| Skip A Loan Payment Coupon Card YES I would like to skip the following: (Choose & check ONLY one.) ______ November's Monthly Payment ______ December's Monthly Payment ______ 2 Bi-Weekly Payments before Christmas I understand that this coupon may be used for Auto Loans, Recreational Vehicle Loans and Personal Loans at the cost of $45.00 per loan. Member Name:_______________________________ Account Number:_____________________________ Loan Number(s):______________________________ ____________________________________________ Daytime Phone Number: (____ )_____________________ Is the Payment Automatically Deducted? = Yes =No Transfer $45.00 Fee From: Share Account _____ Share Draft Account _____ Fee Enclosed (Check, Money Order or Cash)_____ All requests to skip payment must be approved by the loan department. By signing this card you agree to amend the terms of your original agreement and to repay the entire unpaid balance and accrued interest. To be eligible for this special offer; all Credit Union accounts must be in good standing. To skip your payment(s), form and fee have to be received by credit union at least one (1) week before payment is due. Borrower Signature________________________________Date____________ Complete and return this card to Calhoun Liberty ECU or Fax to (850)674-8933 |
| Print, fill out, sign and return the form below to the credit union at least one (1) week before payment is due. |