Académique Documents
Professionnel Documents
Culture Documents
2753 N Whipple St Fl 1 Address: _______________________________________ IL 60647-1727 *If you do not have your account number, please provide your City, State ZIP: Chicago __________________________________
Phone number: __________________________________ Alternate phone number: ___________________________ Social Security Number: ____________________________
Name of financial institution: ________________________________________________________________________ Address: _______________________________________________________________________________________ City: __________________________ State: _________________________ ZIP: __________________________
000000729516187 Bank account number: _____________________________________________________________________________ 071000013 Transit routing/ABA number: ________________________________________________________________________
I certify that I am the holder of the bank account. _____________________________________________________________ Borrower signature __________________ Date
Please return the completed form to: Nelnet Attn: KwikPay P.O. Box 82526 Lincoln, NE 68501-2526 Fax: 402.323.4627 Simple. Safe. Smart. Visit www.nelnet.com and click Manage My Account to access your statements and account correspondence, sign up for automatic payments through KwikPay, make a payment, change your repayment option, apply for a deferment or forbearance, and much more! If you need additional information, please visit our website at www.nelnet.com or call us toll-free at 1.888.486.4722. Were here to help you reach your goals. Sincerely, Nelnet