Fillable MDs for New Mexico Request for Interest Benefit (New Mexico Educational Assistance Foundation)

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MDs for New Mexico Request for Interest Benefit (New Mexico Educational Assistance Foundation)

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MDs for New Mexico
Request for Interest Benefit
Name
_________________________________________________________________
Social Se
curity
Number __________________________________________________
Street Address _________________________________________________________________________________________
City ___________________________________________ State ________________________ Zip __________________
Home Phone ________________________ Work Phone ________________________ Date of Birth ________________
E-mail__________________________________________________ Graduation Date _______________________________
Last School Attended
________________________________________________________________
I certify that I am working full time as a licensed physician in New Mexico from _________________ to __________________
mm/dd/yy mm/dd/
yy
at ____________________________________________________________________________________________________
Organization’s Name and Address
I certify I have read and understand the conditions for eligibilit
y on the reverse side of this request and meet all qualifications for
the interest benefit on my loan(s). I understand I must submit my request and certification yearly, as long as I am eligible, in
order to receive the interest benefit. I understand that New Mexico Student Loans reserves the right to terminate this incentive
program at any time.
_______________________________ ______________________________ _______________________________
Borrowe
r’s Signature MD License Number & State Today’s Date
THIS SECTION MUST BE COMPLETED BY CERTIFYING OFFICIAL
I certify the information above is correct.
___________________________________________________
______________________
___________________
Signature of Certifying Official Title Date
Printed Name: ___________________________________________
Street Address: __________________________________________
City/State/Zip: ___________________________________________
Phone: _________________________________________________
E-mail: _________________________________________________
Return form to:
New Mexico Student Loans (NMSL) ▪ P.O. Box 27020, Albuquerque, NM 87125-7020
Phone: 1-800-279-5063 ▪ Fax: 505-345-7269 ▪ E-mail: staffordloans@nmstudentloans.org
Applicant’s Dates of Employment
From: ____________ To: ________________
mm/dd/yy mm/dd/yy
____________________________________________
Job Title
Employment Status:
□
Full time
□
Part time
MDs for New Mexico
0% Interest Benefit
Program Requirements
To help retain graduating medical students and address the ongoing shortage of practicing physicians in
New Mexico, NMSL has implemented the “MDs for New Mexico” incentive program.
Program Benefits
Once a borrower’s certification form is approved, his/her existing interest rate on NMSL Stafford loans will be adjusted to 0% per year and
his/her interest rate on NMSL Consolidation loans will be reduced to 1.25% per year. New Mexico Student Loans reserves the right to
terminate this incentive program at any time.
Eligible Loans
•
Stafford loans guaranteed between May 1, 2000 and July 1, 2009 by the New Mexico Student
Loan Guarantee Corporation and owned by New Mexico Student Loans.
• Consolidation loans guaranteed by the New Mexico Student Loan Guarantee Corporation and
owned by New Mexico Student Loans.
Program Eligibility Requirements
1. Borrower must be working as a full-time licensed practicing physician in New Mexico and providing
health care in a public or private capacity.
2. Borrower must file a certification form with NMSL annually. The reduced interest rates will continue
as long as program criteria are met and certification forms are submitted annually.
3.
The minimum monthly loan payment is $50.00. Eligible applicants must select the
standard repayment period for this program.
4. Loan(s) for which eligible applicants are seeking the interest benefit cannot be delinquent or in
default. All delinquent or defaulted loans must be brought to current status before borrowers may
apply for this program.
5. Deferments or forbearances cannot be used as a means to bring delinquent or defaulted loans
current.
6.
Borrowers who choose to consolidate with another lender/broker or Direct Lending will lose future
program benefits and any reduced-interest program benefits already received will be added to the
borrower’s consolidation payoff amount.
7. Benefits are not retroactive. Receipt of a benefit under this program does not entitle the applicant
to a refund of any prior payments made on the loan.
8. PLUS loans are not eligible for this program.
9.
Loans that become 90 days delinquent will be permanently removed from the program.
Revised 12/2013
•
Grad PLUS disbursed on or before June 30, 2009.
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MDs for New Mexico Request for Interest Benefit (New Mexico Educational Assistance Foundation)

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Completed 11 June 2021

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