Adoi Form PDF Details

The adoi form is used when standard tax returns do not reflect your current financial situation. It records all income types for calculating an income-driven repayment or rehabilitation payment amount.

Family size is included in the calculation, so larger households may qualify for lower monthly payments. Each income source must be supported by a current document. Submit the completed form to your loan servicer by mail, fax, or online portal. For a related document, see the Repayment Plan Request form.

QuestionAnswer
Form NameAdoi Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesadoi form fill, documentation adoi pdf, income adoi repayment form pdf, adoi repayment form

Form Preview Example

Alternative Documentation of Income

For Rehabilitation Repayment Agreements

Borrower ID: ___________________

Name: ______________________________________________

Address Line 1:

__________________________________________________________________________

Address Line 2:

__________________________________________________________________________

City:____________________________________________

State: |__|__|

Zip Code: |__|__|__|__|__|

Home Phone: (

)_____________________

Cell Phone: (

)_______________________

Family Size: __________

 

Email Address:__________________________

Family size includes you, your spouse, and your children (including unborn children who will be born during the year for which you certify your family size), if the children will receive more than half their support from you. It includes other people only if they live with you now, they receive more than half their support from you now, and they will continue to receive this support from you for the year that you certify your family size. Support includes money, gifts, loans, housing, food, clothes, car, medical and dental care, and payment of college costs.

Income: (Include your spouse’s income if you are married and live together)

Taxable Income

 

 

 

Monthly Average Amount

Provide

 

Income Type

 

Borrower

Spouse

The Following Proof

1.

Employment Income

$

 

$

Copies of 2 most recent pay stubs

 

 

 

 

 

(Dated within past 90 days)

2.

Worker’s Compensation

$

 

$

Award letter or pay stub

 

 

 

 

 

(Dated within past 90 days)

3.

Unemployment Benefits

$

 

$

Award letter or pay stub

 

 

 

 

 

(Dated within past 90 days)

4.

Alimony

$

 

$

Divorce decree

 

 

 

 

 

 

5.

Other Taxable Income

$

 

$

Evidence of source and amount

 

 

 

 

 

Non-Taxable Income

 

 

 

 

6.

Child Support

$

 

$

Divorce decree or Support Order

 

 

 

 

 

 

7.

Social Security

$

 

$

Benefit statement

 

 

 

 

 

 

8.

Other Non-Taxable

$

 

$

Evidence of source and amount

 

 

 

 

 

 

Check this box if you have no income and are entirely supported by someone other than a spouse. Explain how you are supported in the space below:

I affirm, under penalty of perjury, that the information provided above and in the attached documentation is complete and accurate.

Signed: __________________________________________________________ Date: _____________________

Return this Form to:

CBE Group, Inc.

 

PO Box 930

 

Waterloo, IA 50704-0930

To expedite processing of the Alternative Documentation of Income, the following return options are available:

Scan the completed document and e-mail the form to edmail@cbegroup.com

Fax the completed form to (866)912-1302.

How to Edit Adoi Form Online for Free

How to Fill Out the Adoi Form

Follow these five steps to complete the Alternative Documentation of Income form accurately.

  1. Personal information: Enter your full name, address, Social Security Number, and loan account number.
  2. Income sources: Check each income type that applies and write the monthly amount. List wages, unemployment benefits, alimony, child support, and Social Security separately.
  3. Family size: Enter the number of people in your household, including yourself, your spouse, and all dependents. A larger family size reduces your calculated payment.
  4. Supporting documents: Attach current proof for every income source you listed. Pay stubs must be dated within 90 days. Benefit award letters and tax notices are also accepted.
  5. Signature and submission: Sign under penalty of perjury. Send the completed form to your loan servicer by mail, fax, or through their online portal.

Who Needs the Adoi Form

Use the adoi form when your tax return does not show your actual current income. Common situations include a recent job loss, a pay reduction, new lower-wage employment, or income from sources not reported on a federal return. Borrowers applying for an income-based repayment plan or a loan rehabilitation agreement may also need to submit this form.

Frequently Asked Questions

What does ADOI stand for?

ADOI stands for Alternative Documentation of Income for Rehabilitation Repayment Agreements. Loan servicers use it to verify a borrower's income when standard tax data is unavailable or outdated.

How long is the income documentation valid?

Income documents are typically valid for 90 days from the date they were issued. Your servicer recertifies your income once per year, at which point you will need to provide updated documentation.

Can I use the adoi form for income-driven repayment?

Yes. The adoi form is accepted for both loan rehabilitation and income-based repayment plans. Submit it along with your repayment plan application if your servicer requires alternative income documentation.

What documents do I need to attach?

Provide one document per income source: recent pay stubs, unemployment benefit letters, Social Security award notices, or court-ordered support decrees. See the income documentation form for a full list of accepted documents.