Mandatory Forbearance
Self-Certification Letter
New Mexico Student Loans ® (NMSL)
“I am newly self-employed as of the following date: .”
List your projected monthly gross income: $
. Attach documentation of your
newly formed business and proof of your involvement in that business. (Examples include business
registration, licensure, Federal Tax ID documentation, copy of signed letter to federal or state entity
on business letterhead.)
“I am currently receiving non-taxable income and have no other source of income.”
Attach proof of that income and the frequency of that income (for example SSI received monthly).
The date on any supporting documentation must not be over 90 days from the date this application is
signed. Copies of the original documentation are acceptable.
“My spouse’s income covers all my expenses, and I have no other source of income.”
“I have no personal source of income and none of the three situations above apply to me.”
On the lines below, provide a statement in your own words describing your current situation. Explain
how your expenses are paid, and provide the source of that income and the name and address of the
income source. (An example of a self-certifying statement could be: “I am currently unemployed,
living with a friend and he is paying my expenses. His name is
and his address
is
.”)
Please write your self-certifying statement on the lines below:
“By signing and dating this form, I am certifying that all of the information I have provided above is
complete and true.”
Signature Date Account Number/SSN
We are requesting that you complete this form because you are unable to
provide proof of income as requested in Section 2 of the Mandatory Forbearance
Request--Student Loan Debt Burden. Please indicate which condition below applies
to you by checking the appropriate box and attaching the documentation requested.
P.O. Box 27020 | Albuquerque, NM 87125 | 505.345.3371 | nmstudentloans.org
