Student Loan Intake Form

Thank you for contacting our firm regarding your student loans.  To get scheduled for a free initial phone consultation, we request that you first complete this questionnaire and then call in to schedule.  Please copy and paste the below questions into the body of an email and provide your answers in either a DIFFERENT COLOR or BOLDED.  Send your email to: Info@wadebtlaw.com and call 206-535-2559 to schedule.

 

YOUR INFORMATION

1: Name/s and Age/s:      

 

2: Email/Phone:  

 

3: Name/s of any cosigners:        

 

4: Name/s of anyone you have cosigned for:     

 

5: Family Size (# you report on your taxes):       

 

6: Have you ever filed for bankruptcy?  If yes, when?  

 

7: Do you have any assets (home, accounts, etc.) with an aggregate for $10,000.00 or more equity/value?       

 

8:What is your current profession, gross annual salary and if married your family gross annual income?        

 

9: Have you ever held a higher paying position?  If yes, please list profession and salary         

 

10: Do you have any medical conditions that prevent/limit the ability to work or are you on SSDI? No need to explain at this time, yes or no will suffice      

 

11: Are you a member of a protected class?  (race, religion, disability, sex/gender)   If yes, list all classes that apply           

 

12: Is there anything else that you would like us to know about you in order to assist you?  Feel free to list name pronunciation, pronouns, life circumstance (getting married, homeless, overseas, etc.)          

 

SCHOOL INFORMATION

Instructions: For each college, university, or trade school attended, complete the below.  If you are not sure of your estimated loans, it is OK to put don’t know or DK.

13: List each school below:

A)Name of School          B) Years Attended            C) Degree Program / Graduated?   D) Estimated Loans

 

 

 

 

 

 

 

 

 

 

FEDERAL LOAN INFORMATION

Instructions: Go to https://www.nslds.ed.gov to look up your federal loans.  If possible, print and attach to your returned questionnaire form or email.  If you can’t print/attach, just note the total owed.

14: Total Federal Loans owed (It is OK to estimate or round):      

 

15: Indicate if you are current (in repayment), current (in forbearance), default (no garnishment/offset), default (with garnishment/offset), don’t know, or multiple statuses (ie. you are current on one, in default on another)

Please indicate only one         

 

16: If you have been garnished or had your taxes offset, please indicate the last time that occurred        

 

17: Are you in any program such as IBR, ICR, PILF, etc.?  If yes, indicate which ones apply, when you entered, and if you are currently still in      

 

18: If you are in collections, please list the names of any loan servicers, collection agencies, or law firms that you are aware of:        

 

PRIVATE LOAN INFORMATION

Instructions: There is no database for this information.  We recommend that you pull your credit report and review any statements that you have.  Estimating is fine.  DO NOT attach your credit report in responding. 

19: Total Private Loans owed (It is OK to estimate or round):      

 

20: Indicate if you are current (in repayment), current (in forbearance), default (no garnishment/offset), default (with garnishment/offset), don’t know, or multiple statuses (ie. you are current on one, in default on another)

Please indicate only one         

 

21: If you have been sued and garnished, please indicate the last time that occurred:      

 

22: Are you in any program the private loan servicer offers or in forbearance with the servicer?

 

23: If you are in collections, please list the names of any loan servicers, collection agencies, or law firms that you are aware of:        

 

TIME SENSITIVITY OF YOUR INQUIRY

24: Choose one by indicating the appropriate number below:

  1. I just received a lawsuit and need to respond
  2. I am currently being garnished/taxes offset or have been in the past
  3. I am in default but have not yet been garnished or taxes offset
  4. I am considering default and/or cannot make payments much longer
  5. I am pro-actively trying to understand my rights and options or just need help in the application process/appeals process

Answer to Question 24: 

 

DEFENSES THAT MAY APPLY

25: Please indicate all that might apply.  It is OK to mark something even if you are not sure it would apply.  Highlight, bold, underline, list, or show which apply in your response.

  1. Amount of loan/s seem inappropriately large
  2. Consumer protection violations
  3. False certification, false signature, mistaken ID
  4. Inadequate education/false advertisement     
  5. Predatory Lending/Financial Aid Shady         
  6. School closed down before you graduated     
  7. School or program is, was, or might be unaccredited 
  8. Other (briefly explain below):

 

SOLUTIONS & DEFENSES THAT YOU WOULD LIKE TO DISCUSS

26: The attorney will likely discuss or hit on all of these at some point, however, please indicate which solutions/defenses that you believe apply or that you would like emphasized during your consultation.  Highlight, bold, underline, or indicate by number which solutions and defenses you would like to discuss.

  1. Appeal of a denial to a program/dispute 
  2. Application to a program       
  3. Bankruptcy (Ch 7) to discharge debt 
  4. Bankruptcy (Ch 13) to stop garnishment/pay over time/discharge debt   
  5. Bankruptcy (Hardship Discharge)       
  6. Bankruptcy is off the table for me.  Briefly explain why (license, assets, job, etc.)   
  7. Class action litigation 
  8. Defense against a federal loan collection       
  9. Defense against a private loan collection       
  10. Settlement of a federal loan   
  11. Settlement of a private loan   
  12. Understanding your rights       
  13. Other (briefly explain):

 

ANYTHING ELSE THAT YOU WOULD LIKE US TO KNOW THAT WOULD HELP US TO HELP YOU?