UPFCU Skip-A-Pay Request Form

UPFCU Holiday Skip-a-Pay Request

Skip your qualifying November, December or January UPFCU loan payment and use the extra cash for holiday shopping!* Some restrictions apply. See eligibility requirements below. A loan processing fee of $25.00 per loan will be collected at the time of the application.
Member Name *

First Name Last Name
Member Number: *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State

Zip Code
Email Address (for confirmation of skip-a-pay) *
example@example.com
Deduct my $25 skip-a-pay fee from my (choose one): *

Savings Account Checking Account
Skip-a-pay request must be received at least one week prior to the payment date you wish to skip.
Loan number to skip *
Payment to skip (select one): *

Skip my November 2022 Loan Payment. Skip my December 2022 Loan Payment. Skip my January 2023 Loan Payment.
ALL BORROWER’S MUST SIGN THIS AGREEMENT! All accounts must be in good standing to qualify.
Signature *

Clear
Co-Borrowers Signature (write N/A if only one borrower) *

Clear
*It is mutually agreed that this form constitutes an extension on the loan listed above for the selected month. Terms and provisions of the original loan agreement are unchanged and remain in full force and effect. Please be advised, interest will continue to accrue on the loan. Skipping a payment on your vehicle loan could result in a balance owed after GAP insurance has paid, if applicable. Mortgage loans, delinquent loans, credit cards, TDR loans, and loans with previous extensions may not qualify for the program. If your loan payment is made by ePayroll direct deposit, the amount of the scheduled payment will be deposited into your savings account on the payday that we receive it.
*SOME EXCEPTIONS MAY APPLY
Federally insured by NCUA
Should be Empty:

UPFCU Holiday Skip-a-Pay Request