Loan Delinquency Form

  1. Step 1:Select loan and date of default.
  2. Step 2:Confirm loan and date.
  3. Complete.
ABC SAMPLE PLAN D34730

 

AUL has not received repayments on the following loans for 90 days. Enter a date(s) to begin confirmation of loan delinquency.

 

Delinquent Loans

Participant Name SSN Terminated Loan Number Payment Amount Outstanding Principal Balance Last Payment Date Date of Default (mm/dd/yyyy)
MAIZE, MARY ***-**-3800 No 001 $8.71 $1,000.00 06/01/2019

 

If you have additional loans to be defaulted, please complete the following information.

 

Additional Delinquent Loans

First Name Last Name SSN Loan Number Date of Default
(mm/dd/yyyy)
CAROLINE GRAPE ***-**-3411 001  

Note: Requests made for a terminated participant will result in all outstanding loans being defaulted for that participant.