LOAN REPAYMENT REMITTANCE FORM - ABA Retirement

Form 2B 05/18

LOAN REPAYMENT REMITTANCE FORM

ABA Retirement Funds Program ("the Program") P.O. Box 55072 ? Boston, MA 02205-5072

Customer Contact Center: 800.752.6313 Website:

Participants may complete this form to make loan repayments directly to the Program. Mail the form to the address shown above along with a check payable to "ABA Retirement Funds Program." EMPLOYER INFORMATION

Program Plan Number: ___ ___ ___ ___ ___ ___

PARTICIPANT NAME

_______________________________________

Plan Name: _______________________________________

SOCIAL SECURITY NUMBER

___ ___ ___ ? ___ ___ ? ___ ___ ___ ___

LOAN NUMBER

______________

Daytime Phone Number: ( )

?

SCHEDULED PAYMENT AMOUNT

PAY-OFF AMOUNT*

$______________

$______________

_______________________________________

___ ___ ___ ? ___ ___ ? ___ ___ ___ ___

______________

$______________

$______________

_______________________________________ _______________________________________

___ ___ ___ ? ___ ___ ? ___ ___ ___ ___ ___ ___ ___ ? ___ ___ ? ___ ___ ___ ___

______________ ______________

$______________

OR

$______________

$______________

$______________

_______________________________________

___ ___ ___ ? ___ ___ ? ___ ___ ___ ___

*Use this column only if the balance of the loan number indicated is being paid off.

______________

$______________

$______________

Loan Repayment Subtotal $_____________0_

You should adhere to the amortization schedule when making your payments as opposed to mailing two payments or more payments at once. If you no longer work for the plan sponsor, you may reamortize the loan by submitting a completed, signed Loan Reamortization Request Form.

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