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Skip-A-Pay Coupon
Yes, I would like to skip my December payment (Auto, Boat, RV, Motorcycle, Personal Loan, Share Secured Loans only)
* Excludes First Mortgages, Modifications, Rewrites, Equity, Visa, Line of Credit, Overdraft, Nursing & Fresh Start Loans.
Please Deduct the $25.00 fee per loan from Member Number:
**$25.00 fee must be available when submitted
Checking
Savings
Member Name:
Member Number:
Loan Number
Payment Amount
Phone Number:
Loan Number
CU use
Payment Amount
CU use
All borrowers on the loan must sign this coupon. By signing below you authorize Fresno County
Federal Credit Union to skip your December payment and extend your loan term.
Primary Borrower's Signature
Co-borrower's Signature
Co-borrower's Signature
Co-borrower's Signature
All information listed above must be filled in for request to be processed. Coupons must be turned in or postmarked by Friday, November 21, 2014. Fax to 559-437-2176 or bring to your local branch, or mail to PO Box 8027
Fresno, CA 93747-9881. *I fully understand that by skipping a payment that interest will continue to accrue daily, therefore, skipping a payment may result in less funds being applied to the principal of the loan when I do
make my next payment which will result in extending the original term of my loan. Granted extension requests will equal a one month skip regardless of frequency. Other restrictions apply. All accounts must be current and
members must be in good standing to qualify. If this is a new loan you must make your first payment to be eligible to skip a payment. Other restrictions may apply.
Branch Use:
Loan Servicing Use:
Received by:
Processed By:
Fee withdrawn by:
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