Form 1845-0105 Income-Driven Repayment Plan Request

Form 1845-0105 or the "Income-driven Repayment Plan Request" is a form issued by the U.S. Department of Education.

A PDF of the latest Form 1845-0105 can be downloaded below or found on the U.S. Department of Education Forms and Publications website.

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INCOME-DRIVEN REPAYMENT PLAN REQUEST:
OMB No. 1845-0102
Form Approved
For the Revised Pay As You Earn (REPAYE), Pay As You Earn (PAYE), Income-Based
Exp. Date 10/31/2018
(IBR), and Income-Contingent (ICR) repayment plans under the William D. Ford
IDR
Federal Direct Loan (Direct Loan) and Federal Family Education Loan (FFEL) Programs
WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying
document is subject to penalties that may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C.
1097.
SECTION 1: BORROWER IDENTIFICATION
Please enter or correct the following information.
Check this box if any of your information has changed.
SSN
-
-
Name
Address
City, State, Zip Code
Telephone - Primary
-
(
)
Telephone - Alternate
-
(
)
Email (Optional)
SECTION 2: REPAYMENT PLAN OR RECERTIFICATION REQUEST
READ BEFORE COMPLETING THIS FORM:
• You can apply online at StudentLoans.gov. It is faster and easier to complete this form online.
• Income-driven repayment plans offer many benefits, but may not be right for everyone.
• You can learn more about these plans at
StudentAid.gov/IDR
and by reading Sections 9 and 10.
• It's simple to explore all of your repayment options at StudentAid.gov/repayment-estimator.
• You can find out which types of loans you have and who your loan holder or servicer is at nslds.ed.gov.
• If you need help completing this request, contact your loan holder or servicer for free assistance.
• You may have to pay income tax on any loan amount forgiven under an income-driven plan.
1. Select the reason you are submitting this form (Check
2. Choose a plan and then continue to Item 3.
only one):
(Recommended) I want my loan holder to place me on
the plan with the lowest monthly payment.
I am not in an income-driven repayment plan, but
REPAYE
IBR
want to enter one - Continue to Item 2.
I am already in an income-driven repayment plan
PAYE
ICR
and am submitting documentation for the annual
3. Do you have multiple loan holders or servicers?
recalculation of my payment - Skip to Item 5.
Yes - Submit a separate request to each loan holder or
I am already in an income-driven repayment plan and
servicer. Continue to Item 4.
am submitting documentation early because I want
No - Continue to Item 4.
my loan holder to recalculate my payment
4. Are you currently in a deferment or forbearance?
immediately - Skip to Item 5.
I am already in an income-driven repayment plan,
No - Continue to Item 5.
but want to change to a different income-driven
Yes, but I want to start making payments under my plan
repayment plan - Continue to Item 2.
immediately - Continue to Item 5.
Yes, but I do not want to start repaying my loans until
the deferment or forbearance ends - Continue to Item 5.
If you have FFEL Program loans, they may only be repaid under IBR. If you request a different plan, your loan holder will
consider you for IBR on your FFEL Program loans. You may be able to consolidate your FFEL Program loans into a Direct
Consolidation Loan to take advantage of other income-driven plans by visiting StudentLoans.gov.
Page 1 of 12
INCOME-DRIVEN REPAYMENT PLAN REQUEST:
OMB No. 1845-0102
Form Approved
For the Revised Pay As You Earn (REPAYE), Pay As You Earn (PAYE), Income-Based
Exp. Date 10/31/2018
(IBR), and Income-Contingent (ICR) repayment plans under the William D. Ford
IDR
Federal Direct Loan (Direct Loan) and Federal Family Education Loan (FFEL) Programs
WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying
document is subject to penalties that may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C.
1097.
SECTION 1: BORROWER IDENTIFICATION
Please enter or correct the following information.
Check this box if any of your information has changed.
SSN
-
-
Name
Address
City, State, Zip Code
Telephone - Primary
-
(
)
Telephone - Alternate
-
(
)
Email (Optional)
SECTION 2: REPAYMENT PLAN OR RECERTIFICATION REQUEST
READ BEFORE COMPLETING THIS FORM:
• You can apply online at StudentLoans.gov. It is faster and easier to complete this form online.
• Income-driven repayment plans offer many benefits, but may not be right for everyone.
• You can learn more about these plans at
StudentAid.gov/IDR
and by reading Sections 9 and 10.
• It's simple to explore all of your repayment options at StudentAid.gov/repayment-estimator.
• You can find out which types of loans you have and who your loan holder or servicer is at nslds.ed.gov.
• If you need help completing this request, contact your loan holder or servicer for free assistance.
• You may have to pay income tax on any loan amount forgiven under an income-driven plan.
1. Select the reason you are submitting this form (Check
2. Choose a plan and then continue to Item 3.
only one):
(Recommended) I want my loan holder to place me on
the plan with the lowest monthly payment.
I am not in an income-driven repayment plan, but
REPAYE
IBR
want to enter one - Continue to Item 2.
I am already in an income-driven repayment plan
PAYE
ICR
and am submitting documentation for the annual
3. Do you have multiple loan holders or servicers?
recalculation of my payment - Skip to Item 5.
Yes - Submit a separate request to each loan holder or
I am already in an income-driven repayment plan and
servicer. Continue to Item 4.
am submitting documentation early because I want
No - Continue to Item 4.
my loan holder to recalculate my payment
4. Are you currently in a deferment or forbearance?
immediately - Skip to Item 5.
I am already in an income-driven repayment plan,
No - Continue to Item 5.
but want to change to a different income-driven
Yes, but I want to start making payments under my plan
repayment plan - Continue to Item 2.
immediately - Continue to Item 5.
Yes, but I do not want to start repaying my loans until
the deferment or forbearance ends - Continue to Item 5.
If you have FFEL Program loans, they may only be repaid under IBR. If you request a different plan, your loan holder will
consider you for IBR on your FFEL Program loans. You may be able to consolidate your FFEL Program loans into a Direct
Consolidation Loan to take advantage of other income-driven plans by visiting StudentLoans.gov.
Page 1 of 12
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Borrower Name:
Borrower SSN:
SECTION 3: FAMILY SIZE INFORMATION
5. How many children, including unborn children, are in
6. How many people, excluding your spouse and children,
your family and receive more than half of their support
live with you, and receive more than half of their
support from you?
from you?
. Continue to Item 6.
. Continue to Item 7.
7. What is your marital status?
A definition of "family size" is available in Section 9.
Do not enter a value for you or your spouse. Those
Single - Continue to Item 8.
values are automatically included, if appropriate.
Married - Skip to Item 11.
SECTION 4A: INCOME INFORMATION FOR SINGLE BORROWERS
10. Do you currently have taxable income? Check "No" if
8. Did you file a federal income tax return for either of
you do not have any income or receive only untaxed
the past two tax years?
income.
Yes - Continue to Item 9.
Yes - Skip to Section 5.
No - Skip to Item 10.
No - Skip to Section 6.
9. Has your income significantly changed since you filed
your last federal income tax return? For example, have
Remember, any person who makes a knowingly false
you lost your job, gotten divorced, or experienced a
statement or misrepresentation on this form may be
drop in income?
subject to fines, imprisonment, or both.
Yes - Continue to Item 10.
No - Provide your most recent federal income tax
return or transcript. Skip to Section 6.
SECTION 4B: LOAN AND INCOME INFORMATION FOR MARRIED BORROWERS
16. Has your income significantly changed since you
11. Does your spouse have federal student loans?
filed your last federal income tax return? For
Yes - Continue to Item 12.
example, have you lost your job or experienced a
No - Skip to Item 14.
drop in income?
12. Provide the following information about your spouse
Yes - Skip to Item 18.
and then continue to Item 13:
No - Continue to Item 17.
a. Spouse's SSN:
17. Has your spouse's income significantly changed since
-
-
your spouse filed his or her last federal income tax
return? For example, has your spouse lost his or her
b. Spouse's Name
job or experienced a drop in income?
Yes - Continue to Item 18.
c. Spouse's Date of Birth
No - Provide your and your spouse's most recent
13. If you are placed on the ICR plan, do you want to
federal income tax return or transcript. Skip to
repay your Direct Loans jointly with your spouse?
Section 6.
Yes - Continue to Item 14.
18. Do you currently have taxable income? Check "No" if
No - Continue to Item 14.
you do not have any income or receive only untaxed
income.
14. When you filed your last federal income tax return,
did you file jointly with your spouse?
Yes - Provide documentation of your income as
Yes - Continue to Item 15.
instructed in Section 5. Continue to Item 19.
No - Continue to Item 19.
No - Skip to Item 20.
15. Did you and your spouse file a federal income tax
Remember, any person who makes a knowingly false
return for either of the past two tax years?
statement or misrepresentation on this form may be
Yes - Continue to Item 16.
subject to fines, imprisonment, or both.
No - Skip to Item 18.
Page 2 of 12
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Borrower Name:
Borrower SSN:
SECTION 4B: LOAN AND INCOME INFORMATION FOR MARRIED BORROWERS (CONTINUED)
19. Does your spouse currently have taxable income?
24. Are you reasonably able to access information
Check "No" if your spouse has no taxable income or
about your spouse's income and able to have your
receives only untaxed income.
spouse sign this application?
Yes - Provide documentation of your spouse's
Yes - Continue to Item 25.
income as instructed in Section 5.
No - Provide documentation of only your
No - Skip to Section 6.
income as instructed in Item 21 or 22 and then
skip to Section 6.
20. Did you file a federal income tax return for either
of the past two years?
25. Did your spouse file a federal income tax return for
Yes - Continue to Item 21.
either of the past two tax years?
No - Skip to Item 22.
Yes - Continue to Item 26.
21. Has your income significantly changed since you
No - Skip to Item 27.
filed your last federal income tax return? For
example, have you lost your job or experienced a
26. Has your spouse's income significantly changed
drop in income?
since your spouse filed his or her last federal
income tax return? For example, has your spouse
Yes - Continue to Item 22.
lost a job or experienced a drop in income?
No - Provide your most recent federal income
Yes - Continue to Item 27.
tax return or transcript. Skip to Item 23.
No - Provide your spouse's most recent federal
22. Do you currently have taxable income? Check "No"
income tax return or transcript. This information
if you have no taxable income or receive only
will only be used for the REPAYE Plan. Skip to
untaxed income.
Section 6.
Yes - Provide documentation of your income as
instructed in Section 5. Continue to Item 23.
27. Does your spouse currently have taxable income?
Check "No" if your spouse has no taxable income or
No - Continue to Item 23.
received only untaxed income.
23. Are you separated from your spouse?
Yes - Provide documentation of your spouse's
Yes - Provide documentation of only your
income as instructed in Section 5. This
income as instructed in Item 21 or 22 and then
information will only be used for the REPAYE
skip to Section 6.
Plan.
No - Continue to Item 24.
No - Skip to Section 6.
Remember, any person who makes a knowingly false statement or misrepresentation on this form may be subject
to fines, imprisonment, or both.
SECTION 5: INSTRUCTIONS FOR DOCUMENTING CURRENT INCOME
You only need to follow these instructions if, based on your answers in Section 4, you and your spouse (if applicable) are
required to provide documentation of your current income instead of a tax return or tax transcript. After gathering the
appropriate documentation, continue to Section 6.
• You must provide documentation of all taxable
• If documentation is not available or you want to
income you and your spouse currently receive.
explain your income, attach a signed statement
• Documentation will usually include a pay stub or letter
explaining each source of income and giving the name
and the address of each source of income.
from your employer listing your gross pay.
• You must provide at least one piece of documentation
• Write on your documentation how often you receive
the income, for example, "twice per month" or "every
for each source of taxable income.
• Taxable income includes, for example, income from
other week."
employment, unemployment income, dividend income,
• The date on any supporting documentation you
dividend income, interest income, tips, and alimony.
provide must be no older than 90 days from the date
• Do not provide documentation of untaxed income
you sign this form.
such as Supplemental Security Income, child support,
• Copies of documentation are acceptable.
or federal or state public assistance.
Page 3 of 12
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Borrower Name:
Borrower SSN:
SECTION 6: BORROWER REQUESTS, UNDERSTANDINGS, AUTHORIZATION, AND CERTIFICATION
If I am requesting an income-driven repayment plan or seeking to change between income-driven repayment plans, I request:
• That my loan holder place me on the plan I selected in Section 2 to repay my eligible Direct Loan or FFEL Program loans
held by the holder to which I submit this form.
• If I do not qualify for the plan or plans I requested, that my loan holder place me on the plan with the lowest monthly
payment amount.
• If I selected more than one plan, that my loan holder place me on the plan with the lowest monthly payment amount
from the plans that I requested.
• If more than one of the plans that I selected provides the same initial payment amount, or if my loan holder is
determining which income-driven plans I qualify for and I qualify for more than one of those plans, my loan holder will
use the following order in choosing my plan: REPAYE (if my repayment period is 20 years), PAYE, REPAYE (if my
repayment period is 25 years), IBR and then ICR.
If I am currently repaying my Direct Loans under the IBR plan and am requesting to change to another income-driven plan, I
must be placed on the Standard Repayment Plan, and cannot change to the plan that I requested until I make a payment under
the Standard Repayment Plan or make a payment under a reduced-payment forbearance.
If I check the box below, I request that my loan holder grant me a reduced-payment forbearance for one month so that I can
move from the IBR plan to my new income-driven repayment plan.
(must be at least $5).
I want a one-month reduced-payment forbearance in the amount of
I understand that:
• If I do not provide my loan holder with this completed form and any other required documentation, I will not be placed
on the plan that I requested.
• I may choose a different repayment plan for any student loans that are not eligible for income-driven repayment.
• If I requested a reduced-payment forbearance of less than $5 above, my loan holder will grant my forbearance request
in the amount of $5.
• If I am requesting the ICR plan, my initial payment amount will be the amount of interest that accrues each month on
my loan until my loan holder receives the income documentation needed to calculate my payment amount. If I cannot
afford the initial payment amount, I may request a forbearance by contacting my loan holder.
• If I have FFEL Program loans, my spouse may be required to give my loan holder access to his or her loan information in
the National Student Loan Data System (NSLDS). My loan holder will contact me with further instructions.
• My loan holder may grant me a forbearance while processing my application or to cover any period of delinquency that
exists when I submit my application.
I authorize the loan holder to which I submit this request (and its agents or contractors) to contact me regarding my request or
my loan(s), including repayment of my loan(s), at any number that I provide on this form or any future number that I provide for
my cellular telephone or other wireless device using automated telephone dialing equipment or artificial or prerecorded voice
or text messages.
I certify that all of the information I have provided on this form and in any accompanying documentation is true, complete, and
correct to the best of my knowledge and belief.
Date:
Borrower's Signature
Date:
Spouse's Signature
If you are married, your spouse is required to sign this form unless you answered "yes" to Item 23 or "no" to Item 24.
Page 4 of 12
SECTION 7: WHERE TO SEND THE COMPLETED AGREEMENT
Return the completed form and any documentation to:
If you need help completing this form, call:
(if no address is shown, return to your loan holder or
(if no telephone number is shown, call your loan holder
servicer.)
or servicer.)
SECTION 8: INSTRUCTIONS FOR COMPLETING THE FORM
Type or print using dark ink. Enter dates as month-day-year (mm-dd-yyyy). Use only numbers. Example: March 14, 2015
= 03-14-2015. Include your name and account number on any documentation that you are required to submit with this
form. Return the completed form and any required documentation to the address shown in Section 7.
SECTION 9: DEFINITIONS
COMMON DEFINITIONS FOR ALL INCOME-DRIVEN
For all plans, family size also includes other
REPAYMENT PLANS:
people only if they live with you now, receive more
than half their support from you now, and will
The William D. Ford Federal Direct Loan (Direct Loan)
continue to receive this support for the year that
Program includes Direct Subsidized Loans, Direct
you certify your family size. Support includes
Unsubsidized Loans, Direct PLUS Loans, and Direct
money, gifts, loans, housing, food, clothes, car,
Consolidation Loans.
medical and dental care, and payment of college
The Federal Family Education Loan (FFEL)
costs.
Program includes Federal Stafford Loans (both
For the purposes of these repayment plans,
subsidized and unsubsidized), Federal PLUS Loans,
your family size may be different from the number
Federal Consolidation Loans, and Federal
of exemptions you claim on your federal income tax
Supplemental Loans for Students (SLS).
return.
The poverty guideline amount is the figure for
Capitalization is the addition of unpaid interest
your state and family size from the poverty guidelines
to the principal balance of your loan. This will
published annually by the U.S. Department of Health
increase the principal balance and the total cost of
and Human Services (HHS). The HHS poverty
your loan.
guidelines are used for purposes such as determining
eligibility for certain federal benefit programs. If you
A deferment is a period during which you are entitled
are not a resident of a state identified in the poverty
to postpone repayment of your loans. Interest is not
guidelines, your poverty guideline amount is the
generally charged to you during a deferment on your
amount used for the 48 contiguous states.
subsidized loans. Interest is always charged to you during
a deferment on your unsubsidized loans.
Family size always includes you and your children
(including unborn children who will be born during the
A forbearance is a period during which you are
year for which you certify your family size), if the
permitted to postpone making payments temporarily,
children will receive more than half their support from
allowed an extension of time for making payments, or
you.
temporarily allowed to make smaller payments than
scheduled.
For the PAYE, IBR, and ICR Plans, family size also
always includes your spouse. For the REPAYE plan,
The holder of your Direct Loans is the U.S.
family size includes your spouse unless your spouse's
Department of Education (the Department). The
income is excluded from the calculation of your
holder of your FFEL Program loans may be a lender,
payment amount because you are (1) separated from
secondary market, guaranty agency, or the
your spouse or (2) unable to access your spouse's
Department. Your loan holder may use a servicer to
income information.
handle billing, payment, repayment options, and
other communications on your loans. References to
“your loan holder” on this form mean either your
loan holder or your servicer.
Page 5 of 12
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