Skip-A-Payment Request

* Indicates Required

• Disclosure

  • Members may only use the Skip-A-Pay feature a maximum of twice per year, per eligible loan type, with a minimum of 3 payments being made between requests.

  • Skip-A-Pay is not available for Mortgages, Home Equity Loans, Lines of Credit, or Credit Cards.

  • For new loans, Skip-A-Pay becomes available AFTER 6 on-time payments have been made.

  • Skip-A-Pay requests must be submitted a minimum of 5 business days prior to loan due date.

  • To request request Skip-A-Pay, members must be in overall good standing meeting requirements and obligations for any deposit account(s) and loan(s).

  • Skip-A-Pay feature will extend the term of the loan and interest on the loan will continue to accrue, even during the month of the skipped payment.

  • Actors FCU reserves the right to deny Skip-A-Pay requests at their sole discretion and for any reason.

  • Submitting this request does not guarantee approval in any way. Members are required to maintain regular payments even after submitting a Skip-A-Pay request. Upon approval AND processing, Actors FCU will provide confirmation and advise you of your next payment due date. Members are solely responsible for managing any scheduled or automatic payments from institutions other than Actors FCU accounts.

  I have read and agree to the above disclosure.* Agreement is required.

  Fee Payment

  For the $35.00 fee to skip my payment*

  Withdraw from my savings Withdraw from my checking I will mail a check for $35.00

  How you will pay the fee is required

  I acknowledge that this request will not be processed until the fee is received.* Acknowledgement is required

• Personal Information

  First Name *

  Last Name *

  Address *

  Address Line 2

  City *

  State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip *

  Phone *

  Email *

• Loan Information

  Month to Skip*

  Type of Loan*

  Vehicle Loan (Auto/Truck, Motorcycle, Other) Unsecured Loan (Personal, Balance transfer, Signature) Specialty Loan (Union Dues, Holiday, Tax, Vacation, etc.) Musical Instrument Loan

  Member #*

  Loan/Suffix # (2 digits only)*

  –

• Signature

  Member Name (type name)*

  Date*

  Member Signature*

  Clear Signature