Order Number New Loan Amount or Existing Loan Balance (e.g. 100000) Interest Rate (e.g. 7.500) New Loan Term or Period Remaining on Existing Loan, in Months (e.g. 360) Number of Monthly Payments in First Year? (1 to 12 – defaultd to 12) DO NOT USE DOLLAR SIGNS ($), COMMAS (,) PLUS SIGNS ( + ) OR PERCENTAGE SIGNS (%) IN ANY INPUT BOXES Enter Payment Info Extra Payment Intervals Amount of Change Starting In Month # Duration Ending In Month # Monthly Bi-Monthly Quarterly Semi-Annually Annually Bi-Annually One Time Only Until End Of Loan Ending In Month #