Student Loan Evaluation Please provide us the requested information. It will help our student loan team give you accurate counsel. Full Legal Name:* Previous Names E-mail Address:* Best Phone Number to Reach You:* Is the above phone # a landline or cell phone?LandlineCellIf you provided a cell phone number, may we text you about your student loan matter?YesNoBirthdate:* Month Day Year Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Marital Status:* Single Married If married, did you file your last tax return jointly or separately? Number of Dependents:* Name of Employer: AGI (Adjusted Gross Income) on Last Year's Tax Return. If you don't know the exact amount, please estimate.* What is your year to date gross (before tax) income? If you don't know the exact amount, please estimate.* Have you filed for Bankruptcy? If so, when?* What type of loans to you have?*Private Student LoansFederal Student LoansPrivate & Federal Student LoansI don't knowAmount of Federal Loans: Amount of Private Loans Please list all Student Loans to which you are obligated, please include company name and approx amount due:*Are you disabled?YesNoAre you currently being sued for any student loan?*YesNoHave you been garnished for any student loan?YesNoHave you consolidated your loans?YesNoNot sureDo you have credit card or medical bill debt?YesNoHow can we help?*Is there anything else that would be helpful for us to know?Feel free to upload any legal documents that you've received (Complaint, Summons, etc.) or other helpful document: Drop files here or Select files Max. file size: 256 MB, Max. files: 5. CAPTCHA Δ