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Summary: CERTIFICATION OF OPTIONAL FORBEARANCE OR DEFERMENT STATUS
UNIVERITY OF VIRGINIA / MEDICAL SCHOOL
INSTITUTIONAL LOANS
Return Form To: CAMPUS PARTNERS
P.O. Box 2901
Winston-Salem, NC 27102-2901
Must Be Submitted: (a) immediately after receipt of first billing (prior to payment due date)
(b)Annually thereafter for a long as the status is claimed.
List All University Loan Account Numbers Below
_____________________________________________________________________________________
Borrower's Soc. Sec. # _____________________________________________________
Full Name of Borrower: _____________________________________________________
Address of Borrower: ______________________________________________________
______________________________________________________
Telephone #'s: Home:___________________________ Work:_________________
__________________________________________________________________________________
Part I REQUEST FOR OPTIONAL FORBEARANCE: principal deferred; interest due monthly
(Exception: no interest payments due on Stribling Loans)
I am requesting optional forbearance because:
_____ I am pursuing advanced professional training in an internship or residency.
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