Direct Debit

Records Code: MDDAP - XDDA

Form Code: FDEFT1
Version Date: 12/01/15

EFT
Electronic Funds Transfer Agreement
Direct Debit makes it possible for you to have your student loan payment deducted electronically from your checking or savings account on the same date each
month. Using the Direct Debit service may qualify you for an interest rate reduction.
Please return the completed application to: 27133183440004955

FedLoan Servicing, P.O. Box 3661, Harrisburg, PA 17105-3661

Borrower Name

Last HUGHES

First COLLIN Middle G

Student Loan
4159685306
Account Number

PAYMENT INFORMATION
Please continue to remit your monthly installments until you receive a monthly billing statement indicating that your account has been set up on Direct Debit.
Please allow one or two billing cycles for Direct Debit to be set up.

Bank or Financial Institution Name BBVA COMPASS

■ ABA/Routing Number 062201601

Checking Savings

Checking/Savings Account Number 6764181245

Amount to be Monthly Installment Amount (based on your repayment schedule)*

withdrawn: OR **
■ Monthly Installment Amount Plus the following ADDITIONAL amount: 10.00
*The amount debited each month may change based on the installment amount due under your repayment schedule.
**Only indicate the amount that is above and beyond your current installment amount.
Do NOT write the total amount to be withdrawn.

Student Loan Recurring Direct Debit/Electronic Funds Transfer Authorization

I authorize the Pennsylvania Higher Education Assistance Agency, doing business as FedLoan Servicing to initiate preauthorized Electronic Funds Transfers (“Transfers”) to the student loan
accounts indicated above and from my designated account(s) with the bank or financial institution named above pursuant to the terms and conditions of this Agreement, as may be
modified from time to time. I have read, understand and agree to be bound by all of the terms and conditions of the Agreement. I understand if my student loan(s) are consolidated, I will
need to submit a new Agreement for the consolidation loan. I intend and agree to repay my loan(s) according to the terms and conditions of my promissory note. If my account is past due, I
hereby request a forbearance to cover all payments due before the initial Transfer. Unpaid interest may be capitalized (added to the principal balance) when the forbearance ends. My
authorization for the Transfers to my designated student loan(s) shall continue in effect until my designated student loans are paid in full or until this Agreement is terminated by me or by
FedLoan Servicing in accordance with the terms of this Agreement. I understand that my authorization may only be revoked in the manner set forth in the Agreement.

Borrower Date
000000000112900000980694320181210190054
Signature
 Electronic Funds Transfer Agreement and Disclosure Statement for Recurring Direct Debit Payments
A. Preauthorized Recurring Debit Payments
The Pennsylvania Higher Education Assistance Agency, doing business as FedLoan
Servicing will electronically transfer funds from your designated checking/savings account
(s) to student loan account(s) of your designation (“Transfer(s)”).
B. The Type and Nature of Transfer
Each Transfer will be made monthly on the due date of the student loan payment(s) in
question in an amount equal to your monthly student loan installment plus any additional
amount you request by way of this Agreement. If your due date falls on a weekend or a
holiday, then your account will be debited the next business day. If your monthly student
loan installment amount changes, the amount debited from your account under this
Agreement will change to reflect the new installment amount. In addition, any additional
amount you have requested to be transferred will continue to be transferred, unless you
notify FedLoan Servicing in writing as instructed below. You have the right to receive
documentation concerning all Transfers. If a Transfer will vary in amount from the previous
Transfer, FedLoan Servicing will inform you of the new Transfer amount at least 10 days in
advance.
C. In Case of Errors or Questions about Your Electronic Funds Transfer
In case of errors or questions about Transfers made under this Agreement, contact
FedLoan Servicing in writing at FedLoan Servicing, P.O. Box 3661, Harrisburg, PA
17105-3661, by phone at 1-800-699-2908, or by e-mail at DirectDebit@myfedloan.
org. If you believe there is an error with a Transfer or if you have questions about a
Transfer, you must contact FedLoan Servicing as soon as possible. When communicating
with FedLoan Servicing regarding an alleged error, you must:
1. Provide your name, student loan account number(s), and checking or savings
account number.
2. Describe the alleged error and explain why you believe there is an error or need
more information.
3. Provide the dollar amount of the alleged error.
4. To the extent possible, provide the date of the alleged error and a complete bank
statement or letter from your financial institution as evidence of the alleged error.
This will not negate your responsibility to make payments on your student loan(s) as
required by your promissory note(s) while the alleged error is reviewed.
D. How to Stop a Transfer
After you have authorized FedLoan Servicing to make Transfers pursuant to this
Agreement, you may stop a Transfer by providing timely notice to FedLoan Servicing using
the telephone number, address, or e-mail address listed above. FedLoan Servicing must
receive your call, e-mail or written request three (3) business days or more before a
Transfer is scheduled to be made in order for the Transfer to be stopped. A phone request
to stop a Transfer will only stop a single Transfer; Transfers will resume the following month.
If you wish to stop all Transfers, you must notify FedLoan Servicing in writing either at the
address or e-mail address provided above.
You are responsible for all monthly payments on your student loan(s) for which you have
cancelled Transfers. You must select another payment option made available by FedLoan
Servicing in place of the cancelled Transfer. If FedLoan Servicing receives your request to
stop a Transfer three (3) business days or more before the Transfer was scheduled to be
made and FedLoan Servicing fails to stop the Transfer, FedLoan Servicing may be liable for
your damages, unless its failure to stop the Transfer was due to circumstances beyond
FedLoan Servicing's control.
E. Enrolling in or Resuming Direct Debit After Forbearance or Grace Period
If you preauthorize Transfers and are subsequently granted a forbearance or deferment,
Transfers will be suspended, but will not be cancelled and will resume with the first payment
due following the deferment, forbearance or grace period, unless you notify FedLoan
Servicing of your desire to cancel future Transfers as set forth above.
F. Confidentiality/Privacy
FedLoan Servicing may disclose information to third parties regarding your bank
account, your student loan account(s), and/or Transfers under the following
circumstances:
1. When necessary to complete a Transfer;
2. To verify the existence and condition of your account for a third party, such as a
credit bureau;
3. In order to comply with government agency requests, subpoenas, or orders, lawful
discovery under federal or state rules of civil and criminal procedure, court orders, or
as otherwise required by applicable law; or
4. If you give FedLoan Servicing written permission to do so.
G. Other Agreements and Regulations
Transfers are subject to all charges, rules and regulations governing debits to accounts
and all other agreements and disclosures for checking, savings, and overdraft line of
credit accounts, and are subject to any future charges as permitted by law, regulation
and/or your promissory note.
H. Termination, Changes, Assignment, Insufficient Funds
FedLoan Servicing reserves the right to make changes to this Agreement or assign the
obligation to process Transfers to a third party at any time. FedLoan Servicing may
terminate this service without cause at any time, and you may permanently terminate this
Agreement at any time by giving sufficient written notice as indicated above. It is your
responsibility to ensure that you have sufficient funds to cover each Transfer. FedLoan
Servicing reserves the right to collect from you any additional fees, as permitted by law
and/or your promissory note(s) and if applicable, your student loan holder's policies,
resulting from insufficient funds. FedLoan Servicing also has the option in its sole
discretion, and/or in accordance with your student loan holder's policies, to terminate this
Agreement either in its entirety or with respect to individual student loans if there are any
instances of insufficient funds preventing the payment of your student loan(s). You are
required to promptly submit a new Agreement to FedLoan Servicing if you make changes
to your bank information including, but not limited to, your ABA/Routing Number or your
checking/savings account number. You are also required to submit a new Agreement in
order to preauthorize Transfers for any additional student loans or any student loans
previously excluded from this Agreement.
I. Business Days
For purposes of this Agreement, FedLoan Servicing's business days are Monday through
Friday, excluding holidays.
J. Periodic Account Statements
You will receive a monthly account statement if any of your loans entered repayment on
or after May 1st, 2009. If all of your loans entered repayment before May 1st, 2009, you
will not receive a monthly account statement; however, you may sign up for paperless
billing at MyFedLoan.org.
K. Paid Ahead Status
FedLoan Servicing will debit your scheduled installment amount and any additional
amount you have requested on the due date each month, even if your account is in a
paid ahead or partially paid ahead status. Visit MyFedLoan.org/paidahead to learn more
about paid ahead and partially paid ahead statuses. If you would like to stop a transfer
from occurring, please refer to the instructions provided in Section D.
L. Interest Rate Reduction
Your student loan owner may offer an interest rate reduction while your loans are
enrolled in Direct Debit. If such an interest rate reduction is offered, and Direct Debit is
cancelled, or if you consolidate any student loans enrolled in Direct Debit, you may lose
any interest rate reduction that may have been applicable. If the interest rate reduction is
lost then the interest rate in accordance with your promissory note will apply.
M. Payment Application
We typically apply payments first to outstanding accrued interest, then to principal
balance. To learn more about how your payments are applied and targeting payments
visit MyFedLoan.org/PaymentApplication.