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HomeMy WebLinkAbout11-25-13 STATEMENT OF CLAIM STATE OF: PENNSYLVANIA COUNTY OF: DAUPHIN ESTATE OF: Steven Rock Estate#: 21-13-0115 This claim is being filed on behalf of SALLIEMAE, 300 CONTINENTAL DRIVE NEWARK DE 19713. The nature of the claim is for the SallieMae/Full Sail University loan number# 9712816993-1. This loan was established on 01/17/2012. The current balance due is $26,040.80. Loan 49712816993-2. This loan was established on 09/12/2012 and the current balance due is $20,508.38. The total balance due is $46,549.18. I declare or affirm that I have read this docu ent and I know or believe its representations are true and complete. awn holli , A nt SIMM Associa s 800 Pencader Dr"ve Newark, Delaware 9702 STATE OF DELAWARE, NEW CASTLE COUNTY, SUBSCRIBED AND SWORN TO before me this 11/11/2013. To me known and known to me to be the same person described in and who executed the foregoing instrument and she duly acknow otd to me that she exe uted the sanie., ary Public: Danielle M. Gihbs Expiration Date: August 19, 2015. ti M rn � o _ m c-> --a v Dim cN1't i7rc-ni V x r_> <> co a NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF Steven Rock DECEASED No.21-13-0115 To the Clerk of the Orphans' Court Division: Enter the claim of SALLIEMAE C/O Simm Associates. Inc. in the (Claimant) amount of$$46,549.18 against the above entitled Estate. The Decedent, who resided at 512 HALYARD WAY (Street Addresx) ENOLA. PA 17025-1329 died on 01/13/2013 Written notice of (Date of Death) said claim was given to Jeannine Rock C/O John D Sheri an (Personal Representative o his/h rCounsel at on 11/11/2013 (Address) (Date) SAL I A C/O imm A ciates Inc. (Claimant) 800 Penca er Dr. (Street Address) Newark, DE 1'9-702 (City,State,Zip) (Claimants Counsel) (Supreme Court LD.No.) (Address) (Telephone) Form OC-07 rev. 10,13.06 Customer ID Number. Smart Option Student Loan® SallleMae 220585977 Application and Promissory Note Dream.draft.Suaecf Application:l SCL1112 Prom Section Section A: Student Information Please read instructions before completing this application Social Secmgy Number Last Name First Name MI 214-11-2751 ROCK RANDY Primary Peone Number El Home Secondary Phone Number ❑Noma E-mailetldress Data of Bin 717 649-4091 Cite" ❑trio RSROCK FULLSAIL.EDU 09-i1-1985 Citizenship(elect one) County(cal Citizens only) [K U.S.Clllzen ❑ NenCltlzen Permanent US Resltlent ❑ FinalAn G4zen Permanent Address(Stmet Address ody-No P.O.Boxes alloxed) city Slate ZIP Cal 101 S 2ND ST APT 1409 HARRISBURG PA 17101-2528 Poor Address(ifyeu haw been at your permanent address law than one year,please floods prior address) Of StatelPmvince Zip Code US Address 1579 SEMORAN N CIR WINTER PARK FL 32792-1433 US cc Ass Cuoent Mailing Address(fthisishe same as your permanent address,you can leave Uls section blank) City SlatelPervince Lp Code US Address Ni Address Repayment Option School Name School Ciy School Sete Deferred FULL SAIL UNIVERSITY WINTER PARK FL CegreelCedNeteol Study Map,(Course of Sol AngGpatM GraduatioNCanplotlon Date Enadimenl Slats Bachelors BDP 11-15-2013 E];ullnme ❑Halerme ❑Less Than Ran Time Requested Loan Amount Cumulative GPA Scale: Academic Period for ae Loan I rade Level(eelecl One) 24710.04 3.8 ®40 ❑5.0 ❑6.0 ❑other From(mMddyyyyi To(mmlddyyyy) Undergraduate 1 If 3 4 5 R f 08-15-2012 Graduate A 0 C D Employment Status Conant Employer Name Ocwpatbn Work Phone Number Extension I ymbrofmmeal Curren)Employer Employed PT TURKEY HILL Other (717 526-2106 veam 0 Moniha 1 You do not need to reveal alimony,eM1im momi Or maintenance lnoomeH ou aided all to have a considered 0as beet for loan re a nl. Gross Annual Income Grass Annual Additional Income Source of Additional Income Gress Annual Addilional HouseMM Income Soumeof Additional HOUsehmtd Income E f f Do Wu have one ormore of the amount IIstM beloO Resideal Type Monty MohgagaRtentAmoure Checking ®Yes ®tic Other SaJmyAssets Yes Na ❑O"'n a7Ren1 ❑live with parenl(s) ❑Dorm [ Over 680 Personal Contacts:You must roduce two 2 aduH references ono of"ch should ba a reklhe.You may not list the designer as a dependence. Iast Name First Name Relationship to Stdent ROCK STEVEN FATHER Address Ciry Sete Zip Code Phil Phone Number 512 HALYARD WAY ENOLA PA 17025-1329 (717)979-5466 Last Name First Name Relagernift to Student ROCK MARY MOTHER Adder. City State Zip code Primary Phone Number 2408 WESTBAY BERRY D HARRISBURG PA 17112 717 439-6654 Section B: Cosigner Information Socal Security Number Last Name First Name MI 220-58-5977 Rock Steven Prlmary Phone Number El Home Secondary Phone Number ❑Home TE mail address Cale of Birth 717-979-5466 ®C ❑cell Srock96 @comcast.net 01/11/1953 CePenshippreeq one) Relationship to Student [10 Us Cllizen ❑NOnLiazen Pemrenenl US Residual Parent Pemenant Address lStraet Address cri PO.Boxes allowM) Gity Stets Lp Coda 512 HALYARD WAY Enola PA 170251329 Previous More%(it you have been at your Permanent address lass Boni war,Pteaseprovidepr Mdress) City Sale Zip Code Employment Status Cunene Employer Name Occupation Work Phone Number Extension LengM Of time at CurtenlEmpbyer Employed FT TMG health w�..» �••�_- -�.� 610-878-9111 205 vers 1 Monms 2 arms n o wet alimmn hlltl su areas Annuan incomeH utlon wish h side l bash brloan a nL Gross Annual Income Gross Mnual Additional lnwme Souroe mf Atltlitimnal Income Gross Annual Adtlllional HOUSeM1OId Income Source of Atld'NOnal HCUSeholtl lemma $ 258,000.00 E I , cave ffe IPllmwing assets(solar b'if MI applicable) Residence Type Monty MortgeAedKe in Amount Checking $500000 EXonm El Rude ❑Other Offer Satin slASSets E 3,$DD.DD Section C: Student and Cosf ner Signature CAUTION—IT NOTICE TO CUSTOMER(a)DO NOT SIGN THIS BEFORE I declare that the information provided above is two and complete to the best of my knowledge and IS IMPORTANT YOU READ THE PROMISSORY NOTE EVEN IF OTHERWISE belief.I have read the Promissory Note accompanying this application and each applicable Notice to THAT YOU ADVISED.(b)DO NOT SIGN THIS IF IT CONTAINS ANY Cosigner and agree to the terms therein.I understand and agree that you may obtain a consumer BLANK SPACES.(e)YOU ARE ENTITLED TO AN EXACT Credit report in connection with this application and in connection with any updates,renewals or THOROUGHLY COPY OF ANY AGREEMENT YOU SIGN.(d)YOU HAVE THE extensions of any credit as a resuh of this application.Promise to Pay:Jointly and severally with the READ THE RIGHT AT ANY TIME TO PAY IN ADVANCE THE UNPAID other signers below,I promise to pay the lender or any other holder of this loan all sums disbursed CONTRACT BALANCE UNDER THIS AGREEMENT AND YOU MAY BE under the terms of the Promissory Note,plus interest and all other fees,charges,and costs that may BEFORE YOU become due.The terms and conditions set forth in the Promissory Note constitute the entire ENTITLED TO A PARTIAL REFUND OF THE FINANCE agreement between us. SIGN IT CHARGE. RANDY ROCK Steven Rock Student Signature A6C9EEA77BF98C96DA437CA29E36CI23 (seal) Date 12/11/2011 Cosigner Signature 6RE70BODBC420EPI743R3AEML2D(Se8l) Date 12/16/2011 OLA_S WiS (Copyright Sallie Mae 20002011) 1111111 IN 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111ININ 111111111111111111111111111111111111111111111111111111111111 Smart Option Student Loan® WHOM 91 Application Pparodion:1SCLIZ05 A ltcatron and Promisso r Note Dream.Uresl,SutteCC PM NM s Section A: Student Information Please read Instructions before ooml 1901 Sochi Security Nbmber, Last Natrs Firaz Name MI 214-11-2751 ROCK RANDY Phil Phone Number 0HMO Seendary Phone Number 0HOme Email centers Deh of BlM 717 649-4091 _ Zoe ❑III 1 RSROCK FULLSAIL.EDU 09-11-1985 Citizenshp(Seledane} �1 commoy(Forepn Citizens oNd Q U.S.C.ltzBn ❑ Non-0NLBn Verman¢nI V$RBSId¢nt IJ Fonlyn CHlzBn PermenBnt Morass(Steel Address onyNo P.O,Emmental city State Zlp Code 1005 ROMAN KNOLL CT APT E HARRISBURG PA 17109-4926 P1iw Mdresa(tYa;hav06aef at W'urpermarrentaddnss has unnaro Yex,geasapmvdaprinadtlras} City sbenconance Zm Cede us AIMeri 101 S 2ND ST APT 1409 HARRISBURG PA 17101-2528 Non US Address Cumant Mailing Address(if this is the same as Your permanent address,you ran leave this swim blank) City anecdotavince Zip Code USAddmas Neel AMtre33 R¢papreni Gpaor. fta@Typa cell Name Seel cloy scbooi State Deferred Varable FULL SAIL UNIVERSITY WINTER PARK FL Degroe/Cergficaleof swdy Major(Course of$mdy) Antidpated GmduadbNCompletion Date Enrdlmamrude. Bachelors OTH 08-15-2013 ®Pull 7m 0Helf-Tone ❑L¢SSTnaf HahTana Repceved loan Amast Cummdire GPA Srwde: Academic Pampol Oe Loan Gradatesidepkctarm} 26,000.00 3.9 1041 ❑5.0 [16.0 ❑omar FromtoWlild r) TotmrNddyyyy) Underpopmal 1 2 a x s R 3 08-15-2012 08-15-2013 Gradual0 A B C D Employment Status Current Employer Name Occupation Note Phone Number Eidua n Lenghof TWOOIGUmbel EmpWyer Employed FT SPL CREATIVES I Other (717)901-4151 Years 0 MM, I You denied erecone iapmpn MRda ameinnualAelndemeN deed whhhhaSmot000kordcruUmmme,torioanr Grass Annuallmwme Gross Annual Addilimdincame sovrcx Of Add'himai lnwm0 Gmss Annual Additional NOUSehddIncome SourceorPAOrimei HausehoM irrcwme 3200 $ s Do you,have One or more of the accounts listed beldel Residence Type Mmlhy Modga,alipm lAmounl Consumer EYea �NO �ppn g2icl QU ,a pamgal 7]own ❑omn 749 Diner shank Yes No Parent Contede:You mud pearell two 2 onuif nhnnces one d which aboard he a nhlWe.You may not list the sofipnarasa nhnnce.Referan<eemud haves U.S.addma. Iasi Name Find Name Relationship to Student ROCK MARY MOTHER All ciy stale Zip Code Pdmary Phone Number 2448 W BAYBERRY DR HARRISBURG PA 117112 (717)439-6654 Iasi Name Find Neme Rormonshiplo Student ROCK MELISSA SISTER Address city Shle ZP code "cry Own.Number 2408 W BAYBERRY DR HARRISBURG PA t71 t2-1039 717)579-3053 Section B: Cosigner Information Social Security Number Last Name First Name MI 220-58-5977 Rock Steven E PrNnary INwro NUnd ❑Homo I S dmP Number El Home E-ma6ad�ss Datedem (717)979-5466 ®cell (717)732-9487 Ocdl Srock96 @comcast.net 01/11/1953 Citizenship(select me) Relarmship ro Student 91 US Citizen ❑NOnCid¢eo Permanent US Resident Parent Pnewmani AWBrs(S4aei Ad&ems wwy P.4.Brooms 90.0 Cdy 1 Stara za Coda 512 HALYARD WAY Enola PA 170251329 Peal Model(dyvU have been at your permanent access less man one year.please ismide prior address) City state Zip Code E yrraNStaWS Curnrd Emdaya Name cE%*bn Wok Ptwne Nmrber Extensor Unfair,dT.a commit Employer Employed FT TMG health Accountant (610)787-9111 205 Year Ml 9 You o not therein reveal 4n child eu Won, c M on ahrohaa n Idend eae a nn Goes Annual Income Grass Annual Al Income Source or Additionalhemp Groe Annual Additional Household Income soureof Additional Householdlncems !bare ece toNOwir.O assts teMar'0'itmtappkcaMa} Residence Type Monhy MMpage:RaNAmamt (,`hpeeljng ;7.000.00 i ❑Rant ❑Other OmCr Sevin slASSCW S1,350,000.00 3,444.DD Section C: Student and Cosigner Signature CAUTION—IT NOTICE TO CUSTOMER(a)DO NOT SIGN THIS BEFORE I declare that the Information provided above is true and complete to the best of my knowledge and IS IMPORTANT YOU READ THE PROMISSORY NOTE EVEN IF OTHERWISE belief.I have read the Promissory Note accompanying this application and each applicable Notice to THAT YOU ADVISED.(b)DO NOT SIGN THIS IF IT CONTAINS ANY Cosigner and agree to the terms therein.I understand and agree that you may obtain a consumer BLANK SPACES.(e)YOU ARE ENTITLED TO AN EXACT credit report in connection with this application and in connection with any updates,renewals or THOROUGHLY extensions of my credit as a result of this application.Promise to Pay:Jointly and severally with the A READ THE COPY ANY AGREEMENT YOU S (d)YOU HAVE THE other signers below,I promise to pay the lender or any other holder of this loan all sums disbursed CONTRACT RIGHT AT ANY TIME TO PAY IN ADVANCE ANCE THE UNPAID under the terms of the Promissory Note,plus interest and all other fees,charges,and costs that may BALANCE UNDER THIS AGREEMENT AND YOU MAY BE become due.The terms and conditions set forth in the Promissory Note constitute the entire BEFORE YOU ENTITLED TO A PARTIAL REFUND OF THE FINANCE agreement between us. SIGN IT CHARGE. Steven E Rock Student Signature {seat} Date cosigner Signature dbeazssossosn3rzzansissdA000aRAd(sea¢ Data OZCQ3)_Z% _ OLA_SWIS (Copyigm estas Mae 2000.2012) 1 1111111 111111 II 111111 VIII VIII IIUI VIII VIII VIII IIII IIIIIIII VIII Illu II IIII 1 1111111 IIII 111111 IIII VIII VIII VIII VIII VIII 111111 VIII IIII VIII VIII VIII VIII VIII IIII IIII 1 1111111 IIII 111111 VIII IIII IUIII(IIII IIII VIII VIII IIII IIII Smart Option Student Loan Promissory Note - 3SCL1102/3SOL1102 See Section N below for important federal law notices,including a federal Notice to Cosigner,Important state law notices,Including a Notice to Consumer for Iowa and Kansas residents and a Vermont Notice to Cosigner,and Important notices regarding Available Financing Options Under Title IV of the Federal Higher Education Act and regarding Loan Sales and Availability of Borrower Benefits.See Section T below for an important Arbitration Agreement,including a notice regarding the right to reject arbitration. In this Promissory Note ("Note")the words "l; "me," "my," "mine" 5. Additional Terms - The terms "Interest," "Forbearance Fee," and "we" mean the borrower and cosigner(s) who signed the "Deferment Fee," "Late Charge," "Supplemental Fee," "Payment application, unless the language specifically refers to only one or the Return Fee," and "Collection Costs" are defined in the Note other."You,,'"your,"and"yours"mean the lender as listed below and sections so titled. "Variable Rate," "Index," and "Margin" are any subsequent holder of this Note. "School" means the school I defined under Section C, Interest,of this Note. identified in the loan application. Lender:SALLIE MAE C. INTEREST 1. Accrual of Interest-Interest on this Note will accrue at the Variable Rate(as defined below),beginning on the first Disbursement Date, MURRAY UT on the principal balance advanced and Capitalized Interest, Fees A. PROMISE TO PAY;BILLING STATEMENTS and Other Amounts, until the principal balance and all accrued interest are paid in full.The Variable Rate will be used to calculate 1. Promise to Pay- I promise to pay to your order according to the interest during the entire term of this Note, and following the terms below the sum of: the Loan Amount Requested, to the maturity of, or any default under, this Note; there is no initially extent it is advanced to me,or on my behalf,which includes the discounted, premium or other rate that will be used to calculate Supplemental Fee at Disbursement (together, identified on the interest under this Note. Smart Option Student Loan Final Disclosure as the "Total Loan 2. Variable Rate- I will pay interest at a Variable Rate equal to the Amount");other interest,fees and charges accrued or capitalized "Index", rounded up to the nearest one-eighth of one percent on the Loan Amount as described in this Note;and,in the event of (0.125%), plus or minus the percentage identified on my default, reasonable attorney's fees, and collection agency, court Disclosure (the "Margin"). The Variable Rate may change each and other collection costs,to the extent permitted by law. billing cycle on the Change Date if the Index changes.The Change 2. Billing Statements and Billing�Cycles-You may send me a billing Date is the twenty-fifth day of each month,or if the twenty-fifth day statement for each billing cycle showing the first and last day of of the month is not a New York business day,the next New York the billing cycle,the amount and payment due date for my next business day. The Index is the one-month London Interbank monthly payment, and any transactions regarding my loan that Offered Rate("LIBOR"),which is the average of interbank offered occurred during the billing cycle. Billing cycles will end on the rates for one-month U.S. dollar-denominated deposits in the same day each month but due to variations in the number of days London market, as published by Reuters on its Reuters Screen in a month and an irregular initial billing cycle,the number of days LIBOR01 Page, or any successor page used for the purpose of in each cycle may vary. Billing cycles will be determined by the displaying that rate.The Index is determined on the most recent payment due dates shown on the Smart Option Student Loan Final business day that is at least two New York and two London Disclosure,although the first day of the initial billing cycle will be business days prior to the Change Date.A Newyork business day earlier than the date of the first disbursement on the loan. is defined as any day that is not a Saturday, Sunday, holiday or other day on which banking institutions in Newyork,New York are B. DEFINITIONS authorized or ordered by law to close.A London business day is 1. Capitalized Interest Fees and Other Amounts - Interest, fees, defined as any day on which commercial banks in London, charges and costs due and not yet paid may be added, without England carry on interbank dealings in the London market. For notice, to the principal amount of the loan, as provided in this example, if January 22,23,and 24 are New York business days, Note.This addition is called"capitalizing."Since interest accrues but only January 22 and 23 are London business days,then the on the outstanding principal balance,capitalizing increases the Index for the rate as of January 25 would be determined by the total cost of the loan. one-month LIBOR on January 22. 2. Default-You may declare my loan in default following an event 3. Substitute Source and Substitute Index - If the Reuters Screen described in Section K except as follows:IDAHO. IOWA.KANSAS LIBOR01 Page is unavailable,then the Index will be determined by MAINE and SOUTH CAROLINA RESIDENTS ONLY, I will be in you using another source for the one-month LIBOR, such as default if I fail to make a payment as required by this Note (or another Reuters service that displays that rate, should one within 10 days of the time required by this Note, for Iowa continue to do so; any substantially similar service that displays residents) or if the prospect of my payment or performance is that rate,such as Bloomberg,should it continue to do so;or any significantly impaired (for Iowa residents, if, following an event substantially similar source that displays that rate, such as the described in Section K,the prospect of my payment is materially Money Rates section of The Wall Street Journal,should it continue impaired). The burden of establishing the prospect of such to do so. As an alternative to using another source, you may impairment is on you. decide to calculate the rate using a methodology that is WISCONSIN RESIDENTS ONLY I will be in default: substantially similar to that used to determine the rate when it was published by Reuters. If no substitute source is available, or (a) if I permit to be outstanding an amount exceeding 1 full provides the rate on a timely basis, and If you are unable to payment which has remained unpaid for more than 10 days calculate the rate, or decide not to do so,then you will choose a after its scheduled due date or deferred due date,or I fail to pay comparable substitute Index. the first payment or the last payment within 40 days of its scheduled due date or deferred due date: or (b) if I fail to D. TERMS OF REPAYMENT observe any other provision of this Note,the breach of which 1. Repayment Schedule for My Loan - You and I agree that the materially impairs myabilityto paythe amounts due underthe repayment schedule for my loan will be established as follows: Note, prior to the first disbursement you will provide me with a 3. Disbursement Date-The date shown on the loan check or the date Disclosure that sets forth my estimated payments and the the loan funds are electronically transferred to the School. payment due dates for my loan. The repayment schedule will 4. Disclosure-The Smart Option Student Loan Final Disclosure that assume that the student borrower meets your enrollment will be sent before the time of my first disbursement and which is requirements while in school and that the student borrower hereby incorporated into this Note. graduates on time and makes all payments on time. Copyright 0 2000-2011 Sallie Mae 3SCL110213SOL1102 2. In School and Separation Period Repayment Options - Several option,I will not have to make my regularly scheduled payments repayment options may be available while the student borrower is during the payment holiday, but I will have to resume making in school and during a separation period of six billing cycles payments once the payment holiday is over. During the payment thereafter.Depending on the school where the student borrower is holiday interest will continue to accrue.Any interest that remains enrolled, the repayment options may include Interest Payment, unpaid dueto the payment holidaywill not be capitalized;however, Fixed Payment and Deferred Payment. The repayment options it will be added to the outstanding principal balance to calculate available to me were provided during the application process.The future payments on my loan. repayment schedule set forth in my Disclosure will reflect the repayment option that applies to my loan for billing cycles while E. DEFERMENT AND DEFERMENT FEES;FORBEARANCE AND the student borrower is in school and for the separation period. FORBEARANCE FEES;WAIVER OF DEBT For loans with the Fixed and Deferred Repayment Options,you will 1. in School Principal Deferment-If at any time after the separation capitalize interest that accrues and remains unpaid at the end of period,you are notified that 1 have returned to school,you may,at the separation period. your sole discretion and without notice to me, grant me a 1 PPrindpal and Interest Payments - For billing cycles after the deferment of regularly scheduled payments of principal and separation period ends,the repayment schedule will provide for interest("Principal Deferment'),for a maximum period of time set principal and interest payments.In addition to other amounts then by you.if at any time after the separation period I return to school, due,during these billing cycles you will require me to pay principal I may request and you, at your sole discretion, may grant me a and interest in the amounts necessary to repay my loan at the Principal Deferment,for a maximum period of time set by you.If Variable Rate then in effect over the remaining term of the loan,so I receive a Principal Deferment, I will still be required to make that my payments will include the interest that will accrue from my payments during the Deferment Period on the same terms as the last payment due date to my next payment due date. However, repayment option that applied to my loan during the in school and notwithstanding the repayment schedule,if at any time the student separation period, borrower fails to meet your enrollment requirements for the 2 Residency or Internship Principal Deferment-If at any time after School,then the separation period will begin immediately. If my the separation period I am enrolled in a residency or internship loan is made after the date that the student borrower graduates or program,I may request and you at your sole discretion may grant ceases to meet your enrollment requirements, the separation me a Residency or Internship Principal Deferment,fora maximum period will be calculated from that date,and principal and interest period of time set by you. It I receive a Residency or Internship payment may begin immediately. To find out the enrollment Principal Deferment, then I may defer regularly scheduled requirements,call 1-888-272.5543. payments of principal and interest.However,I will st ll be required 4. Rate Chances.Billipc Cvcles and Payments-Because my interest to make payments during the Deferment Period on the same terms rate may change on the Change Date each month and the length as the repayment option that applied to my loan during the in of each billing cycle may be different,the amount of interest that school and separation period. It I request such a Deferment, I accrues during any billing cycle may be different than the amount agree to pay any Deferment Fee that you assess, even if the of the interest portion of the payment shown on my Disclosure, Deferment is not granted.The Deferment Fee will be disclosed to even if 1 make all my payments on time.As a result,the payment me prior to the Deferment Fee being assessed. thatyou will require me to make may be different than the payment 3. Hardship or Over Forbearance-At any time, I may request and shown on my Disclosure. The changes in the amounts of my you, at your sole discretion, may grant me a Forbearance,for a monthly payments will be reflected in any statements that you maximum period of time set by you. if I receive a Forbearance send me and in the amounts of any payments made by automatic while in school or during the separation period,then I may defer debit. regularly scheduled payments.If I receive a Forbearance after the 5. Consecutive Monthly Payments-I will make consecutive monthly separation period,then I may defer regularly scheduled payments payments in the required amounts,and on or before the required of principal and interest. However, I may be required to make payment due dates,until I have paid all of the principal and interest lesser payments on terms set by you. It I request such a and any other fees,charges,and casts I may owe under this Note. Forbearance, I agree to pay a Forbearance Fee, even if the 6. Amounts Owing on the Final Payment Due Date-If for any reason Forbearance is not granted.The Forbearance Fee will be disclosed I owe additional principal and interest and any other fees,charges, to me prior to the Forbearance Fee being assessed, You will and costs on the final payment due date for my Loan,I will pay all capitalize unpaid accrued interest at the end of any such such amounts at that time. Forbearance Period.If I request and you approve a Forbearance,1 7. Minimum Principal and Intarest P m n -Notwithstanding any understand that you will cancel future loan disbursements. other provisions of this Section,after the separation period ends, 4. Waiver if Student Borrower Dies or Becomes Totally and you may require me to make minimum principal and interest Permanently Disabled- If the student borrower identified on the payments of up to$50 per month,or the entire unpaid balance, application for this loan dies or becomes totally and permanently whichever is less, disabled,you agree to waive the remaining balance of this loan, 8. Application of [avments - Payments will be applied first to including all principal,fees and other charges,whether current or applicable fees, Charges, and costs; then to interest; and the past due(the"Total Owed"),less any tuition refund granted by the remainder to principal, as costs; by applicable law. School.Total and permanent disability means the inability to work remander Additionally, payments m excess permitted the amount due will be in any occupation due to a condition that began or deteriorated credited against the payment(s)that would otherwise be required after the data of the Disclosure ore and the disability is expected to be in the next billing ycles unless the excess payment is made permanent. ac application for the disability waiver must be mach 0 ( ) of you and accompanied u a physician's statement and such during the first billing cycle prior to any payment being due, in other information or documentation that you may require. which case it will be applied to principal and not credited against Payments must be made up until the time the disability application the next payment(s).To find out how this"pay in advance"feature is completed to your satisfaction. if approved,the waiver will be works,call 1-888.272-5543, effective as of the date of the completed application.The disability 9. Payment in Full-If I wish to make a payment In satisfaction of a review process may take up to 12 months from when you receive disputed amount or balance, i must send it to P.O. Box 3800, a completed disability application and the final determination will Wilkes-Barre,PA 18773-3800 with a letter of explanation.To the be made by you in your sole and complete discretion.I understand extant permitted by law, you may accept late payments, partial that interest will continue to accrue while you review my payments, or payments marked "payment in full," or having application for a disability waiver, and, if my application for a similar language,without waiving your rights under this Note. disability waiver Is denied,you will capitalize all unpaid accrued 10. Information About My Payments - Information about my interest and i will have to resume making my payments as payments, the unpaid accrued interest, and the outstanding described herein.If I receive a tuition refund,you will apply it to principal on the loan will be available online. the Total Owed to fully satisfy my obligations under this Note. If I 11. p yment HDliday-At any time you,at your sole discretion, may or my estate receive a tuition refund and fail to pay It to you,the me that I have the option to take a payment holiday,fora failure to do so will be considered a default under this Note,and notify period of time set by you. If I take advantage of this you will have the right to collect from me or my estate the amount Copyright®2000.2011 Sallie Mae 3SCL1102/3SOL1102 of the tuition refund,plus interest,and any fees and charges that principal balance,accrued interest,and all other amounts payable to accrue because of the failure to pay you the amount of the tuition you under the terms of this Note will become due and payable at once refund. This waiver is not available for residents of Alaska or and you may cease to make any further disbursements to me. After Montana. default, interest will accrue at the Variable Rate applicable to this loan F. LATE CHARGE prior to default and the Variable Rate will be subject to adjustment in the same manner as before. I will pay a Late Charge H I fail to make any part of an installment payment within 15 days after it becomes due.The amount of the Late L. COLLECTION COSTS Charge will be identified on my Disclosure. Unless prohibited by applicable law, I agree to pay you all amounts, G. SUPPLEMENTAL FEES including reasonable attorneys'fees,and collection agency,court and other collection costs that you incur in enforcing the terms of this Note t. S11 0lemental Fee at Disb ru sement - You may charge me a (caiectiveiy, "Collection Costs"), The Collection Costs that 1 agree to Supplemental Fee,and add life the Loan Amount,at disbursement pay also include fees and costs incurred in connection with any of my loan.If there is more than one disbursement,at the time you appellate or bankruptcy proceedings, issue each disbursement, you may add to the principal loan balance an amount equal to the pro rata portion of the M. NOTICE OF CLAIM;RIGHT TO RESOLVE: Supplemental Fee. The amount of the Supplemental Fee, if Prior to initiating,joining or participating in any judicial or arbitration charged,will be identified on my Disclosure,under the Itemization proceeding, whether individually, as a class representative or of Amount Financed,as the amount of the Disbursement Fee. participant or otherwise,regarding a legal dispute or claim that in any 2. Suoolementat Fee at End of Separation Perim-You may charge way arises from or relates to this Note(as more fully defined in the me a Supplemental Fee,which will be identified on my Disclosure, Arbitration Agreement below, "Claim"),the parry asserting the Claim and add it to the Loan Amount,either at the end of the separation shall give the other party written notice of the Claim and a reasonable period, upon total repayment of my loan, or upon an event opportunity, not less than 30 days, to resolve the Claim. Any claim described in Section K,whichever is eadier. The amount of this notice I send must include my name,address,telephone number and Supplemental Fee,if charged,will be identified on my Disclosure, loan or account number,Any claim notice must explain the nature of as the amount of the"Fee when you begin repaying the loan"(here the Claim and the relief that is demanded. I may only submit a claim "you"means the borrower and cosigner(s)), notice on my own behalf and not on behalf of any other party.The party 3. When Earned-I understand and agree that the Supplemental Fees, giving a claim notice must reasonably cooperate in providing any if any,are earned when assessed,are due even if the amounts an information about the Claim that the other party reasonably requests, which they are assessed are later refunded,and are not subject to rebate if I prepay my loan. N. NOTICES 1. JURY TRIAL WAVER; YOU AND I ACKNOWLEDGE THAT THE H. RETURNED CHECK CHARGE RIGHT TO TRIAL BY JURY IS A CONSTITUTIONAL RIGHT BUT If any payment made on my loan I$returned or refused for any reason, MAY BE WAIVED IN CERTAIN CIRCUMSTANCES.TO THE EXTENT I agree to pay the charge identified in my Disclosure as the"Returned PERMITTED BY LAW, YOU AND i KNOWINGLY AND check charge"for each payment so returned. VOLUNTARILY WAIVE ANY RIGHT TO TRIAL BY JURY IN THE EVENT OF LITIGATION ARISING OUT OF 08 RELATED TO THIS L CHARGES FOR OPTIONAL SERVICES NOTE. THIS JURY TRIAL WAIVER SHALL NOT AFFECT OR BE INTERPRETED AS MODIFYING IN ANY FASHION THE If I request and you agree to provide optional services to me in ARBITRATION AGREEMENT SET FORTH BELOW, WHICH connection with my loan,you may charge me and I agree to pay the CONTAINS ITS OWN SEPARATE JURY TRIAL WAIVER. fees for such services.The fee will be disclosed to me before I accept 2. Joint and SeveL ab'i - Each borrower and cosigner is any such service.Optional services may include,but are not limited to: jointly and severally responsible for repaying the co amount (1)allowing me to make an expedited payment on my loan;{2)sending owed under this rally documents to me by express delivery or facsimile transmiission; and (3)changing my repayment option on my loan. 3. Change in Information-I will send written notice to you,within 10 days after any change in my name, address, email address, J. RIGHT TO PREPAY permanent phone number,cellular phone number,or,if this Nate I have the tight to prepay all or an is executed by more than one person,the status(i.e.death)of any 9 p p Y y part of my loan at any time other person(Le,the Borrower or any Cosigner),or within 10 days without penalty.If I prepay my loan,I am not entitled to a refund of after any change in the School enrollment status of the Student, any finance charge, which includes,but is not limited to,non-attendance. MR-K. DEFAULT;WHOLE LOAN DUE;INTEREST RATE AFTER 4. Communications and Notices from You-Unless otherwise stated DEFAULT therein, or otherwise provided by law, any communication Subject to applicable law, and the definition of "Default" In Section between you and any borrower or cosigner will be binding on all borrowers and cosigners and any notice required to be given to Babove,you may declare my ban in default if: me by you will be effective when mailed to the latest address you 1. I fail t0 make any payment to you when due;or have for me. 2. 1 fail to provide a notice required in paragraph 3 of Section N on 5. Reports to Credit Bureaus-You may reportthe status of this loan time;or to the School and to any credit bureaus.Late payments,missed 3. 1 break any of my other promises in this Note;or payments,or other defaults on my account may be reflected In 4. An bankruptcy my credit bureau report, Any p et proceeding is begun by m against rs; or I assign 6. Not Negotiable-This is a non-negotiable consumer note, any of my assets to or for the benefit of my creditors;or 5. 1 make any false written statement in applying for this loan or at 7• Not DisOneable - This loan may not be dischargeable in any time thereafter;or bankruptcy. — 6. Any cosigner dies;or 8. Eldital Notices-I understand that the following notice is required 7. 1 am in default on any other loans I may have,now or in the future, by federal law when a new account is opened: with you, with any Sallie Mae affiliate or subsidiary, or with any successor company of any of the foregoing. If you do so, then after you provide me with such notices and cure periods as are required by applicable law,if any,the whole outstanding Copyright©2000.2011 Sallie Me 3SCL1102l3SOL1102 IMPORTANT INFORMATION ABOUT PROCEDURES CALIFORNIA RESIDENTS ONLY; A married applicant may apply FOR OPENING A NEW ACCOUNT for a separate account. To help the government fight the funding of terrorism and money CALIFORNIA and UTAH RESIDENT ONLY�As required by laundering activities,Federal law requires all financial institutions to California and Utah law,I am hereby notified that a negative credit obtain, verity, and record information that identifies each person report reflecting on my credit record may be submitted to a credit who opens an account. reporting agency if I fail to fulfill the terms of my credit obligations. What this means for me:In applying for this education loan,you will IOWA and KANSAS RE IDENTC ONLY: For purposes of this ask for my name, address, date of birth, Social Security Number, notice, the word "you" means the borrower and cosigner(s). and other information that will allow you to identify me. You may NOTICE TO CONSUMER:1.Do not sign this paper before you read also ask to see my driver's license or other identifying documents. it. 2.You are entitled to a copy of this paper.3. You may prepay the unpaid balance at any time without penalty and may be entitled I understand that the following notice is also required by federal law to receive a refund of unearned charges in accordance with law. and thatfor purposes of this notice,the words"you"and'yours"mean MARYLAND RESIDENTS ON You elect to make this loan the cosigner(s)who signed the application. pursuant to Subtitle 10 (Credit Grantor Closed End Credit provisions) of Title 12 of the Maryland Commercial Law Article only to the extent that such provisions are not inconsistent with NOTICE TO COSIGNER your authority under federal law (12 U.S.C. §85, §1463(g), or You are being asked to guarantee this debt. Think carefully §1831d, as appropriate) and related regulations and before you do.If the borrower doesn't pay the debt,you will have interpretations,which authority you expressly reserve. to.Be sure you can afford to pay if you have to,and that you want MASSACHUSETTS RESIDENTS ONLY; Massachusetts law to accept this responsibility. prohibits discrimination based upon marital status or sexual You may have to pay up to the full amount of the debt If the orientation. borrower does not pay. You may also have to pay late fees or MISSOURI RESIDENTS ONLY ORAL AGREEMENTS OR collection costs,which increase this amount. COMMITMENTS TO LOAN MONEY, EXTEND CREDIT OR The lender can collect this debt from you without first trying to FORBEAR FROM ENFORCING REPAYMENT OF DEBT collect from the borrower. The lender can use the same INCLUDING PROMISES TO EXTEND OR RENEW SUCH collection methods against you that can be used against the DEBT ARE NOT ENFORCEABLE. TO PROTECT YOU borrower, such as suing you, garnishing your wages, etc. If this (BORROWER(S)) AND US (CREDITOR) FROM debt is ever in default,that fact may become a part of yourcredit MISUNDERSTANDING OR DISAPPOINTMENT, ANY record. AGREEMENTS WE REACH COVERING SUCH MATTERS This notice is not the contract that makes you liable for the debt. ARE CONTAINED IN THIS WRITING, WHICH IS THE COMPLETE AND EXCLUSIVE STATEMENT OF THE I understand that the following notice is only applicable to loans issued AGREEMENT BETWEEN US, EXCEPT AS WE MAY LATER to finance educational expenses at for-profit educational institutions or AGREE IN WRITING TO MODIFY IT. institutions otherwise subject to the FTC Holder Rule under 16 C.F.R. NEVADA RESIDENTS ONLY;This is a loan for study. §433.2. NEW JERSEY RESIDENTS ONLY;The section headings ofthe Note are a table of contents and not contract terms. Portions of this NOTICE Note with references to actions taken to the extent of applicable ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS law apply to acts or practices that New Jersey law permits or SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE requires.In this Note,acts or practices(I)byyou which are or may be permitted by"applicable law"are permitted by New Jersey law, DEBTOR COULD ASSERT AGAINSTTHE SELLER OF GOODS and (ii) that may or will be taken by you unless prohibited by OR SERVICES OBTAINED WITH THE PROCEEDS HEREOF. "applicable law"are permitted by New Jersey law. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT NEW YORK RHODE ISLAND and VERMONT RESIDENTS ONLY;I EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. understand and agree that you may obtain a consumer credit report in connection with this application and in connection with I understand that the following notice is permitted by federal law and any updates, renewals or extensions of any credit as a result of that for purposes of this notice,the word"we" means the Lender, its this application. If I ask, I will be informed whether or not such a agents and any subsequent holder of this Note and the word 'you" report was obtained and, if . the name and address of the means the borrower and cosigner(s)who signed the application. agency that furnished the report.I also understand and agree that you may obtain a consumer credit report in connection with the review or collection of any loan made to me as a result of this NOTICE application or for other legitimate purposes related to such loans. If you believe that any information about your loan that we have OHIO RESIDENTS ONLY; The Ohio laws against discrimination reported to a credit bureau is inaccurate, or if you believe that require that all creditors make credit equally available to all you have been the victim of identity theft in connection with any creditworthy customers, and that credit reporting agencies other Sallie Mae loan made by us,write to us at P.O. Box 3779 maintain separate credit histories on each individual upon request. Wilkes Barre, PA 18773-3779. In your letter, (1) provide your The Ohio Civil Rights Commission administers compliance with name and the loan or account number, (li) identity the specific this law. information that is being disputed, (iii)explain the basis for the UTAH RESIDENTS ONLY;This Note is the final expression of the dispute,and IN)provide any supporting documentation you have agreement between me and you and it may not be contradicted by that substantiates the basis of the dispute.If you believe that you evidence of an alleged oral agreement. have been the victim of identity theft, submit an identity theft VERMONT RESIDENTS ONLY; For purposes of this notice, the affidavit or identity theft report. word "you" means the Cosigner(s). NOTICE TO COSIGNER: YOUR SIGNATURE ON THIS NOTE MEANS THAT YOU ARE 9. State Notices-I understand that the following notices are required EQUALLY LIABLE FOR REPAYMENT OF THIS LOAN.IF THE by or necessary under state law and that these notices may not BORROWER DOES NOT PAY, THE LENDER HAS A LEGAL describe all of the rights that I have under state and federal law. RIGHT TO COLLECT FROM YOU. Unless otherwise indicated,each notice applies to borrowers and ; cosigners who live in the indicated state on the date that they WISCONSIN RESIDENTS ONLY If I am a married Wisconsin signed the application and to borrowers and cosigners who are resident: (1) My signature confirms that this loan obligation is residents of that state, being incurred in the interest of my marriage or family. (2) No provision of any marital property agreement, unilateral statement Copyright 0 2000-2011 Sallie Mae 3SCL7102/3SOL1102