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SKIP A PAYMENT REQUEST

SKIP YOUR NEXT LOAN PAYMENT, SEE INFORMATION BELOW

Fall 2025 Skip A Payment

Please complete the form to skip either your October, November or December 2025 loan payment. Please allow 5 business days to process your request*.

*$35.00 Processing fee due at time of application

Credit cards, Mortgage Loans, Holiday Loans do not qualify

Loans less than 6 months old do not qualify

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Credit Union Account Number

Loan to be skipped and Month to be skipped

Enter the loans you want to skip a payment for: October, November or December.

Skip Pay Fee. Please take the skip pay fee ($35) from:

My Checking account

My Savings account

ACKNOWLEDGMENT - I agree that the CU will amend the terms of the original agreement to allow me to skip one (1) payment for the month indicated (or two biweekly payments or 4 weekly payments, whichever is applicable).

ACKNOWLEDGMENT - I understand principal and interest will resume according to the terms of the original agreement on the next payment due date.

ACKNOWLEDGMENT - I acknowledge that interest will continue to accrue of this (these) loans.

ACKNOWLEDGMENT - I acknowledge that the maturity date of this loan will be extended by one payment.

ACKNOWLEDGMENT - I understand that credit life, credit disability nor GAP insurance will not extended beyond the original loan maturity date.