What is your estimated adjusted gross income (AGI)?
$
NOTE: This is the adjusted gross income as reported to the Internal Revenue Service (IRS). If you are a married borrower filing
jointly, AGI should include both your income and your spouse's income, or if you are married and filing separately, only your
income.
What state do you live in?
NOTE: If you are not a resident of a State identified in the drop-down menu, select Other.
What is your family size?
NOTE: Family size is determined by counting you, your spouse (if applicable), including unborn children
who will be born during the year you certify your family size, if the 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, the other
individuals:
• live with you; and
• receive more than half their support from you and will continue to receive this support from you in 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.
What is the total balance of all your federal student loans at the time you entered repayment?
$
NOTE: Your total balance includes loans from the William D. Ford Direct Loan Program and FFEL Program. Eligible loans
include Stafford, SLS, GradPlus, or federal Consolidation loans that do not include Parent Plus loans.
What is the interest rate on your federal student loans?
%
NOTE: If you have multiple loans with different interest rates, estimate the average of all the interest rates.
If you do not know your interest rate(s), enter 6.8%.