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

[Creditor Name]
[Creditor Address]
[Creditor Phone Number]

Loan Interest Rate & Fees
Your starting interest rate will be between
%

and

%

Your Starting Interest Rate (upon approval)
The starting interest rate you pay will be determined after you
apply. [Description of how starting rate is determined]. If approved, we will notify you of the rate you qualify for within the
stated range.

Your Interest Rate during the life of the loan

After the starting rate is set, your rate will
then vary with the market

Your rate is variable. This means that your rate could move
lower or higher than the rates on this form. The variable rate
is based upon the [Index] Rate (as published in the [source of
index]). For more information on this rate, see the reference
notes.
[Indication of maximum rate or lack thereof]

Loan Fees
[Itemization of fees]

Loan Cost Examples
The total amount you will pay for this loan will vary depending upon when you start to repay it. This example provides
estimates based upon [number of repayment options] repayment options available to you while enrolled in school.
Repayment Option

Amount Provided

Interest Rate

Loan Term

(while enrolled in school)

(amount provided

(highest possible

(how long you have to

Total Paid over
[term of loan]

directly to you or your

starting rate)

pay off the loan)

(includes associated
fees)

school)

1. [REPAYMENT OPTION]

$10,000

[Rate]

[Loan Term]

[Total Cost]

[description of when

[Description]

repayment begins]

2. [REPAYMENT OPTION]

$10,000

[Rate]

[Loan Term]

[Total Cost]

[description of when

[Description]

repayment begins]

3. [REPAYMENT OPTION]
[Description]

$10,000

[Rate]

[Loan Term]
[description of when
repayment begins]

About this example
[Description of example assumptions]
[Description of other loan terms, if applicable]

[Total Cost]

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students
PLUS
for Parents and
Graduate / Professional
Students

Current Interest Rates by Program Type

[Rate] fixed
[Rate] fixed

Undergraduate subsidized

[Rate] fixed

Undergraduate unsubsidized & Graduate

[Rate] fixed

Federal Family Education Loan

[Rate] fixed

Federal Direct Loan

You may qualify for Federal
education loans.
For additional information, contact
your school’s financial aid office
or the Department of Education
at:
www.federalstudentaid.ed.gov

Next Steps
1. Find Out 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:
www.federalstudentaid.ed.gov for more information about other loans.

2. To Apply for this Loan, Complete the Application and the Self-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 as
permitted by law and the variable interest rate may change based on the market).

REFERENCE NOTES
Variable Interest Rate
• [Variable interest rate information, if applicable]
Eligibility Criteria
• [Description of eligibility criteria]
Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.
More information about loan eligibility and repayment deferral or
forbearance options is available in your loan application and loan
agreement.

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

BORROWER:
[Borrower Name]
[Borrower Address]

CREDITOR:
[Creditor Name]
[Creditor Address]

Loan Rates & Estimated Total Costs
Total Loan Amount

Interest Rate

The total amount you are

Finance Charge

Your current interest rate.

borrowing.

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.

ITEMIZATION OF AMOUNT
FINANCED
Amount paid to you

ABOUT YOUR INTEREST RATE

[Amount]

Amount paid to others on
your Behalf:
• [Institution Name]

+ [Amount]

Amount Financed
[Description]

= [Amount]

Initial finance charges
(total)
• [Charge Type], [Amount]
• [Charge Type], [Amount]

+ [Amount]

Total Loan Amount

=
[Amount]

• Your rate is variable. This means that your actual rate varies with the
market and could be lower or higher than the rate on this form. The variable
rate is based upon the [Index] Rate (as published in the [source of index]).
For more information on this rate, see reference notes.
• Although your rate will vary, it will never exceed [maximum interest rate]
(the maximum allowable [by law] for this loan).
• Your Annual Percentage Rate (APR) is [Rate]. The APR is typically different than the Interest Rate since it considers fees and reflects the cost of your
loan as a yearly rate. For more information about the APR, see reference
notes.

FEES
• [Itemization of Fees, if applicable]

Estimated Repayment Schedule & Terms
[PAYMENT PERIOD, e.g. MONTHLY PAYMENTS]
[LOAN TERM]

at [Interest Rate]%

at [Maximum Rate]%

the current interest rate of your loan

the maximum interest rate possible for your loan

[Dates of Deferment Period,
if applicable]
deferment period

No payment required

No payment required

([Amount of accrued interest] inter-

(Interest will accrue during this

est 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

The estimated Total of
Payments at the Maximum
Rate of Interest would be
[Total Payment Amount].

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students
PLUS
for Parents and
Graduate / Professional
Students

Current Interest Rates by Program Type

[Rate] fixed
[Rate] fixed

Undergraduate subsidized

[Rate] fixed

Undergraduate unsubsidized & Graduate

[Rate] fixed

Federal Family Education Loan

[Rate] fixed

Federal Direct Loan

You may qualify for Federal
education loans.
For additional information, contact
your school’s financial aid office
or the Department of Education
at:
www.federalstudentaid.ed.gov

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

[Date of Acceptance Deadline]

1. Find Out About Other Loan Options.
Contact your school’s financial aid office for more information.

2. You Have Until [Date of Acceptance Deadline] to Accept
this Offer
The terms of this offer will not change except as permitted by law and the
variable interest rate may change based on the market.
To Accept the Terms of this loan,
[Description of method of acceptance]

REFERENCE NOTES
Variable Interest Rate:

Repayment Options:

• Your loan has a variable Interest Rate that is based on a publicly avail-

• [Description of deferment options, if applicable]

able index, the [Index Name], which is currently [Rate]. Your rate is calculated each month by adding a margin of [Margin Rate] to the [Index].
• The Interest Rate may be higher or lower than your Annual Percent-

Prepayments:
• [Prepayment disclosure]

age Rate (APR) because the APR considers certain fees you pay to
obtain this loan, the Interest Rate, and whether you defer (postpone)

Security

payments while in school.

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

• [Description of effect of an increase]
See your loan agreement for any additional information about nonpayBankruptcy Limitations

ment, default, any required repayment in full before the scheduled date,

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

and prepayment refunds and penalties.

loan.

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

BORROWER:
[Borrower Name]
[Borrower Address]

CREDITOR:
[Creditor Name]
[Creditor 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 calling us at [Creditor Phone Number].

Loan Rates & Estimated Total Costs
Total Loan Amount

Interest Rate

The total amount you are

Your current interest rate.

borrowing.

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.

ITEMIZATION OF AMOUNT
FINANCED
Amount paid to you

ABOUT YOUR INTEREST RATE

[Amount]

Amount paid to others on
your Behalf:
• [Institution Name]

+ [Amount]

Amount Financed
[Description]

= [Amount]

Initial finance charges
(total)
• [Charge Type], [Amount]
• [Charge Type], [Amount]

+ [Amount]

Total Loan Amount

=
[Amount]

• Your rate is variable. This means that your actual rate varies with the
market and could be lower or higher than the rate on this form. The variable
rate is based upon the [Index] Rate (as published in the [source of index]).
For more information on this rate, see reference notes.
• There is no limit on the amount the interest rate can increase.
• Your Annual Percentage Rate (APR) is [Rate]. The APR is typically different than the Interest Rate since it considers fees and reflects the cost of your
loan as a yearly rate. For more information about the APR, see reference
notes.

FEES
• [Itemization of Fees, if applicable]

Estimated Repayment Schedule & Terms
[PAYMENT PERIOD, e.g. MONTHLY PAYMENTS]
[LOAN TERM]

[Dates of Deferment Period,
if applicable]
deferment period

the current interest rate of your loan

No Maximum Rate
example at 25%

Though your loan does not

No payment required

No payment required

have a maximum interest

([Amount of accrued interest] inter-

(Interest will accrue during this

est will accrue during this time)

time)

at [Interest Rate]%

[Payment Due Dates]
[number of monthly payments]

[Payment Amount]

monthly payments

monthly payments

(your payments will be higher if
the rate increases above 25%)

[Payment Due Dates]
[number of monthly payments]

[Payment Amount]

[Payment Amount]

[Payment Amount]

rate, an example rate of
25% has been used for
comparative purposes.
The estimated Total of
Payments if your rate rises
to 25% would be [Total
Payment Amount]. Your
Total of Payments will be

(your payments will be higher if

higher if rate increases

the rate increases above 25%)

above 25%.

Page 2 of 2

REFERENCE NOTES
Variable Interest Rate:

Repayment Options:

• Your loan has a variable Interest Rate that is based on a publicly avail-

• [Description of deferment options, if applicable]

able index, the [Index Name], which is currently [Rate]. Your rate is calculated each month by adding a margin of [Margin Rate] to the [Index].
• The Interest Rate may be higher or lower than your Annual Percent-

Prepayments:
• [Prepayment disclosure]

age Rate (APR) because the APR considers certain fees you pay to
obtain this loan, the Interest Rate, and whether you defer (postpone)

Security

payments while in school.

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

• [Description of effect of an increase]
See your loan agreement for any additional information about nonpayBankruptcy Limitations

ment, default, any required repayment in full before the scheduled date,

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

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

Loan Interest Rate & Fees
Your Starting Interest Rate (upon approval)

Your starting interest rate will be between

7.375%

and

The starting interest rate you pay will be determined after you
apply. It will be based upon your credit history and other factors (co-signer credit, school type, etc). If approved, we will
notify you of the rate you qualify for within the stated range.

17.375%

Your Interest Rate during the life of the loan

After the starting rate is set, your rate will
then vary with the market

Your rate is variable. This means that your rate could move
lower or higher than the rates on this form. The variable rate
is based upon the LIBOR Rate (as published in the Wall Street
Journal). For more information on this rate, see the reference
notes.
Although the rate will vary after you are approved, it will never
exceed 25% (the maximum allowable for this loan).

Loan Fees
Application Fee: $15. Origination Fee: The fees that we charge to make this loan range from 0% to 3% of total loan
amount. Loan Guarantee Fee: 0% to 3% of total loan amount. Repayment Fee: The fees we charge when you begin
repayment range from 0% to 3.5% of the total loan amount. Late Charge: 5% of the amount of the past due payment,
or $25, whichever is greater. Returned check charge: up to $25.

Loan Cost Examples
The total amount you will pay for this loan will vary depending upon when you start to repay it. This example provides
estimates based upon three (3) different repayment options available to you while enrolled in school.
Repayment Option

Amount Provided

Interest Rate

Loan Term

(while enrolled in school)

(amount provided

(highest possible

(how long you have to

Total Paid over 20
years

directly to you or your

starting rate)

pay off the loan)

(includes associated
fees)

school)

1. DEFER PAYMENTS

$10,000

17.375%

20 years

Make no payments while enrolled in school.

starting after the

Interest will be charged and added to your loan

deferment period

2. PAY ONLY THE INTEREST

$10,000

17.375%

20 years

Make interest payments but defer payments on

starting after the

the principal amount while enrolled in school.

deferment period

3. MAKE FULL PAYMENTS
Pay both the principal and interest amounts
while enrolled in school.

$10,000

17.375%

20 years

$81,084

$50,707

$38,180

starting after your first
payment

About this example
The repayment example assumes that you remain in school for 4 years and have a 6 month grace period before beginning repayment. It is based
on the highest starting rate currently charged and associated fees. For loan amounts up to $20,000, repayment will last 20 years, starting once
the initial principal payment is made. For loan amounts more than $20,000 repayment will last 30 years, starting once the initial principal payment is
made.

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students
PLUS
for Parents and
Graduate / Professional
Students

Current Interest Rates by Program Type

5% fixed
5.6% fixed

Undergraduate subsidized

6.8% fixed

Undergraduate unsubsidized & Graduate

8.5% fixed

Federal Family Education Loan

7.9% fixed

Federal Direct Loan

You may qualify for Federal
education loans.
For additional information, contact
your school’s financial aid office
or the Department of Education
at:
www.federalstudentaid.ed.gov

Next Steps
1. Find Out 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:
www.federalstudentaid.ed.gov for more information about other loans.

2. To Apply for this Loan, Complete the Application and the Self-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 as
permitted by law and the variable interest rate may change based on the market).

REFERENCE NOTES
Variable Interest Rate

Co-signers

• This loan has a variable interest rate, that is based on a publicly avail-

• Rates are typically higher without a co-signer.

able index, the London Interbank Offered Rate (LIBOR). Your rate will

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

be calculated each month by adding a margin between 3% and 13%
to the LIBOR.
• 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.

Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.

Eligibility Criteria

More information about loan eligibility and repayment deferral or

Borrower

forbearance options is available in your loan application and loan

• Must be enrolled at an eligible school at least half-time.

agreement.

• Must be 18 years or older at the time you apply.

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
Total Loan Amount

Interest Rate

Finance Charge

$18,541.24

7.375%

$10,600.00
The total amount you are

Total of Payments

Your current interest rate.

borrowing.

$ 28,541.24

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

ITEMIZATION OF AMOUNT
FINANCED
Amount paid to you

ABOUT YOUR INTEREST RATE

$0.00

Amount paid to others on
your Behalf:
• ABC State University

+ $10,000

Amount Financed
(total amount provided)

= $10,000

Initial finance charges
(total)
• Origination Fee ($300)
• Loan Guarantee Fee
($300)

+ $600

Total Loan Amount

= $10,600

• Your rate is variable. This means that your actual rate varies with the
market and could be lower or higher than the rate on this form. The variable
rate is based upon the LIBOR Rate (as published in the Wall Street Journal).
For more information on this rate, see reference notes.
• Although your rate will vary, it will never exceed 25% (the maximum allowable for this loan).
• Your Annual Percentage Rate (APR) is 8.23%. The APR is typically different than the Interest Rate since it considers fees and reflects the cost of your
loan as a yearly rate. For more information about the APR, see reference
notes.

FEES
• Late Charge: 5% of the amount of the past due payment, or $25, whichever is greater.
• Returned check charge: up to $25.
• Fee when you begin repaying the loan: 3.5% of loan balance.

Estimated Repayment Schedule & Terms
MONTHLY PAYMENTS
20 YEAR LOAN TERM

at 7.375%

at 25%

the current interest rate of your loan

the maximum interest rate possible for your loan

Sept. 1, 2009 - Oct. 31, 2013
deferment period

Nov. 1, 2013 - Sept. 30, 2033
239 monthly payments

Oct. 1, 2033
1 monthly payment

No payment required

No payment required

($3,799.67 in interest will accrue

(Interest will accrue during this

during this time)

time)

$118.93

$645.41

$116.97

$674.63

The estimated Total of
Payments at the Maximum
Rate of Interest would be
$154,928.

Page 2 of 2

Federal Loan Alternatives
Loan program
PERKINS
for Students
STAFFORD
for Students
PLUS
for Parents and
Graduate / Professional
Students

Current Interest Rates by Program Type

5% fixed
5.6% fixed

Undergraduate subsidized

6.8% fixed

Undergraduate unsubsidized & Graduate

8.5% fixed

Federal Family Education Loan

7.9% fixed

Federal Direct Loan

You may qualify for Federal
education loans.
For additional information, contact
your school’s financial aid office
or the Department of Education
at:
www.federalstudentaid.ed.gov

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

August 1, 2009

1. Find Out About Other Loan Options.
Contact your school’s financial aid office for more information.

2. You Have Until August 1, 2009 to Accept this Offer
The terms of this offer will not change except as permitted by law and the
variable interest may change based on the market.
To Accept the Terms of this loan, 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 avail-

• Although you elected to postpone payments, you can still make pay-

able index, the London Interbank Offered Rate (LIBOR), which is cur-

ments while you are in school. You can also choose to change your

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

deferment choice to: Pay Interest Only or Make Full Payments. More

of 3% to the LIBOR.
• The Interest Rate may be higher or lower than your Annual Percent-

information about repayment deferral or forbearance options is available in your loan agreement.

age Rate (APR) because the APR considers certain fees you pay to
obtain this loan, the Interest Rate, and whether you defer (postpone)

Prepayments:

payments while in school.

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

• The rate will not increase more than once a month, but there is no limit

not be entitled to a refund of part of the finance charge.

on the amount that the rate could increase at one time. Your rate will
never exceed 25%.
• If the Interest Rate increases your monthly payments will be higher.

See your loan agreement for any additional information about nonpayment, default, any required repayment in full before the scheduled date,
and prepayment refunds and penalties.

Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.

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

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

RIGHT TO CANCEL

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

You have a right to cancel this transaction, without penalty, by
midnight on August 4, 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
Total Loan Amount

Interest Rate

Finance Charge

$18,541.24

7.375%

$10,600.00
The total amount you are

Total of Payments

Your current interest rate.

borrowing.

$ 28,541.24

The estimated dollar amount

The estimated amount you

the credit will cost you.

will have paid when you
have made all payments.

ITEMIZATION OF AMOUNT
FINANCED
Amount paid to you

ABOUT YOUR INTEREST RATE

$0.00

Amount paid to others on
your Behalf:
• ABC State University

+ $10,000

Amount Financed
(total amount provided)

= $10,000

Initial finance charges
(total)
• Origination Fee ($300)
• Loan Guarantee Fee
($300)

+ $600

Total Loan Amount

= $10,600

• Your rate is variable. This means that your actual rate varies with the
market and could be lower or higher than the rate on this form. The variable
rate is based upon the LIBOR Rate (as published in the Wall Street Journal).
For more information on this rate, see reference notes.
• There is no limit on the amount the interest rate can increase.
• Your Annual Percentage Rate (APR) is 8.23%. The APR is typically different than the Interest Rate since it considers fees and reflects the cost of your
loan as a yearly rate. For more information about the APR, see reference
notes.

FEES
• Late Charge: 5% of the amount of the past due payment, or $25, whichever is greater.
• Returned check charge: up to $25.
• Fee when you begin repaying the loan: 3.5% of loan balance.

Estimated Repayment Schedule & Terms
MONTHLY PAYMENTS
20 YEAR LOAN TERM

Sept. 1, 2009 - Oct. 31, 2013
deferment period

the current interest rate of your loan

No Maximum Rate
example at 25%

No payment required

No payment required

($3,799.67 in interest will accrue

(Interest will accrue during this

during this time)

time)

at 7.375%

Nov. 1, 2013 - Sept. 30, 2033
239 monthly payments

$118.93

$645.41
(your payments will be higher if
the rate increases above 25%)

Oct. 1, 2033
1 monthly payment

$116.97

$674.63
(your payments will be higher if
the rate increases above 25%)

Though your loan does not
have a maximum interest
rate, an example rate of
25% has been used for
comparative purposes.
The estimated Total of
Payments if your rate rises
to 25% would be $154,928.
Your Total of Payments will
be higher if rate increases
above 25%.

Page 2 of 2

REFERENCE NOTES
Variable Interest Rate:

Repayment Options:

• Your loan has a variable Interest Rate that is based on a publicly avail-

• Although you elected to postpone payments, you can still make pay-

able index, the London Interbank Offered Rate (LIBOR), which is cur-

ments while you are in school. You can also choose to change your

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

deferment choice to: Pay Interest Only or Make Full Payments. More

of 3% to the LIBOR.

information about repayment deferral or forbearance options is avail-

• The Interest Rate may be higher or lower than your Annual Percent-

able in your loan agreement.

age Rate (APR) because the APR considers certain fees you pay to
obtain this loan, the Interest Rate, and whether you defer (postpone)

Prepayments:

payments while in school.

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

• The rate will not increase more than once a month, but there is no limit

not be entitled to a refund of part of the finance charge.

on the amount that the rate could increase at one time. Your rate will
never exceed 25%.
• If the Interest Rate increases your monthly payments will be higher.

See your loan agreement for any additional information about nonpayment, default, any required repayment in full before the scheduled date,
and prepayment refunds and penalties.

Bankruptcy Limitations
• If you file for bankruptcy you may still be required to pay back this
loan.