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Get Iowa Student Loan Auto-Debit Payment Authorization Form

_____________________________________________ Student Loan Borrower Telephone (primary): _______________________________________________________________ Student Loan Borrower Telephone (alternate): ______________________________________________________________ Payment and Loan Information Authorized Debit Amount (Select one.) Monthly installment amount only. Monthly installment amount plus an additional $ ____________ each month. Please select the loan(s) the debit should be applied to. (Select.

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