

CREDITOR:
First ABC Bank
12345 1st St
Anytown, CA 93120

Loan Rates & Estimated Total Costs
Amount Financed

Interest Rate

$10,000.00

Finance Charge

7.375%

The amount of credit provid-

Total of Payments

$ 25,506.74

$15,506.74

Your current interest rate

ed to you or on your behalf.

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

YOUR RATE IS VARIABLE
A variable rate means that your actual rate could be higher or lower than the interest rate indicated on this form, but
will never exceed a maximum of 25%. The variable rate is calculated using a publicly available index. For more
information on this variable rate, see notes on next page.
Based on the current interest rate, your estimated annual percentage rate (APR), which is the cost of your loan
as a yearly rate, is 7.059%.

ITEMIZATION OF AMOUNT FINANCED
Loan Amount

OTHER FEES
• Late Charge: 5% of the amount of the past

$10,000.00

Lender Fee to make the loan
(Origination Fee)
Total Amount Financed

due payment, or $25, whichever is greater.
Returned check charge: up to $25.

$0.00
$10,000.00

Estimated Repayment Schedule & Terms
MONTHLY PAYMENTS

PAYMENT SCHEDULE

20 Year Loan Term

at 7.375%

at 25%

the current rate of your loan

the maximum rate possible with
your loan

Sep 1, 2009 - Feb 28, 2014
deferment period

Mar 1, 2014 - Feb 28, 2034
239 monthly payments

Mar 1, 2034
1 monthly payment

No payment required

No payment required

($3,318.75 in interest will accrue

(interest will accrue during this

during this time)

time)

$106.28

$445.87

$105.82

$452.76

The estimated Total of
Payments at the Maximum
Rate of Interest would be
$107,015.69

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students

PLUS
for Parents

Current Interest Rates

You may qualify for Federal education loans.

5% fixed

For additional information, contact your
school’s financial aid office or the Depart-

6% fixed

Undergraduate subsidized

6.8% fixed

Undergraduate unsubsidized & Graduate

8.5% fixed

Federal Family Education Loan

7.9% fixed

Federal Direct Loan

ment of Education at:
federalstudentaid.ed.gov

Next Steps & Terms of Acceptance
This offer is good until:

1. Find Out More About Other Loan Options.
Some schools have school-specific student loan benefits and terms
not detailed on this form. Contact your school’s financial aid office
for more information.

January 21, 2009
If you have not accepted by January 21, 2009 we
may change the terms of this offer.

2. The Terms of this Loan Offer Are Good for 30 days.
You have 30 days from the approval date to accept this offer. The
terms of this offer will not change, except that the interest rate may
vary with the market rate listed above. To accept the terms, contact
us at:
First ABC Bank
12345 1st St
Anytown, CA 93120
(800) 555 - 5555

REFERENCE NOTES
Variable Interest Rate:

Repayment Options:

• Your loan has a variable interest rate, that is based on a publicly

• Although you elected to defer (postpone) payments, you can still make

available index, the London Interbank Offered Rate (LIBOR), which

payments during this time. You can also choose to change your defer-

is currently 4.375%. Your rate is calculated each month by adding a

ment choice to: Pay Interest Only or Make Full Payments.

margin of 3% to the LIBOR. The interest rate may be higher or lower
than your Annual Percentage Rate (APR) because the APR accounts

Prepayments:

for the Interest Rate and certain fees you must pay to obtain this loan,

• If you pay off early, you will not have to pay a penalty. You will not be

and whether you defer (postpone) payments while in school.

entitled to a refund of part of the finance charge.

• The rate will not increase more than once a month, but there is no limit
on the amount that the rate could increase at one time. Your rate will

See your contract documents for any additional information about non-

never exceed 25%.

payment, default, any required repayment in full before the scheduled

• Any increase will take the form of higher monthly payments.
Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.

date, and prepayment refunds and penalties.

H-23 Private Education Loan Final Sample
Page 1 of 2

CREDITOR:
First ABC Bank
12345 1st St
Anytown, CA 93120
(800) 555 - 5555

BORROWER:
Christopher Smith Jr.
1492 Columbus Way
Plymouth, MA 02360

RIGHT TO CANCEL
You have a right to cancel this transaction, without penalty, by
midnight on January 20, 2009. No funds will be disbursed to
you or to your school until after this time. You may cancel by
calling us at 800-555-5555.

Loan Rates & Estimated Total Costs
Amount Financed

Interest Rate

$10,000.00

Finance Charge

7.375%

The amount of credit provid-

Total of Payments

$ 25,506.74

$15,506.74

Your current interest rate

ed to you or on your behalf.

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

YOUR RATE IS VARIABLE
A variable rate means that your actual rate could be higher or lower than the interest rate indicated on this form.
There is no maximum rate. The variable rate is calculated using a publicly available index. For more information on
this variable rate, see notes on next page.
Based on the current interest rate, your estimated annual percentage rate (APR), which is the cost of your loan
as a yearly rate, is 7.059%.

ITEMIZATION OF AMOUNT FINANCED
Loan Amount

OTHER FEES
• Late Charge: 5% of the amount of the past

$10,000.00

Lender Fee to make the loan
(Origination Fee)
Total Amount Financed

due payment, or $25, whichever is greater.
Returned check charge: up to $25.

$0.00
$10,000.00

Estimated Repayment Schedule & Terms
MONTHLY PAYMENTS

PAYMENT SCHEDULE

20 Year Loan Term

Sep 1, 2009 - Feb 28, 2014
deferment period

Mar 1, 2014 - Feb 28, 2034
239 monthly payments

Mar 1, 2034
1 monthly payment

at 7.375%

at 21%

the current rate of your loan

Your loan has no maximum rate.

ments if your rate rises to

Your payments will be higher if the

21% would be $82,987.39.

rate increases above 21%.

Your Total of Payments will

No payment required

No payment required

($3,318.75 in interest will accrue

(interest will accrue during this

during this time)

time)

$106.28

$345.75

$105.82

$353.14

The estimated Total of Pay-

be higher if rate increases
above 21%.

Page 2 of 2

REFERENCE NOTES

Variable Interest Rate:

Repayment Options:

• Your loan has a variable interest rate, that is based on a publicly

• Although you elected to defer (postpone) payments, you can still make

available index, the London Interbank Offered Rate (LIBOR), which

payments during this time. You can also choose to change your defer-

is currently 4.375%. Your rate is calculated each month by adding a

ment choice to: Pay Interest Only or Make Full Payments.

margin of 3% to the LIBOR. The interest rate may be higher or lower
than your Annual Percentage Rate (APR) because the APR accounts

Prepayments:

for the Interest Rate and certain fees you must pay to obtain this loan,

• If you pay off early, you will not have to pay a penalty. You will not be

and whether you defer (postpone) payments while in school.

entitled to a refund of part of the finance charge.

• The rate will not increase more than once a month, but there is no limit
on the amount that the rate could increase at one time. Your loan has

See your contract documents for any additional information about non-

no maximum rate.

payment, default, any required repayment in full before the scheduled

• Any increase will take the form of higher monthly payments.
Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.

date, and prepayment refunds and penalties.