Florida Department of Education Office of Student Financial Assistance Federal Family Education Loan Program FFELP Form 6 (Rev. 06/07) BORROWER/LOAN RECORD MANIFEST (UPDATE) REPORT Date: Lending Institution’s Name: Lender Code: Preparer’s Phone Number: Prepared By: Borrower’s Last Name, First Name, MI (As listed in OSFA’s records) : Borrower’s Soc. Sec. No. (As listed in OSFA’s records) : MAIL TO: INDICATE APPLICABLE PROGRAMS OFFICE OF STUDENT FINANCIAL ASSISTANCE POST OFFICE BOX 5380 TALLAHASSEE, FLORIDA 32314 SUBSIDIZED STAFFORD PLUS UNSUBSIDIZED STAFFORD SLS CONSOLIDATION GRAD PLUS 1. NAME, ADDRESS, & TELEPHONE NUMBER CHANGES: a. New Last Name: First Name: b. New Street Address: MI: City: State: ZIP Code: c. New Telephone Number: 2. DISBURSEMENT CHANGES Cancel Entire Loan Release Fees Paid in Full in Error Create Disbursement Cancel Disbursement(s) Reschedule Disbursement(s) Reinstate Disbursement(s) OSFA Loan Number: Disbursement # #1 #2 #3 #4 Mo │ Day │Yr Mo │ Day │Yr Mo │ Day │Yr Mo │ Day │Yr M M M M Y New Disbursement Date* Yr OSFA Scheduled Disbursement Date Yr Yr Yr Yr Yr OSFA Scheduled Disbursement Amount $ $ $ $ New Disbursement Amount $ $ $ $ Amount Cancelled $ $ $ $ * For loan periods beginning on or after July 1, 1993, the new disbursement date cannot be more than 60 days after the loan period end date. * For loan periods beginning on or after July 1, 2000, the new disbursement date cannot be more than 90 days after the loan period end date * For loan periods beginning on or after July 1, 2003, the new disbursement date cannot be more than 120 days after the loan period end date. 3. LOANS TRANSFERRED – ; ; ; ; ; (Loan Numbers) Seller’s Lender Code: Buyer’s Lender Code: Official Transfer Date: I certify that my institution has Purchased the loan(s) listed above. Buying Lender Official’s Signature Date 4. REDUCTION IN LOAN PRINCIPAL DUE TO PREPAYMENT OR REFUND: Post the indicated amount as a: Date Received: School Refund Gross Amount $ Refund Reversal Borrower Prepayment Loan Number: FOR SCHOOL REFUNDS, APPLY TO DISBURSEMENT # Prepayment Reversal 5. LOAN STATUS CHANGES: These changes apply to: All loans Stafford loans Only the following loan number(s) A. SLS loans ; ; ; ; ; ; ; ; PLUS loans ENROLLMENT, DEFERMENT, AND FORBEARANCE CHANGES: New Enrollment, Deferment, or Forbearance Status Code: Deferment/Forbearance Return-to-School Date, or Due Date 1st PMT Deferred/Forborn (Begin Date) : New Anticipated Completion Date, or Due Date Last PMT Deferred/Forborn (End Date) : New School : Approved Cancelled Consolidation loans Grad Plus loans (See Chart Below) Effective Date: School Code : (Complete only if the student is attending a new school or if a Full/Half-time Study Deferment is being reported. If the school code is not provided, the student WILL NOT appear on the correct SSCR!) ENROLLMENT CODES: F = FULL TIME H = AT LEAST HALF-TIME FORBEARANCE AND DEFERMENT CODES S = Full-Time Study M = Armed Forces A = NPAA U = Unemployment B. V = Volunteer Service I = Internship Q = Parental Leave L = Economic Hardship B = Forbearance 1st Payment Due Date: PRE-CLAIM ASSISTANCE: Cured D. G = Graduate Fellowship H = Hospital Internship J = Rehabilitation Training W = Working Mother CONVERSION TO REPAYMENT: Repay Start Date: C. T = Half-Time Study P = Peace Corps D = Total Disability Y = Teacher Shortage Area Effective Date: PAID IN FULL: Effective Date: PAID BY CONSOLIDATION YES NO 6. REVISIONS TO BORROWER’S PREVIOUS LOAN INFORMATION: A. Borrower’s Correct Soc. Sec. No.: B. Borrower’s Correct Birth Date: C. Borrower’s Correct Interest Rate: D. Borrower’s Correct Non-OSFA Loan History (Attach additional sheet, if necessary.) Lender Names Guarantor (Attach a copy of borrower’s Social Security Card) % Fixed Variable Loan Type A B C D U G GR Loan Period Balance $ $ $ $ $ Loan Type (Fed. Family/Direct/Guaranteed/Insured): A = Sub-Stafford B = SLS GR = Grade Level C = PLUS D = Consolidation U = Unsub-Stafford G = Grad Plus
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