Skip-A-Payment Application

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Skip-A-Payment Program

Focus Federal Credit Union’s Skip-A-Pay program allows qualified members an opportunity to skip eligible loan payment(s) twice in a twelve month period. In order to participate in this program, your membership must be in good standing*. You must submit a written Application, Disclosure and Agreement. A $40 application fee will be applied for each payment skip requested and will be withdrawn from your Focus Federal Credit Union (FFCU) account at the time your request is approved. This application is due 7 days prior to your payment due date.

*All your loans at FFCU must be current, with no collection action pending. Your account must not be overdrawn and you must have sufficient funds on deposit to cover the $40 application fee. Submitting this application does not guarantee your skip-a-pay application is approved. You will be notified if for any reason FFCU will not be able to honor my Skip-A-Payment request and will hold FFCU harmless for any consequences resulting from rejection of my request.

Please complete the following:

Date(Required)

Account number(Required)

Name(Required)

First Last

Joint borrower's name

First Last

Loan suffix number you wish to skip(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Month of payment to skip(Required)

Is the payment set up on automatic draft?(Required)

Yes

Please withdraw the $40.00 application fee from

Savings

Checking

Signatures

Borrower's signature(Required)

By signing below, I/we request to skip the payment referenced above. I/we agree to pay an application fee of $40 for each request, and I/we agree to all the provisions of the Skip-A-Pay program as described in this disclosure.

Date(Required)

Joint borrower's signature

Other Ways to Submit

You can fax the application to Focus Federal Credit Union at 405-488-2818. You may also submit your application in person at any of our branches or by mail to Focus Federal Credit Union, 420 NE 10th Street, Oklahoma City, OK 73104. Attn: Skip-A-Pay.

Date