"*" indicates required fields We only allow one skipped payment per loan per year. Some loan types, such as mortgages and credit cards, are not eligible for skip‐a‐pay. All accounts must be active for at least one year and in good standing to qualify.NAME:* First Last MEMBER #*PHONE*EMAIL* LOAN NUMBER:*Some loans are not eligible for Skip-A-Pay. Call our Loan Team for loan eligibility requirements at 225-292-8910Which payment month would you like to skip?* NOVEMBER 2025 DECEMBER 2025 JANUARY 2026 The holiday skip‐a‐pay fee is $25 for the first loan and $10 per additional loan.Please select one of the following:* Deduct From My Checking Deduct From My Savings I will bring a check to the branch Please indicate your checking account number:Please indicate your checking savings number:By signing below you acknowledge that interest will continue to accumulate on your loan during the month payment is skipped and will extend the term of the loan resulting in increased finance charges. Automatic payments will be deposited into your savings account.BORROWER SIGNATURE*Date*This field is hidden when viewing the formDATE MM slash DD slash YYYY CAPTCHA Δ