COMMON RECORD DIRECT LOAN INPUT EXAMPLE 

O*N95TG05675    ,CLS=COMRECIN,XXX,BAT=00000000000000000,NCT=000001 

<?xml version="1.0" encoding="UTF-8"?> 
<CommonRecord xmlns="http://www.ed.gov/FSA/COD/2023/v5.0b" 
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" 
xsi:schemaLocation="http://www.ed.gov/FSA/COD/2023/v5.0b 
CommonRecord5.0b.xsd"> 

<TransmissionData> 
<DocumentID>2025-07-09T12:05:31.9810005675</DocumentID> 
<CreatedDateTime>2025-07-09T12:05:31.01</CreatedDateTime> 
<Source> 
<School> 
<RoutingID>10005675</RoutingID> 
</School> 
</Source> 
<Destination> 
<COD> 
<RoutingID>00000001</RoutingID> 
</COD> 
</Destination> 
<Software> 
<SoftwareProvider>mite</SoftwareProvider> 
<SoftwareVersion>2.0</SoftwareVersion> 
</Software> 
<FullResponseCode>F</FullResponseCode> 
</TransmissionData> 
<ReportingSchool> 
<RoutingID>10005675</RoutingID> 
<ReportedFinancialSummary> 
<FinancialAwardType>DLSubsidized</FinancialAwardType> 
<FinancialAwardYear>2025</FinancialAwardYear> 
<TotalCount>1</TotalCount> 
<TotalReportedAward>500.00</TotalReportedAward> 
<TotalReportedDisbursement>500.00</TotalReportedDisbursement> 
</ReportedFinancialSummary> 
<AttendedSchool> 
<RoutingID>10005675</RoutingID> 
<Student> 
<Index> 
<SSN>001055109</SSN> 
<BirthDate>1969-05-11</BirthDate> 
<LastName>KOZLOW</LastName> 
</Index> 
<Name> 
<FirstName>MARGE</FirstName> 
<MiddleName>Sarah</MiddleName> 
<Suffix>Jr</Suffix> 
</Name> 
<Contacts> 
<PermanentAddress> 
<AddressLine>CHIPCASE CRT</AddressLine> 
<City>Grainfield city</City> 
<StateProvinceCode>KS</StateProvinceCode> 
<PostalCode>45345</PostalCode> 
</PermanentAddress> 
</Contacts> 
<Citizenship> 
<CitizenshipStatusCode>1</CitizenshipStatusCode> 
</Citizenship> 
<DLLoanInformation AwardKey="01"> 
<OriginationFeePercent>1.072</OriginationFeePercent> 
<InterestRebatePercent>0</InterestRebatePercent> 
<PromissoryNotePrintCode>S</PromissoryNotePrintCode> 
<DisclosureStatementPrintCode>Y</DisclosureStatementPrintCode> 
<StudentLevelCode>0</StudentLevelCode> 
<FinancialAwardBeginDate>2024-07-02</FinancialAwardBeginDate> 
<FinancialAwardEndDate>2025-07-01</FinancialAwardEndDate> 
<AcademicYearBeginDate>2024-07-02</AcademicYearBeginDate> 
<AcademicYearEndDate>2025-07-01</AcademicYearEndDate> 
</DLLoanInformation> 
<DLSubsidized> 
<AwardKey>01</AwardKey> 
<FinancialAwardYear>2025</FinancialAwardYear> 
<FPSTransactionNumber>01</FPSTransactionNumber> 
<FinancialAwardAmount>500</FinancialAwardAmount> 
<DependencyStatusCode>D</DependencyStatusCode> 
<EntranceCounseling>true</EntranceCounseling> 
<DefaultOverpayCode>N</DefaultOverpayCode> 
<FinancialAwardNumber>001</FinancialAwardNumber> 
<FinancialAwardID>001055109S25G05675001</FinancialAwardID> 
<DirectLoanAttendanceCost>35000</DirectLoanAttendanceCost> 
<FinancialAwardCreateDate>2025-05-13</FinancialAwardCreateDate> 
<ProgramOfStudy>004</ProgramOfStudy> 
<StudentEligibilityCode>01</StudentEligibilityCode> 
<AbilityToBenefitTestAdministratorCode>01</AbilityToBenefitTestAdministratorCode> 
<AbilityToBenefitTestCode>01</AbilityToBenefitTestCode> 
<AbilityToBenefitStateCode>MD</AbilityToBenefitStateCode> 
<AbilityToBenefitCompletionDate>2024-05-13</AbilityToBenefitCompletionDate> 
<Disbursement Number="01"> 
<DisbursementAmount>500</DisbursementAmount> 
<DisbursementDate>2024-03-13</DisbursementDate> 
<DisbursementReleaseIndicator>true</DisbursementReleaseIndicator> 
<DisbursementSequenceNumber>01</DisbursementSequenceNumber> 
<EnrollmentSchoolCode>00567500</EnrollmentSchoolCode> 
<PaymentPeriodStartDate>2024-03-13</PaymentPeriodStartDate> 
<PaymentPeriodEndDate>2025-06-01</PaymentPeriodEndDate> 
<EnrollmentStatus>F</EnrollmentStatus> 
<ProgramCIPCode>11.0101</ProgramCIPCode> 
<ProgramCIPCode>17.8876</ProgramCIPCode> 
<ProgramCIPCode>27.8895</ProgramCIPCode> 
<PublishedPgmLengthYears>4</PublishedPgmLengthYears> 
<SpecialPrograms>B</SpecialPrograms> 
<ProgramCredentialLevel>03</ProgramCredentialLevel> 
<ProgramCIPCodeYear>2020</ProgramCIPCodeYear> 
<DisbursementNetAmount>495</DisbursementNetAmount> 
<DisbursementFeeAmount>5</DisbursementFeeAmount> 
<InterestRebateAmount>0</InterestRebateAmount> 
</Disbursement> 
</DLSubsidized> 
</Student> 
</AttendedSchool> 
</ReportingSchool> 

</CommonRecord> 

O*N05TG05675    ,CLS=COMRECIN,XXX,BAT=00000000000000000,NCT=000001