Holiday Skip-a-Pay

Holiday Skip-a-Pay
Member Name*

First NameLast Name
Member Account Number*
Phone Number*
Please enter a valid phone number.
Email Address
example@example.com
Payment Type

AutoSignatureOther
Payment Amount
Payment Type

AutoSignatureOther
Payment Amount
Please deduct my $40 loan processing fee per loan from my:

SavingsChecking
Borrower Signature*

Clear
Borrower Signature*

Clear
*Valid for November 2025 loan payments only, application and processing fee must be received ten days before payment is due. Members must be in good standing and all loans current to participate. The interest on the loan will continue to accrue. All other terms and provisions of the Loanliner voucher are unchanged and remain in full force and effect. For a cost of only $40.00 per loan, you can skip the month of November. Overdraft protection and home equity loans do not qualify for the Skip-A-Pay program. By signing this document, you agree to extend the term of your loan(s) by one month. If joint loan or cosigned loan, all parties must sign the form. Minimum of three (3) payments must be made prior to request
Should be Empty: