Skip-a-Payment Reply Form

Yes! Please defer my _____________ payment (enter the month you wish to skip) on (check one):

All of my eligible loans Only the loans listed below
Loan #:
Loan #:

My loan accounts must be current and in good standing to be eligible for payment deferral. Interest on my loans will continue to accrue on a monthly basis. I understand that my regularly scheduled monthly payments will resume the next month following the payment skip. I understand that if my next payment is insufficient to pay the accrued finance charges, the unpaid portion continues to accrue until paid from the subsequent payment. I also understand that deferral of my Credit Union loan payment(s) is subject to approval. I understand there is a $25 fee for this service.

Name:
Member’s Signature:
__________________________________________
Account #:
Date:
Daytime Phone:
Check here if your loan payments are paid by
transfer or payroll deduction from another
member’s account. Write the other member’s
account number below.
Account #
FOR CREDIT UNION USE ONLY
Reason Not Eligible
Note # Eligible (x)  
     
Date:___________ Employee Initials: __________
Mail to: Tracy Federal Credit Union, P.O. Box 1147, Tracy CA 95378-1147
Or fax to: (209) 832-4083
Piwik