woman with checkbook
YES, I would like to Skip-A-Loan Payment in: (Choose One)

I understand this coupon may be used for Vehicle, Share Secured, Debt Consolidation and/or Signature Loans only, at a cost of $20 per skipped payment.

Is Payment automatically deducted through Payroll Allotment?
Take Transfer Fee From (check one):

All requests to skip a payment must be approved by the loan department. By e-signing this application you agree to amend the terms of your original loan agreement and to repay the entire unpaid balance and accrued interest. You also agree and understand that this agreement may increase or extend the maturity date for your loan, which may cause an increase in the total interest paid on your loan. To be eligible for this special offer, all credit union accounts must be in good standing. Skip-A-Loan payment coupon must be received by no later than date indicated below for each payment month. Offer available for auto, signature, debt consolidation and share secured loans only. Offer NOT available for mortgages, Visa, No Credit Check, or Overdraft LOC. You may only skip one monthly payment per eligible loan.

Return by end of previous month. ie. Oct 31 for November payment

By selecting the "I Agree" and submitting, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Agree" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and the Credit Union.

Signature (Enter Name)