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ED Form 1189, 01/95                                                               OMB NO.

 1840­0582
(Previous Editions Obsolete.)                                             Expiration Date:  9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part A ­ Reinsurance and Supplemental Preclaims Assistance Request
                                    Number     Principal, Lender &      Non­Reinsured       
                                      of        GA Claim Interest            GA            
                                  ­­Claims­­   ­­Paid to Lenders­­      ­­Interest­­­   
                                     (A)               (B)                 (C)              
Reinsurance Request Section:
A­1   Defaults                    NA
  
A­2   Exempted Claims             NA 

 

MR­1­A

NA

 

MR­1­B 

NA

A­3   Bankruptcy (Chapter 12 & 13 NA 

 

MR­1­E

NA

A­4   Death and Disability        NA         
A­5   Bankruptcy (Chapter 7 & 11) NA 
A­6   Closed Schools 

 

A­8   Lender Of Last Resort Loan  NA

    

MR­1­C                      NA
MR­1­E

    NA                MR­1­D

A­7   False Certification      NA

1189
Crosswalk
To Form 2000

NA
NA

      

MR­1­D

NA

 

MR­1­B

NA

                                                      Number of     Total Unpaid Principal
                                                    ­­Accounts­­    ­and Accrued Interest­
                                                        (A)                 (B)
                     
Supplemental Preclaims Assistance Section:
A­9  Accounts With No Claim Filed                                                  

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1189 Crosswalk to Form 2000

        (SPA initiated On/After 10/1/93)            NA    
NA
ED Form 1189, 01/95                                                                OMB NO. 1840­0582
(Previous Editions Obsolete.)                                             Expiration Date:  9/30/99  

Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part B:  Additional Reinsurance Request and Lender Referral Fees
                                                   Additional
                                    Number     Principal, Lender &
                                      of        GA Claim Interest
                                  ­­Claims­­   ­­Paid to Lenders­­
                                     (A)               (B)
Additional Payment by Agency to Lender Section:
B­1   Defaults                       NA 

      MR­1­A                           

B­2   Exempted Claims                NA 

      MR­1­B

B­3   Bankruptcy (Chapter 12 & 13)   NA 

      MR­1­E

B­4   Death and Disability           NA

      MR­1­C

B­5   Bankruptcy (Chapter 7 & 11)    NA 

      MR­1­E

B­6   Closed Schools                 NA

      MR­1­D

B­7   False Certification            NA 

      MR­1­D

B­8   Lender of Last Resort Loan     NA

      MR­1­B

2

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                              OMB NO. 1840­0582  
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99   
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ Of ____ Pages
Part B:  Additional Reinsurance Request and Lender Referral Fees (Continued)
                                   Increase    ­­Increase in Amounts of Reinsurance Due­­­
                                  in Number                       for
                                    Claims               Principal, Lender &       
                                  ­­­Paid­­­             ­GA Claim Interest­   
                                     (A)                         (B)                     
Understated Reinsurance Claims Section:
B­9   Defaults                        NA 

  

MR­1­A

B­10  Exempted Claims                 NA 

  

MR­1­B

B­11  Bankruptcy (Chapter 12 & 13)    NA 

  

MR­1­E

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1189 Crosswalk to Form 2000

B­12  Death and Disability            NA          

      

MR­1­C

B­13  Bankruptcy (Chapter 7 & 11)     NA                      

MR­1­E

B­14  Closed Schools                  NA           

  

MR­1­D 

B­15  False Certification             NA           

       

MR­1­D

B­16  Lender of Last Resort Loan      NA                     
MR­1­B
                                   Number of             Principal Amount
                                 ­­­Loans­­­             ­­­­of Loans­­­­
                                     (A)                      (B)
Lender Referral Fee Section:
B­17  Lender Referral Fee             NA 
   NA
ED Form 1189, 01/95                                                             OMB No. 1840­0582
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  

Guaranty Agency Monthly Claims And Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part C:  Change in Status Supplemental Reinsurance Request
                                                  ­­­­Account Balance at Conversion­­­­
                                                                    of
                                      Unpaid      Principal,
                                     Interest     Purchased
            Number    Additional   After Date of  Interest &
              of        Unpaid      Reinsurance   Pre­11/90       Accrued       Other
          ­­Claims­­  ­Principal­  ­­­Payment­­­  ­­­­SPA­­­­   ­Interest­­  ­­Charges­­
             (A)          (B)          (C)           (D)           (E)           (F)       
Original Reinsurance Paid for 98%, 90%, 88%, 80%, or 78% of Principal and Interest Section:
C­1   Death or Disability

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1189 Crosswalk to Form 2000

          NA          MR­3­A       MR­3­A       MR­20          MR­20         MR­20
C­2   Bankruptcy (Chapter 12 & 13)
          NA          MR­3­C       MR­3­C       MR­22          MR­22         MR­22
C­3   Bankruptcy (Chapter 7 & 11)
          NA          MR­3­C       MR­3­C       MR­22          MR­22         MR­22
C­4   Closed Schools
          NA          MR­3­B       MR­3­B       MR­21          MR­21         MR­21  
C­5   False Certification
          NA          MR­3­B       MR­3­B       MR­21          MR­21         MR­21
ED Form 1189, 01/95                                                            OMB No. 1840­0582
(Previous Editions Obsolete.)                                           Expiration Date: 9/30/99  

Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part D:  Full Refund of Reinsurance Claims
                                               Outstanding 
Number    Principal Net       Outstanding         Outstanding 
of         of any          Accrued Interest    Non­Reinsured
                                  ­­Claims­­  ­­Complement­­     ­­­­­Due ED­­­­­    ­GA Interest­ 
(A)          (B)                 (C)              (D)   

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1189 Crosswalk to Form 2000

Reinsurance Claims Paid in Current Fiscal Year Section:
D­1   Defaults                    NA          MR­5­A         MR­5­A          MR­5­A 
D­2   Exempted Claims

     NA          MR­5­B          XXX            MR­5­B

D­3   Bankruptcy (Chapter 12 & 13)NA          MR­5­E          XXX            MR­5­E
D­4   Death and Disability        NA          MR­5­C          XXX            MR­5­C
D­5   Bankruptcy (Chapter 7 & 11) NA          MR­5­E          XXX            MR­5­E
                                
D­6   Closed Schools              NA          MR­5­D          XXX            MR­5­D
D­7   False Certification         NA          MR­5­D          XXX            MR­5­D 
D­8   Lender of Last Resort Loan  NA          MR­5­B           NA           MR­5­B   

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1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                              OMB No. 1840­0582
(Previous Editions Obsolete.)                                            Expiration Date:  9/30/99 
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part D:  Full Refund of Reinsurance Claims
                                               Outstanding 
           Number    Principal Net         Outstanding       Outstanding 
of         of Any          Accrued Interest    Non­Reinsured
                                   ­­Claims­­  ­­Complement­­     ­­­­­Due ED­­­­­    ­GA Interest­ 
(A)          (B)                 (C)              (D)   
Reinsurance Claims Paid in Previous Fiscal Year Section:
D­9   Defaults                    
 
D­10  Exempted Claims             

NA          MR­6­A                   MR­6­A       MR­6­A 

D­11  Bankruptcy (Chapter 12 & 13)

NA          MR­6­E                   XXX          MR­6­E

D­12  Death and Disability        

NA          MR­6­C                   XXX          MR­6­C

NA          MR­6­B                   XXX          MR­6­B

D­13  Bankruptcy (Chapter 7 & 11)         NA          MR­6­E                   XXX          MR­6­E
D­14  Closed Schools                      NA          MR­6­D                   XXX          MR­6­D
D­15  False Certification                 NA          MR­6­D                   XXX          MR­6­D
D­16  Lender of Last Resort Loan          NA          MR­6­B                   NA           MR­6­B  

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1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                             OMB No. 0840­0582
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                  Month Reinsurance Claim Paid by ED (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part E:  Refunds for Overpayment and Overbilling
                                    Number           Refund
                                      of           Net of Any
                                  ­­Claims­­   ­­­­Complement­­­­­
                                     (A)               (B)
Partial Refund of Reinsurance Claims Section:
E­1   Defaults                       NA           MR­7­A
E­2   Exempted Claims 

        NA           MR­7­B

E­3   Bankruptcy (Chapter 12 & 13)   NA           MR­7­E 
E­4   Death and Disability           NA           MR­7­C
E­5   Bankruptcy (Chapter 7 & 11)    NA           MR­7­E
E­6   Closed Schools 

        NA           MR­7­D

E­7   False Certification            NA           MR­7­D
E­8   Lender of Last Resort Loan     NA           MR­7­B

8

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                              OMB No. 1840­0582
(Previous Editions Obsolete.)                                             Expiration Date: 9/30/99 
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                  Month Reinsurance Claim Paid by ED (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part E:  Refunds for Overpayment and Overbilling (Continued)
                                   Decrease    ­­Decrease in Amounts of Reinsurance Due­­­
                                  in Number                       for
                                    Claims     
Principal, Lender &                      
                                  ­­­Paid­­­   
­GA Claim Interest­  
                                     (A)              
       (B)                     
Overstated Reinsurance Claims Section:
E­9   Defaults                       NA   

MR­9­A                     

E­10  Exempted Claims                NA   

MR­9­B                    

E­11  Bankruptcy (Chapter 12 & 13)   NA   

MR­9­E                    

E­12  Death and Disability           NA   

MR­9­C            

E­13  Bankruptcy (Chapter 7 & 11)    NA   

MR­9­E   

E­14  Closed Schools                 NA   

MR­9­D            

E­15  False Certification            NA   

MR­9­D          

E­16  Lender of Last Resort Loan     NA   

MR­9­B                             

9

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                             OMB No. 1840­0582
(Previous Editions Obsolete.)                                           Expiration Date:  9/30/99
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                    Collections Received in Month Of (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part F:  Default and Bankruptcy Collections 
                      Number                          Applied to Principal,                    
                        of             Total          Purchased Interest &       Applied to       
                    ­Accounts­      ­­Collected­­­     ­­Pre 11/90 SPA­­    ­Accrued Interest­  
                       (A)              (B)                  (C)                  (D)             
Default Collection Section:
F­1   100%/98% Reinsurance Reimbursement
 
                        NA            MR­13­A             MR­13­A                 MR­13­A
F­2   90%/88% Reinsurance Reimbursement
                        NA    MR­13­A             MR­13­A                 MR­13­A
F­3   80%/78% Reinsurance Reimbursement
                        NA            MR­13­A             MR­13­A                 MR­13­A     
F­4   Lender of Last Resort Loan Collections
                        NA            MR­13­A             MR­13­A                 MR­13­A
Borrower Payment Returned ­ Status Change Default to Closed School/False Certification Section:
F­5   Closed Schools
                        NA            MR­2                MR­2                    MR­2
F­6   False Certification

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1189 Crosswalk to Form 2000

                        NA            MR­2                MR­2                    MR­2

11

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                              OMB No.1840­0582 
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                    Collections Received in Month Of (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part F:  Default and Bankruptcy Collections 
                      Number                          Applied to Principal,                    
                        of             Total          Purchased Interest &       Applied to       
                    ­Accounts­      ­­Collected­­­     ­­Pre 11­90 SPA­­    ­Accrued Interest­  
                       (A)              (B)                  (C)                  (D)             
Bankruptcy Recovery Section:
F­7  Chapter 12 & 13 Bankruptcies
                        NA            NA                   MR­14                  MR­14
F­8  Chapter 7 & 11 Bankruptcies
                        NA            NA                   MR­14                  MR­14
 

12

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                             OMB No. 1840­0582
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                                                 Page ____ of ____ Pages
Loan Type Code:  ____
                                                    
Part G:  Activity on Accounts: Federal Tax Refund Offset
                     Number        Total            Applied to
                       of        Collected/        Principal &           Applied to
                   ­Accounts­  ­­­Activity­­­  ­Purchased Interest­  ­Accrued Interest­
                      (A)           (B)                (C)                  (D)
G­1  IRS Offset
                      NA             NA              MR­17                 MR­17  
G­2  Non­Federal Share Offset
                      NA             NA              MR­18                 MR­18
G­3  Overpayment Refunds
                      NA             NA              MR­4                  MR­4
G­4  Injured Spouse Claims
                      NA             NA              MR­19                 MR­19
 

13

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                             OMB No. 1840­0582
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                     Loans Rehabilitated in Month Of (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part H:  Rehabilitated Loans
                                             Outstanding
                                             Principal &     Outstanding   Outstanding   Outstanding
                                              Purchased        Accrued      Pre­11/90       Other
                               ­­Number­­   ­­­Interest­­­   ­­Interest­­  ­­­­SPA­­­­   ­­Charges­­
                                  (A)            (B)             (C)           (D)           (E)
H­1   100%/98% Reinsurance Reimbursement
                         

     NA           MR­10

 

H­2   90%/88% Reinsurance Reimbursement
                             

     NA           MR­10                              

H­3   80%/78% Reinsurance Reimbursement
                             

     NA           MR­10 

H­4   Rehabilitated Lender of Last Resort Loan 
                                   NA           MR­10 

NOTE:  MR­10­A Rehabilitated Loans ­ Principal, Interest and Other Amounts is the portion that the GA 
retains.

14

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                            OMB No. 1840­0582
(Previous Editions Obsolete.)                                           Expiration Date: 9/30/99
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part I:  Non­Payment Activity
         (This Part Must Always Be 
          Submitted For All Loan Types)  
                       
         ­­­­Account Balance at Conversion­­­­
                                                                                 of
                                                               Principal,
                                                               Purchased
                                                     Number    Interest &
                                                       of      Pre­11/90     Accrued        Other
                                                   ­­Claims­­  ­­­­SPA­­­­  ­Interest­­  ­­Charges­­
                                                      (A)          (B)          (C)          (D)
Change of Status for Default and Lender­of­Last­Resort Loan Claims Paid at 100% Section:
I­1   Bankruptcy (Chapter 12 & 13)                    NA          MR­22        MR­22        MR­22
I­2   Death and Disability                            NA          MR­20        MR­20        MR­20
I­3   Bankruptcy (Chapter 7 & 11)                     NA          MR­22        MR­22        MR­22
I­4   Closed Schools                                  NA          MR­21        MR­21        MR­21
I­5   False Certification                             NA          MR­21        MR­21        MR­21
Change of Status Bankruptcy (Chapter 12 and 13) Not Discharged:
I­6   Defaults

                        NA          MR­23        MR­23        MR­23

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1189 Crosswalk to Form 2000

I­7   Lender of Last Resort Loan

           NA          MR­23        MR­23        MR­23

16

1189 Crosswalk to Form 2000

ED Form 1189, 01/95                                                             OMB No. 1840­0582
(Previous Editions Obsolete.)                                            Expiration Date: 9/30/99  
Guaranty Agency Monthly Claims and Collections Report
Guaranty Agency State Name:  _________________                      For Month Of (MM­CCYR):  ___­___
Guaranty Agency Code:  _____                    Collections Received in Month Of (MM­CCYR):  ___­___
Loan Type Code:  ____                                                        Page ____ of ____ Pages
Part J:  GA Administrative Wage Garnishment Collections
                      Number                          Applied to Principal,                    
                        of             Total          Purchased Interest &       Applied to       
                    ­Accounts­      ­­Collected­­­     ­­Pre 11/90 SPA­­    ­Accrued Interest­  
                       (A)              (B)                  (C)                  (D)             
Default Collection Section:
J­1   100%/98% Reinsurance Reimbursement
                        NA            MR­12­A             MR­12­A                 MR­12­A
J­2   90%/88% Reinsurance Reimbursement
                        NA            MR­12­A             MR­12­A                 MR­12­A
J­3   80%/78% Reinsurance Reimbursement
                        NA            MR­12­A             MR­12­A                 MR­12­A
J­4   Lender of Last Resort Loan Collections
                        NA            MR­12­A             MR­12­A                 MR­12­A
Borrower Payment Returned ­ Status Change Default to Closed School/False Certification Section:
J­5   Closed Schools
                        NA            MR­2                MR­2
J­6   False Certification

17

1189 Crosswalk to Form 2000

                        NA            MR­2                MR­2

18

1189 Crosswalk to Form 2000