SKIP-A-PAY FORM - Louisiana USA Federal Credit Union

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

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Phone*

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Email*

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LOAN NUMBER:*

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Which payment month would you like to skip?

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Please select one of the following:*

Please indicate your checking account number:

Please indicate your savings account number:

BORROWER SIGNATURE*

Date*

DATE

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