Get FCCU Skip-A-Payment Request Form

If you have a co-maker on your loan he/she MUST sign this request. Date Requested Complete the information below for each loan payment you wish to skip Loan Number Payment Due Date I authorize FCCU to skip my payments on the loans I have listed above. Skip-A-Payment Request Form Select which month you would like your payment s skipped mark one only January apply by 12/15 February apply by 01/15 March apply by 02/15 April apply by 03/15 May apply by 04/15 June apply by 05/15 July apply by 06/15 August apply by 07/15 September apply by 08/15 October apply by 09/15 November apply by 10/15 December apply by 11/15 Member Name Member Number Address City/State/Zip Daytime Phone Member Signature Co-Maker Signature if applicable. I understand taking advantage of this option extends the current balance of the affected loan s by the amount of the payment skipped and interest will accrue on the deferred balance of the loan throughout the deferred payment period. Certain restrictions may apply. Loans skipped within the last 6 months will not be eligible. If you have a delinquent loan none of your loans will be eligible for this offer. If you have recurring automatic transfers from other financial institutions it is up to you to stop the transfer if you wish. Other financial institution fees will not be refunded* By signing and returning this form you are requesting FCCU to advance the due date equal to one month s payment on each of your eligible loans which you have listed* You authorize a fee of 5 per skipped loan to be added to the loan s listed* Print complete and mail to Loans not eligible include Credit Cards Home Improvement Home Equity Home Equity Line of Credit CD Secured Share Secured Stock Secured Mortgage Driving Advantage Single Payment Guaranteed Holiday Loan Teacher Appreciation Loan Hungry Loan Zero Percent Loans and loans less than six months old. For members who have Guaranteed Asset Protection GAP claim coverage does not extend to the amount of payment deferred* Also you agree that by skipping your payment your original GAP waiver election remains in effect. We reserve the right to decline any request. CU USE ONLY Date Received Teller /Initials Date Processed. I understand taking advantage of this option extends the current balance of the affected loan s by the amount of the payment skipped and interest will accrue on the deferred balance of the loan throughout the deferred payment period. Certain restrictions may apply. Loans skipped within the last 6 months will not be eligible. If you have a delinquent loan none of your loans will be eligible for this offer. Certain restrictions may apply. Loans skipped within the last 6 months will not be eligible. If you have a delinquent loan none of your loans will be eligible for this offer. If you have recurring automatic transfers from other financial institutions it is up to you to stop the transfer if you wish. If you have recurring automatic transfers from other financial institutions it is up to you to stop the transfer if you wish. Other financial institution fees will not be refunded* By signing and returning this form you are requesting FCCU to advance the due date equal to one month s payment on each of your eligible loans which you have listed* You authorize a fee of 5 per skipped loan to be added to the loan s listed* Print complete and mail to Loans not eligible include Credit Cards Home Improvement Home Equity Home Equity Line of Credit CD Secured Share Secured Stock Secured Mortgage Driving Advantage Single Payment Guaranteed Holiday Loan Teacher Appreciation Loan Hungry Loan Zero Percent Loans and loans less than six months old. .