Skip-A-Payment Form
Name:(Please Print)________________________________ Savings Account
Number: __________
Daytime Phone/Cell Number:______________________________________________________
Loan Number:________
Month/Year to Skip:________________
Deduct the
$20 processing fee from my: ? Savings ? Checking ? Mail in Check With Form
Signature:
___________________________________ Date:__________
Joint Signature:
_______________________________ Date:__________
By signing above, I authorize GPNECU to extend my loan
term by one month and deduct a $20 processing free from the account I
have indicated above. I understand that interest will continue to accumulate
on my loan during the month I skip my payment.
I further understand that payments made by payroll deduction or direct deposit will be deducted as normal, however the funds will be deposited into my savings account #____________ instead of posted to my loan #___________. I will be able to withdraw those deposited funds anytime after the scheduled date of deposit.
Initial _________ Joint Initial ________
FOR CREDIT
UNION USE ONLY
Credit Union Approval _______ or Denial _______ Loan
Officer _________________________
Payroll or Direct Deposit _________ Date
$ Moved to Savings _________________
Reason for Denial__________________________________________ |