Form 6

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