Fill - Free fillable FEDERAL PERKINS LOAN MASTER PROMISSORY NOTE (University of Denver) PDF form

FEDERAL PERKINS LOAN MASTER PROMISSORY NOTE

OMB No. 1845-0074 Form Approved Expiration Date 09/30/2018

Page 1 of 4

Section A: Borrower Section

1. Name (last, first, middle initial) and

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

2. Social Security Number

3. Date of Birth (mm/dd/yyyy)

4. Home Area Code/Telephone Number

5. Driver's License Number (List state abbreviation first)

Section B: School Section

6. School Name & Address (street, city, state, zip code)

7. Annual Interest Rate

[Any bracketed clause or paragraph may be included at option of institution]

Terms and Conditions: (Note: Additional Terms and Conditions follow on subsequent pages)

APPLICABLE LAW - The terms of this Federal Perkins Loan Master Promissory Note (hereinafter called the Note) and any disbursements made under this Note shall be

interpreted in accordance with Part E of Title IV of the Higher Education Act of 1965, as amended (hereinafter called the Act), as well as Federal regulations issued under the

Act. All sums advanced under this Note are subject to the Act and Federal regulations issued under the Act.

REPAYMENT - I am obligated to repay the principal and the interest that accrues on my loan(s) to the above-named institution (hereinafter called the School) over a period

beginning 9 months (or sooner if I am a Less-Than-Half-Time Borrower) after the date I cease to be at least a half-time student at an institution of higher education or a

comparable School outside the United States approved by the United States Department of Education (hereinafter called the Department) and ending 10 years later, unless I

request in writing that my repayment period begin sooner. I understand that the School will report the amount of my installment payments, along with the amount of this loan

to at least one national credit bureau. Interest on this loan shall accrue from the beginning of the repayment period. My repayment period may be shorter than 10 years if I am

required by my School to make minimum monthly payments. My repayment period may be extended during periods of deferment, hardship, or forbearance and I may make

graduated installments in accordance with a schedule approved by the Department. I will make my installment payments in equal monthly, bimonthly, or quarterly

installments as determined by the School. The School may round my installment payment to the next highest multiple of $5. [I will make a minimum monthly repayment of

$40 (or $30 if I have outstanding Federal Perkins Loans made before October 1, 1992 that included the $30 minimum payment option or outstanding National Direct Student

Loans) in accordance with the Minimum Monthly Payment Section of the Terms and Conditions contained on the reverse side of this document.]

LATE CHARGES - The School may impose late charges if I do not make a scheduled payment when due or if I fail to submit to the School on or before the due date of the

payment, a properly documented request for any of the forbearance, deferment, or cancellation benefits as described below. No late charges may exceed 20 percent of my

monthly, bimonthly, or quarterly payment. The School may add the late charges to principal the day after the scheduled payment was due or include it with the next

scheduled payment after I have received notice of the charge, and such notice is sent before the next installment is due.

FORBEARANCE, DEFERMENT, OR CANCELLATION - I may apply for a forbearance, deferment, or cancellation on my loan. During an approved forbearance

period, payments of principal and interest, or principal only, may be postponed or reduced. Interest continues to accrue while my loan is in forbearance. During an approved

deferment period, I am not required to make scheduled installment payments on my loan. I am not liable for any interest that might otherwise accrue while my loan is in

deferment. If I meet the eligibility requirements for a cancellation of my loan, the institution may cancel up to 100 percent of the outstanding principal loan amount.

Information on eligibility and application requirements for forbearances, deferments, and cancellations is provided on pages 2 through 4 of this Note. I am responsible for

submitting the appropriate requests on time, and I may lose my benefits if I fail to file my request on time.

DEFAULT - The School may, at its option, declare my loan to be in default if (1) I fail to make a scheduled payment when due; (2) I fail to submit to the School, on or

before the due date of a scheduled payment, documentation that I qualify for a forbearance, deferment, or cancellation; or (3) I fail to comply with the terms and conditions of

this Note or written repayment agreement. The School may assign a defaulted loan to the Department for collection. I will be ineligible for any further federal student

financial assistance authorized under the Act until I make arrangements that are satisfactory to the School or the Department to repay my loan. The School or the Department

shall disclose to credit bureau organizations that I have defaulted and all other relevant loan information. I will lose my right to defer payments and my right to forbearance if

I default on my loan. The School or the Department may accelerate my defaulted loan. Acceleration means that the School or the Department demands immediate payment

of the entire unpaid balance of the loan, including principal, interest, late charges, and collection costs. I will lose my right to receive cancellation benefits for service that is

performed after the date the School or the Department accelerated the loan.

CHANGE OF STATUS - I will inform the School of any change in my name, address, telephone number, Social Security Number, or driver's license number.

AUTHORIZATION: - I authorize the School, the Department, and their respective agents and contractors to contact me regarding my loan request or my loan(s), including

repayment of my loan(s), at the current or any future number that I provide for my cellular phone or other wireless device using automated telephone dialing equipment or

artificial or pre-recorded voice or text messages.

PROMISE TO PAY: I promise to pay the School, or a subsequent holder of the Note, all sums disbursed under the terms of this Note, plus interest and other fees which

may become due as provided in this Note. I understand that multiple loans may be made to me under this Note. I understand that by accepting any disbursements issued

at any time under this Note, I agree to repay the loans. I understand that each loan is separately enforceable based on a true and exact copy of this Note. I understand that I

may cancel or reduce the amount of any loan by not accepting or by returning all or a portion of any disbursement that is issued. If I do not make any payment on any loan

under this Note when it is due, I promise to pay all reasonable collection costs, including attorney fees, court costs, and other fees. I will not sign this Note before reading the

entire Note, even if I am told that I am not required to read it. I am entitled to an exact copy of this Note. This loan has been made to me without security or endorsement.

My signature certifies I have read, understand, and agree to the terms and conditions of this Note.

I UNDERSTAND THAT I MAY RECEIVE ONE OR MORE LOANS UNDER THIS MASTER PROMISSORY NOTE AND THAT I MUST REPAY SUCH

LOANS.

Borrower’s Signature Date

University of Denver

2197 S. University Blvd.

Denver, Colorado 80208

Terms and Conditions (cont.)

Page 2 of 4

DISCLOSURE OF LOAN TERMS - I understand that under this Note, the

principal amount that I owe, and am required to repay, will be the sum of all

disbursements issued unless I reduce or cancel any disbursements. The

School will determine whether to make any loan under this Note after my

loan eligibility is determined. At or before the time of first disbursement for

each loan, a disclosure statement will be provided to me identifying the

amount of the loan and any additional terms of the loan. I may decline a loan

or request a lower amount by contacting the School. Any disclosure

statement I receive in connection with any loan under this Note is hereby

incorporated into this Note.

LOAN REHABILITATION - If I default on my Federal Perkins Loan,

and that loan has not been reduced to a judgment as a result of litigation

against me, I may rehabilitate my defaulted loan by requesting the

rehabilitation and by making a voluntary, on-time, monthly payment, as

determined by the School, each month for nine consecutive months. If I

successfully rehabilitate my defaulted Federal Perkins Loan, I will again be

subject to the terms and conditions and qualify for any remaining benefits

and privileges of this Note and the default will be removed from my credit

history. I understand that I may rehabilitate a defaulted Federal

Perkins Loan only once. After my loan is rehabilitated, collection costs on

the loan may not exceed 24 percent of the unpaid principal and accrued

interest as of the date following the application of the ninth consecutive

payment. If I default on my rehabilitated loan, the cap on collection costs is

removed.

ASSIGNMENT - A loan made under this Note may be assigned by the

School only to the United States, as represented by the United States

Department of Education. Upon assignment, the provisions of this Note

that relate to the School will, where appropriate, relate to the Department.

HARDSHIP REPAYMENT OPTIONS - Upon my written request, the

School may extend my repayment period (1) for up to an additional 10

years if I qualify as a low-income individual during the repayment period;

or (2) for the period necessary beyond my 10 year repayment period if, in

the School’s opinion, prolonged illness or unemployment prevent me from

making the scheduled repayments. Interest will continue to accrue during

any extension of a repayment period.

If I am required by the School to make a minimum monthly payment on my

loan, the School may also permit me to pay less than the minimum monthly

payment amount for a period of not more than one year at a time if I

experience a period of prolonged illness or unemployment. However, such

action may not extend the repayment period beyond 10 years.

GRACE PERIODS - Unless I am a Less-Than-Half-Time Borrower, I will

receive an initial nine-month grace period before the first payment of my

Federal Perkins Loan must be made. After the close of an authorized

deferment period, I will receive a post-deferment grace period of 6 months

before my payments resume. Interest does not accrue during the initial

grace period or during the post-deferment grace period. The nine-month

initial grace period for Federal Perkins Loans does not include any period

up to three years during which I am called or ordered to active duty for

more than 30 days from a reserve component of the Armed Forces of the

United States, including the period necessary for me to resume enrollment

at the next available enrollment period. I must notify the school that made

my loan of the beginning and ending dates of my service, and the date I

resume enrollment. If I am in my initial grace period when called or

ordered to active duty, I am entitled to a new nine-month initial grace period

upon completion of the excluded period.

If I am a Less-Than-Half-Time Borrower with outstanding Federal Perkins

Loans, my repayment period begins when the next scheduled installment of

my outstanding loan is due. If I am a Less-Than-Half-Time Borrower with

no other outstanding Federal Perkins Loans, my repayment begins the

earlier of: 9 months from the date my loan was made, or 9 months from the

date I became a less-than-half-time student, even if I received the loan after

I became a less-than-half-time student.

PREPAYMENT - I may prepay all or any part of my unpaid loan balance,

plus any accrued interest, at any time without penalty. Amounts I repay in

the academic year in which the loan was made and before the initial grace

period has ended will be used to reduce the amount of the loan and will not

be considered a prepayment. If I repay amounts during the academic year

in which the loan was made and the initial grace period has ended, only

those amounts in excess of the amount due for any repayment period shall

be considered a prepayment. If, in an academic year other than the

academic year in which the loan was made, I repay more than the amount

due for an installment, the excess funds will be used to repay principal

unless I designate it as an advance payment of the next regular installment.

MINIMUM MONTHLY PAYMENT - If required by the School, I will

make a minimum monthly payment in the amount of $40 (or $30 if I have

outstanding Federal Perkins Loans made before October 1, 1992 that

included the $30 minimum payment option or outstanding National Direct

Student Loans) or its bimonthly or quarterly equivalent. If the total monthly

payment amount on this loan and any outstanding Federal Perkins Loans I

may have is less than the minimum monthly payment amount established by

the School, the School may still require a minimum monthly payment

amount. A minimum monthly payment amount will combine my obligation

on this and all my outstanding Federal Perkins Loans, unless I have received

loans with different grace periods and deferments. At my request and if I

am eligible, the school may combine this minimum monthly payment

amount with all my outstanding Federal Perkins Loans including those

made at other schools. Under these circumstances the portions of the

minimum monthly payment that will be applied to this loan will be the

difference between the minimum monthly payment amount and the total

amounts owed on a monthly basis on my other Federal Perkins Loans. If

each school holding my outstanding Federal Perkins Loans exercises the

minimum monthly payment amount option, the minimum monthly payment

amount will be divided among the Schools in proportion to the loan amount

advanced by each school if I request this treatment from each School.

FORBEARANCE - Upon making a properly documented written or oral

request to the School, I am entitled to forbearance of principal and interest

or principal only, renewable at intervals of up to 12 months for periods that

collectively do not exceed three years, under the following conditions: If

my monthly Title IV loan debt burden equals or exceeds 20 percent of my

total monthly gross income; if the Department authorizes a period of

forbearance due to a national military mobilization or other national

emergency; or if the School determines that I qualify due to poor health or

for other reasons, including service in AmeriCorps. Interest accrues during

any period of forbearance.

DEFERMENTS - To apply for a deferment, I must request the deferment

from the school. My request does not have to be in writing, but the School

may require that I submit supporting documentation to prove my eligibility

for a deferment. I may defer making scheduled installment payments and

will not be liable for any interest that might otherwise accrue (1) during any

period that I am enrolled and attending as a regular student in at least a half-

time course of study at an eligible School (if the School obtains student

enrollment information showing that I qualify for this deferment, the School

may grant the deferment without my request providing the School notifies

me and gives me the option to cancel the deferment); (2) during any period

that I am enrolled and attending as a regular student in a graduate fellowship

program approved by the Department; engaged in graduate or post-graduate

fellowship-supported study outside the US; enrolled and attending a

rehabilitation training program for disabled individuals approved by the

Department; or engaged in public service that qualifies me to have part or

all of my loan canceled; (3) for a period not to exceed three years during

which I am seeking but unable to find full-time employment; (4) for a

period not to exceed three years, for up to one year at a time, during which I

am experiencing an economic hardship as determined by the School. I may

qualify for an economic hardship deferment for my Federal Perkins Loan if

I provide my school with documentation showing that I have been granted

such a deferment under the William D. Ford Federal Direct Loan or Federal

Family Education Loan program for the period of time for which I am

requesting an economic hardship deferment for my Federal Perkins Loan. If

I am serving as a volunteer in the Peace Corps, I am eligible for an

economic hardship deferment for my full term of service. An economic

hardship deferment based on service as a Peace Corps volunteer may not

exceed the lesser of three years or my remaining period of economic

hardship eligibility; (5) , during any period when I am serving on active

duty during a war or other military operation or national emergency, or

performing qualifying National Guard duty during a war or other military

operation or national emergency (as these terms are defined in 34 CFR

674.34(h) of the Perkins Loan Program regulations) and, for an additional

180-day period following the demobilization date for my service; and (6)

for at least a 30-day period, for up to 13 months following the conclusion

of my active duty military service and initial grace period or until I return

to enrolled student status, whichever is earlier, if I am a member of the

National Guard or other reserve component of the Armed Forces of the

Terms and Conditions (cont.)

Page 3 of 4

United States or a member of such forces in retired status (as these terms

are defined in 34 CFR 674.34(i)(2)) and I was enrolled in a program of

instruction at the time I was called to active duty, or within six months

prior to the time I was called to active duty. Active duty does not include

active duty for training or attendance at a service school or employment

in a full-time, permanent position in the National Guard unless I am

reassigned from that position to another form of active duty service.

I may continue to defer making scheduled installment payments and will

not be liable for any interest that might otherwise accrue for a six-month

period immediately following the expiration of any deferment period

described in this section.

I am not eligible for a deferment while serving in a medical internship or

residency program.

CANCELLATIONS - Upon making a properly documented written

request to the School, I am entitled to have up to 100 percent of the original

principal loan amount of this loan canceled if I perform qualifying service in

the areas listed in paragraphs A through K below. Other cancellation

percentages apply if I perform qualifying service in the areas listed in

paragraphs L and M, as explained in those paragraphs. Qualifying service

must be performed after the enrollment period covered by the loan.

A. Teaching  a full-time teacher in a public or other nonprofit elementary

or secondary school or in a school or location operated by an educational

service agency that has been designated by the Department in accordance

with the provisions of section 465(a)(2) of the Act as a school with a high

concentration of students from low-income families. An official Directory

of designated low-income schools and locations operated by educational

service agencies is published annually by the Department.  a full-time

special education teacher in a public or nonprofit elementary or secondary

school system, including a system administered by an educational service

agency; or  a full-time teacher, in a public or other nonprofit elementary or

secondary school system who teaches mathematics, science, foreign

languages, bilingual education, or any other field of expertise that is

determined by the State Department of Education to have a shortage of

qualified teachers in that State.

B. Early Intervention Services  a full-time qualified professional provider

of early intervention services in a public or other nonprofit program under

public supervision by a lead agency as authorized by section 632(5) of the

Individuals with Disabilities Education Act. Early intervention services are

provided to infants and toddlers with disabilities.

C. Law Enforcement or Corrections Officer  a full-time law

enforcement officer for an eligible local, State, or Federal law enforcement

agency; or  a full-time corrections officer for an eligible local, State, or

Federal corrections agency.

D. Nurse or Medical Technician  a full-time nurse providing health care

services; or  a full-time medical technician providing health care services.

E. Child or Family Service Agency  a full-time employee of an eligible

public or private non-profit child or family service agency who is directly

providing or supervising the provision of services to high-risk children who

are from low-income communities and the families of such children.

F. Attorneys Employed in a Defender Organization  a full-time

attorney employed in a defender organization established in accordance

with section 3006(g)(2) of title 18, U.S.C.

G. Firefighters  a full-time firefighter for a local, State or Federal fire

department or fire district.

H. Tribal College or University Faculty  a full-time faculty member at a

Tribal College or University, as that term is defined in section 316 of title

20, U.S.C.

I. Librarian  a full-time librarian who has a master’s degree in library

science and is employed in an elementary or secondary school that is

eligible for assistance under part A of title I of the Elementary and

Secondary Education Act of 1965, or who is employed in a public library

that serves a geographic area that contains one or more such schools.

J. Speech-Language Pathologist  a full-time speech-language pathologist

who has a master’s degree and who is working exclusively with schools that

are eligible for assistance under title I of the Elementary and Secondary

Education Act of 1965.

K. Service in an Early Childhood Education Program  a full-time staff

member in the educational component of a Head Start program, or a full-

time staff member in a pre-kindergarten or child care program that is

licensed or regulated by the State. The program must be operated for a

period comparable to a full School year and must pay a salary comparable

to an employee of a local educational agency.

Cancellation Rates - For each completed year of service under paragraphs

A, B, C, D, E, F, G, H, I, and J a portion of this loan will be canceled at the

following rates:

 15 percent of the original principal loan amount for each of the first and

second years;  20 percent of the original principal loan amount for each of

the third and fourth years; and  30 percent of the original principal loan

amount for the fifth year.

For each completed year of service under paragraph K (Service in an Early

Childhood Education Program), a portion of this loan will be canceled at

the rate of 15 percent of the original principal loan amount .

L. Military Cancellation - Upon making a properly documented written

request to the School, I am entitled to have up to 100 percent of the

principal amount of this loan canceled for qualifying service performed after

the enrollment period covered by the loan as:  a member of the Armed

Forces of the United States in an area of hostilities that qualifies for special

pay under section 310 of Title 37 of the United States Code.

Cancellation Rate - For each completed year of service under the Military

Cancellation provision. This loan will be canceled at the following rates: 

15 percent of the original principal loan amount for each of the first and

second years;  20 percent of the original principal loan amount for each of

the third and fourth years; and  30 percent of the original principal loan

amount for the fifth year.

M. Volunteer Service Cancellation - Upon making a properly documented

written request to the School, I am entitled to have up to 70 percent of the

original principal loan amount of this loan canceled for qualifying service

performed after the enrollment period covered by the loan as:  a volunteer

under the Peace Corps Act;  a volunteer under the Domestic Volunteer

Service Act of 1973 (ACTION programs).

Cancellation Rate - For each completed year of service under the

Volunteer Service Cancellation provision, a portion of this loan will be

canceled at the following rates:

 15 percent of the original principal loan amount for each of the first and

second 12-month periods of service; and  20 percent of the original

principal loan amount for each of the third and fourth 12-month periods of

service.

DISCHARGES - My obligation to repay this loan may be partially or

totally discharged for the reasons specified in paragraphs A, B, C, and D

below.

A. Death - In the event of my death, the School will discharge the total

amount owed on this loan.

B. Total and Permanent Disability - Upon making a properly documented

written request to the U.S. Department of Education, the total amount owed

on this loan may be discharged if the Department determines that I am

totally and permanently disabled as defined in the Act and I meet certain

other requirements.

C. School Closure - Under certain conditions, my total liability will be

discharged, including refunding any amounts I have already paid on the

loan, if I was unable to complete the program in which I was enrolled

because my School closed.

Terms and Conditions (cont.)

Page 4 of 4

D. Bankruptcy - Under certain conditions, my loan may be discharged in

bankruptcy. In order to discharge a loan in bankruptcy, I must prove undue

hardship in an adversary proceeding before the bankruptcy court.

Disclosure of Information

STUDENT LOAN OMBUDSMAN - If I dispute the terms of my

Federal Perkins Loan in writing to my School, and my School and I are

unable to resolve the dispute, I may seek the assistance of the Department

of Education’s Student Loan Ombudsman. The Student Loan

Ombudsman will review and attempt to informally resolve the dispute.

Notice About Subsequent Loans Made Under This

Master Promissory Note

This Note authorizes the School to disburse multiple loans

during the multi-year term of this Note upon my request and upon

the School's determination of my loan eligibility.

Subsequent loans may be made under this Note for the same or

subsequent periods of enrollment at this School. The School,

however, may, at its discretion, close this Note at any time and

require me to sign a new Note for additional disbursements. I

understand that if my School chooses to make subsequent loans

under this Note, no such loans will be made after the earliest of the

following dates: (i) the date the School receives my written notice

that no further loans may be disbursed under this Note; (ii) twelve

months after the date of my signature on this Note if no

disbursement is made during such twelve-month period; or (iii) ten

years after the date of my signature on this Note, or the date the

School receives this Note.

Any amendment to the Act governs the terms of any loans

disbursed on or after the effective date of such amendment, and such

amended terms are hereby incorporated into this Note.

Important Notices

Privacy Act Notice

The Privacy Act of 1974 (5 U.S.C. 552a) requires that the following notice be provided to you:

The authority for collecting the requested information from and about you is §461 et seq. of the Higher Education Act (HEA) of 1965, as amended (20 U.S.C.

1087aa et seq.) and the authorities for collecting and using your Social Security Number (SSN) are §484(a)(4) of the HEA (20 U.S.C. 1091(a)(4)) and 31

U.S.C. 7701(b). Participating in the Federal Perkins Loan (Perkins) Program and giving us your SSN are voluntary, but you must provide the requested

information, including your SSN, to participate.

The principal purposes for collecting the information on this form, including your SSN, are to verify your identity, to determine your eligibility to receive a

loan or a benefit on a loan (such as a deferment, forbearance, discharge, or forgiveness) under the Perkins Program, to permit the servicing of your loan(s), and,

if it becomes necessary, to locate you and to collect and report on your loan(s) if your loan(s) become delinquent or in default. We also use your SSN as an

account identifier and to permit you to access your account information electronically.

The information in your file may be disclosed, on a case by case basis or under a computer matching program, to third parties as authorized under routine uses

in the appropriate systems of records notices. The routine uses of this information include, but are not limited to, its disclosure to federal, state, or local

agencies, to private parties such as relatives, present and former employers, business and personal associates, to consumer reporting agencies, to financial and

educational institutions, and to guaranty agencies in order to verify your identity, to determine your eligibility to receive a loan or a benefit on a loan, to permit

the servicing or collection of your loan(s), to enforce the terms of the loan(s), to investigate possible fraud and to verify compliance with federal student

financial aid program regulations, or to locate you if you become delinquent in your loan payments or if you default. To provide default rate calculations,

disclosures may be made to guaranty agencies, to financial and educational institutions, or to state agencies. To provide financial aid history information,

disclosures may be made to educational institutions. To assist program administrators with tracking refunds and cancellations, disclosures may be made to

guaranty agencies, to financial and educational institutions, or to federal or state agencies. To provide a standardized method for educational institutions

efficiently to submit student enrollment status, disclosures may be made to guaranty agencies or to financial and educational institutions. To counsel you in

repayment efforts, disclosures may be made to guaranty agencies, to financial and educational institutions, or to federal, state, or local agencies.

In the event of litigation, we may send records to the Department of Justice, a court, adjudicative body, counsel, party, or witness if the disclosure is relevant

and necessary to the litigation. If this information, either alone or with other information, indicates a potential violation of law, we may send it to the

appropriate authority for action. We may send information to members of Congress if you ask them to help you with federal student aid questions. In

circumstances involving employment complaints, grievances, or disciplinary actions, we may disclose relevant records to adjudicate or investigate the issues.

If provided for by a collective bargaining agreement, we may disclose records to a labor organization recognized under 5 U.S.C. Chapter 71. Disclosures may

be made to our contractors for the purpose of performing any programmatic function that requires disclosure of records. Before making any such disclosure,

we will require the contractor to maintain Privacy Act safeguards. Disclosures may also be made to qualified researchers under Privacy Act safeguards.

Financial Privacy Act Notice

Under the Right to Financial Privacy Act of 1978 (12 U.S.C. 3401-3421), the U.S. Department of Education will have access to financial records in your

student loan file maintained by the lender in compliance with the administration of the Federal Perkins Loan Program.

Paperwork Reduction Notice

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a

currently valid OMB control number. The valid OMB control number for this information collection is 1845-0074. Public reporting burden for this collection

of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and

maintaining the data needed, and completing and reviewing the information collection. The obligation to respond to this collection is required to obtain or

retain benefit (Higher Education Act of 1965, as amended (20 U.S.C. 1087dd)). If you have any comments or concerns regarding the status of your

individual submission of this form, please contact your lender directly.

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