LOAN RECONFIRMATION STATEMENT
STUDENT EDUCATION LOAN FUND
P. O. Box 2475
Livermore, CA 94551-2475
Date_Submitted_______________________
Name:___________________________________________
Date of First Loan:________________________________
Total Loan Amount Repaid Balance Due
____________ _____________ ___________
Name__________________________________Parent/CosignerName_________________________
Address________________________________ Address__________________________________
City___________________________________ City_____________________________________
Phone_________________________________ Phone___________________________________
Email Address ____________________________Email Address_______________________________
School ________________________________ School Status ______________________________
Expected or Actual Date to Complete Education Program _____________________
Loan Information is Correct and I Reconfirm the Obligation: ____Yes ____No
Signature:__________________________________________________ Date:_____________
Comments:___________________________________________________________________
We would appreciate you or your cosigner confirming the above loan information, also please
provide the contact information requested and return this form.
Please note that the loan contract which you signed stipulates that 25% of your loan balance is due by
the 13th month after you complete or terminate your post high school education. Successive 25%
repayments are required during each of the following 3 years. If you complete the repayments on
schedule there is no interest due on the loan. Payments which are delinquent will be assessed interest at
the rate specified in your loan contract (3 or 6%) per annum. If for any reason the required payments are
not made on schedule, the entire loan balance plus interest becomes due and payable 4 years from the
due date of the first payment. You have agreed to report on an annual basis the information
requested above. Please note our mailing address at the top of this form. This form is not an
application for a subsequent loan. A new application is required.
If you have any questions about your loan please contact:
Dianna Geyer (925) 699-2467(C) diannageyer2467@yahoo.com For payment questions
Roger Everett (925) 443-5565(H) roger.everett@sbcglobal.net Student Contact
David Darlington (925) 606-7042(H) daviddarlington@att.net For loan applications
Margaret Miller (925) 447-6980(H) mmiller1435@gmail.com Contract Manager
NOTICE: Please fill
out and return this
statement even if no
payment is due. May
be completed by co-
signer/parent.
