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STUDENT LOAN DISCLOSURE FORM

Sallie Mae has the following policies regarding student loans and its employees:

An employee must keep his/her student loan account, whether owned by Sallie Mae or another servicer, in current (non-delinquent) status. Failure to do so will result in disciplinary action which may include termination of employment.

• Employees are prohibited from accessing or changing Sallie Mae account records for their own loans; the loans of immediate family members, friends or non-relative household members; or anyone else’s loans without proper authorization.

• New employees with loans in an unemployment deferment status must call and notify the servicer of each loan that they are now employed.

In accordance with the above policies, please supply the information requested below. The information on your student loan will be used to ensure that your loan(s) remains in current (non-delinquent) status.

Do you have a student loan owned or serviced by Sallie Mae or another servicer? Yes No

If yes, please complete the information below:

|BORROWER’S NAME |LOAN ACCOUNT NUMBER |NAME OF SERVICER |

| |(SSN) | |

| | | |

| | | |

| | | |

| | | |

| | | |

Have these loans ever been in a default status: Yes No

If yes, are the loans current or paid-in-full now? Yes No

If any of the information above changes, please notify Human Resources.

I have read the Student Loan Disclosure form, understand the responsibilities as outlined within, and agree to abide by them.

_________________________ ______________________________ ____________

Employee Name (Print) Employee Signature Date

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