Conduent income based repayment pdf

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Please print clearly using blue or black ink. If you need help completing this form, contact your servicer through one of the methods provided in Section 6 of this form. Return the completed form to the address shown in Section 6. The enclosed information describes each of the repayment plans. Unpaid interest that accrues during this maximum day forbearance period will not be capitalized. Capitalization is the addition of unpaid interest to the principal balance of your loan.

This increases the principal balance and the total cost of your loan. Unpaid interest that accrues during this forbearance period may be capitalized at the end of the forbearance period.

Complete this section only if you are married and are 1 selecting the ICR Plan unless you are separated from your spouse , 2 selecting the IBR Plan and you and your spouse file a joint federal income tax return, and your spouse has loans that are eligible for repayment under the IBR Plan see Section 5 , or 3 selecting any repayment plan for a Direct Consolidation Loan held jointly by you and your spouse.

If you are required to complete this section, your spouse must also sign this form. Complete this section only if you are selecting the ICR Plan. Note: To repay under the ICR Plan, you must complete a consent form authorizing the Internal Revenue Service to disclose your adjusted gross income AGI and other tax return information, or you must provide other documentation of your AGI, such as a copy of your most recently filed federal income tax return, as specified by your servicer in documentation accompanying this form.

Your servicer will include the required additional forms with this Repayment Plan Selection form or will provide instructions for obtaining the forms. Complete and return the required form s or other required documentation along with this Repayment Plan Selection form. Until your servicer receives the information needed to calculate your ICR Plan payment amount, your initial payment amount will be the full amount of interest that accumulates on your loan each month.

If you are beginning repayment of your Direct Loan for the first time and you cannot afford the initial interest payment, you may request a forbearance until you are notified of your actual ICR payment. During a forbearance you are not required to make any payments of principal or interest, but interest continues to accumulate on your loan.

Interest that you do not pay during this forbearance period will be capitalized at the end of the forbearance. To request a forbearance, contact your servicer. Family Size. Enter your family size on the line below. Your family size includes you and your spouse.

It includes your children if they get more than half their support from you. It includes other people only if 1 they now live with you, and 2 they now get more than half their support from you and they will continue to get this support from you. Support includes money, gifts, loans, housing, food, clothes, car, medical and dental care, payment of college costs, etc.

If your family size changes, notify your servicer in writing at the mailing address or the Web site address shown in Section 6.

I wish to repay my loan s jointly with my spouse under the ICR Plan. Read the certification statement below, then sign and date this form. All of the information I provided on this form is true and complete to the best of my knowledge. If asked by an authorized official, I agree to provide proof of the information that I have provided on this form. Complete this section only if you are selecting the IBR Plan. To initially qualify to repay your loans under the IBR Plan and to continue to make income-based payments, you must have a partial financial hardship.

The annual amount of payments due is calculated based on the greater of 1 the total amount owed on eligible loans at the time those loans initially entered repayment or 2 the total amount owed on eligible loans at the time you or, if applicable, your spouse requested the IBR Plan.

The annual amount of payments due is calculated using a Standard Repayment Plan with ayear repayment period. Your spouse must sign below if you file a joint federal income tax return and if your spouse also has loans that are eligible for repayment under the IBR Plan; by signing this form, your spouse is authorizing your servicer to access information about his or her federal student loans in the National Student Loan Data System NSLDS.

An IBR Plan calculator is available at studentaid. To use the calculator, you will need to enter your eligible loan debt, income, family size, and state of residence.

The calculator is for informational purposes only; your servicer will make the official determination of your eligibility and payment amount based on the information you provide on this form and other required documentation. To enroll in the IBR Plan, you must complete a consent form authorizing the Internal Revenue Service to disclose your AGI and other tax return information, or you must provide other documentation of your AGI, such as a copy of your most recently filed federal income tax return, as specified by your servicer in documentation accompanying this form.

Your family size includes you, your spouse, and your children, including children who will be born during the year you certify your family size, if your children receive more than half their support from you. Your family size also includes other individuals if, at the time you certify your family size, these other individuals 1 live with you and 2 receive more than half of their support from you and will continue to receive this support for the year you certify your family size.

Support includes money, gifts, loans, housing, food, clothes, car, medical and dental care, and payment of college costs. If you select IBR, you must notify us of your family size every year. Your servicer will contact you annually to confirm and update family size information. If you have any questions regarding the IBR Plan, partial financial hardship, or your family size determination, please contact your servicer.

Both you and your spouse must have a partial financial hardship see description above to repay an eligible joint consolidation loan under IBR.

I wish to repay my joint consolidation loan s with my spouse under the IBR Plan. Your spouse must also sign and date this form if 1 you and your spouse file a joint federal income tax return and your spouse has loans that are eligible for IBR, or 2 you and your spouse want to repay a joint consolidation loan under the IBR Plan.

If you need help completing this form, or if you need to report a change in your address, contact: FedLoan Servicing. The Privacy Act of 5 U. Participating in the William D. 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 Direct Loan 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 to efficiently 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.

Chapter 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. According to the Paperwork Reduction Act of , no persons are required to respond to a collection of information unless it displays a currently valid OMB control number.

The valid OMB control number for this information collection is The time required to complete this information collection is estimated to average. If you have comments concerning the accuracy of the time estimate s or suggestions for improving this form, please write to: U. Department of Education, Washington, DC Do not send the completed form to this address. If you have questions about the status of your individual submission of this form, contact your servicer see Section 6.

Review the eligibility information below to determine if your loan type s is eligible for the IBR plan. Select IBR on the Selection Form, complete the appropriate section, and include all additional documentation based on your situation described below.

Failure to provide any of the required documentation may result in denial of your request. Complete the signature section below ONLY if you were not required to file a federal income tax return for the most recent tax year. I certify that I was not required to file a federal income tax return for the most recent tax year because I did not meet the IRS filing requirements.

WARNING: Any person who knowingly makes a false statement or misrepresentation on this form shall be subject to penalties which may include fines, imprisonment, or both, under the U. You must list all taxable income you are currently receiving i.

Include the amount of money received, how often you receive this money, and your employer if any or the source of your income if you are not employed. You must attach supporting documentation for all income reported in this section e. Copies are acceptable, but all supporting documentation must be no more than 90 days old.

If you have more than two sources of income, provide the information requested in this section on a separate piece of paper and mail it with this form.

Do not report untaxed income such as Supplemental Security Income, child support, or federal or state public assistance. If your income or the income of your spouse changes significantly after your submission of this form, you must notify your servicer of this change see contact information in Section 5. This can help limit the total cost of the loan.

The Income-Based Repayment Plan has a term of 25 years. If a borrower has a loan balance remaining after making 25 years of qualifying payments, that balance will be forgiven. This chart illustrates an estimate of your monthly payment under IBR. Since the borrower is making reduced monthly payments while on IBR, the total amount of interest the borrower will pay over the life of the loan may be greater than under the Standard Year Repayment Plan.

To maintain Income-Based payments, the borrower is required to submit annual documentation of income. If a borrower does not submit this documentation on time each year, the loan payment will revert back to the Standard Year payment amount, and any unpaid interest will be capitalized, increasing the total cost of the loan. Borrowers who do receive loan forgiveness after 25 years on IBR may be required to pay income taxes on any forgiven balance.

See the IRS website for more information about this topic. Close Font Resize. Readable Font.

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