"*" 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 Phone*Email* LOAN NUMBER:* January February March April May June July August September October November December The skip‐a‐pay fee is $35 per 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 savings account 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 Untitled Δ