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Yes, I'd like to Participate in the deferred payment program for the month of June, 2015 or July, 2015 (check one). I understand there is a $35.00 processing fee per each loan request in which a payment is deferred. The $35.00 is required to be in your Central State savings or checking account at the time of the Skip A Payment request. You can make a Deposit from your other bank to Central State CU by Phone, please call 1-800-675-5114 for assistance.


The following Loan Types are allowed the deferred payment program:
Autos, Boats, Motorcycles, Jet Ski's, All Terrain, RV's, Signature, Computer, Youth, and Secured Loans


The fee
will be deducted from my CSCU Savings when this notice is received.
will be deducted from my CSCU Checking when this notice is received.


This offer does not apply to Real Estate, HELOCs, Lines of Credit and VISA credit cards.*
Account Loan ID #
Loan

I understand that by deferring my monthly payment(s) on my loan(s) (i) the final payment date will be extended, (ii) I will be charged more interest over the life of the loan and (iii) the final payment amount will change due to the accumulated interest. (iv) approval of this request to skip-a-payment is in the sole and absolute discretion of the Credit Union. I understand that any GAP policies I may have purchased will only cover an additional 2 (two) months of extended payment(s), therefore, should my deferral of payment increase the number of payments by more than 2 additional months, then the GAP policies will not cover the any of the payments in excess of the 2 additional months. Members must be in good standing to qualify for this Skip A Pay. Loans that are 6 months old and less do not qualify for the Skip A Pay. Loans that have had two(2) Extensions/Skips within the past 12 months do not qualify.


***ALL SIGNERS ON LOANS MUST SIGN THE DEFERMENT REQUEST!***


Signature (Use mouse to sign within box)
Co-borrower Signature


Name    Date
Co-borrower Name    Date
Email    Phone
  
Current Address

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