Hardship Extension Application

Company
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Hardship Extension Application
Focus Federal Credit Union’s Hardship Extension Program allows qualified members an opportunity to skip eligible loan payment(s) from 30 to up to 60 days. In order to participate in this program, your accounts must be in good standing*. To proceed, please complete the application, click the box below agreeing to the terms of the loan extension and sign below.

*Not currently available for Credit Cards. If you would like to file for an extension on your mortgage, please click here.
Please complete the following:
Date:*
MM slash DD slash YYYY
Account number:*
Name:*
First Last
Joint borrower's name:
First Last
Loan suffix number you wish to skip:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone:*
Email:*
Number of month(s) to skip:*
Is the payment set up on automatic draft?*
- Yes
- No
Please give a brief description of how you’re being impacted financially and a valid reason of why you are applying for a hardship extension.*
*
- I understand that interest will continue to accrue on my loan(s). Real estate loans and MasterCard loan payments are not currently available for this program. I understand that any GAP or other insurance may be affected by skipping a loan payment and accept the responsibility of verifying with my insurance company/companies their policies before participating in the Hardship Extension. A separate form must be completed for each loan payment to be skipped.
By signing below, I/we request to skip the payment(s) referenced above and I/we agree to all the provisions of the Hardship Extension program as described in this disclosure.
Borrower's signature:*
Date*
MM slash DD slash YYYY
Join borrower's signature
Date
MM slash DD slash YYYY
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: Hardship Extension Application.