Skip-a-Payment Application

Postpone up to two monthly loan payments per year without hurting your credit!

To participate, simply complete and return a skip-a-payment application. A $35 processing fee for each deferred loan payment will be added to your loan balance.

Eligibility requirements apply:

Loans must have been open for at least 6 months
Loans must be current (within grace period)
Available for use twice per year: once in first half-year (January–June) and again in second half-year (July–December)
This offer is not valid on mortgage loans, Home Equity loans, business loans, credit cards, or special lending programs

Application subject to approval.

All borrowers on each loan must electronically sign the application. Please indicate loan type:*

Individual Credit (Single Signer) Joint Credit (Co-Borrower/Co-Signer)

Number of Co-Borrowers*

Name of Borrower*

First Name

Last Name

Numerical values only, no dashes or spaces.

Please input numbers only!

Please type in exactly 9 numbers!

The values do not match!

SSN*

Confirm *

Numerical values only, no dashes or spaces.

Phone*

Please complete the following for the loan payment you want to skip.

Loan Account #*

If you do not have the full account number, please provide at least the last 4 digits

Please defer my payment for the month of:*

A form must be submitted for each payment you wish to skip.

I acknowledge it is my responsibility to cancel my automatic loan payment set up within Liberty FCU's online banking or through another financial institution. I understand that I must submit my Skip A Pay request at least 5 business days prior to my scheduled ACH payment.

$35 Processing Fee(s)

A fee of $35 per consumer loan will be charged for exercising this feature and the fee will be added to your loan balance. The addition of the fee to your loan balance will result in additional interest accruing on your loan. The fee and additional interest will result in a larger total amount of payments on your loan.

Loan Payment Deferment Agreement*

By signing below, I agree to the stated conditions. I understand that the terms of my original loan agreement will apply, except there will be no payment due for the month listed above. I understand that finance charges will continue to accrue during the deferral period, resulting in increased total finance charges over the life of the loan, and my loan repayment term will be extended. A $35 processing fee will be charged to my loan for each payment deferred with no more than two payments per loan being deferred per calendar year, subject to the limitation of one payment deferment in the first half of the year (January through June) and one payment deferment in the second half of the year (July through December). Payments may be deferred on multiple loans with a maximum of seven (7) deferments per loan throughout the life of the loan. If I purchased GAP insurance for my auto loan, my loan contract will determine if my policy will cover any skipped payments. This offer is not valid on any mortgage loans, credit cards, or other special lending programs. To qualify for this offer, the loan must be open for a minimum of six months and payments on all your loans with Liberty FCU must be current and in good standing. This offer is subject to approval.

Agreement to Use Electronic Signatures*

I specifically agree that any electronic signatures that I provide through this authorization are valid and enforceable as my legal signature. I acknowledge that these electronic signatures will legally bind me to the authorization contained in the related documents just as if I had physically authorized or declined on the same documents with a pen.

Borrower Signature*

[clear]

Use your mouse or finger to draw your signature above

1 Co-Borrower/Co-Signer

Name of Co-Borrower/Co-Signer*

First Name

Last Name

Co-Borrower/Co-Signer #1 Loan Payment Deferment Agreement*

By signing below, I agree to the stated conditions. I understand that the terms of my original loan agreement will apply, except there will be no payment due for the month listed above. I understand that finance charges will continue to accrue during the deferral period, resulting in increased total finance charges over the life of the loan, and my loan repayment term will be extended. A $35 processing fee will be charged to my loan for each payment deferred with no more than two payments per loan being deferred per calendar year, subject to the limitation of one payment deferment in the first half of the year (January through June) and one payment deferment in the second half of the year (July through December). Payments may be deferred on multiple loans with a maximum of seven (7) deferments per loan throughout the life of the loan. If I purchased GAP insurance for my auto loan, my loan contract will determine if my policy will cover any skipped payments. This offer is not valid on any mortgage loans, credit cards, or other special lending programs. To qualify for this offer, the loan must be open for a minimum of six months and payments on all your loans with Liberty FCU must be current and in good standing. This offer is subject to approval.

Co-Borrower/Co-Signer #1 Agreement to Use Electronic Signatures*

I specifically agree that any electronic signatures that I provide through this authorization are valid and enforceable as my legal signature. I acknowledge that these electronic signatures will legally bind me to the authorization contained in the related documents just as if I had physically authorized or declined on the same documents with a pen.

Co-Borrower/Co-Signer #1 Signature*

[clear]

Use your mouse or finger to draw your signature above

2 Co-Borrowers/Co-Signers

Name of Co-Borrower/Co-Signer #2*

First Name

Last Name

Co-Borrower/Co-Signer #2 Loan Payment Deferment Agreement*

By signing below, I agree to the stated conditions. I understand that the terms of my original loan agreement will apply, except there will be no payment due for the month listed above. I understand that finance charges will continue to accrue during the deferral period, resulting in increased total finance charges over the life of the loan, and my loan repayment term will be extended. A $35 processing fee will be charged to my loan for each payment deferred with no more than two payments per loan being deferred per calendar year, subject to the limitation of one payment deferment in the first half of the year (January through June) and one payment deferment in the second half of the year (July through December). Payments may be deferred on multiple loans with a maximum of seven (7) deferments per loan throughout the life of the loan. If I purchased GAP insurance for my auto loan, my loan contract will determine if my policy will cover any skipped payments. This offer is not valid on any mortgage loans, credit cards, or other special lending programs. To qualify for this offer, the loan must be open for a minimum of six months and payments on all your loans with Liberty FCU must be current and in good standing. This offer is subject to approval.

Co-Borrower/Co-Signer #2 Agreement to Use Electronic Signatures*

I specifically agree that any electronic signatures that I provide through this authorization are valid and enforceable as my legal signature. I acknowledge that these electronic signatures will legally bind me to the authorization contained in the related documents just as if I had physically authorized or declined on the same documents with a pen.

Co-Borrower/Co-Signer #2 Signature*

[clear]

Use your mouse or finger to draw your signature above

Please read. Failure to act may result in your account being debited.

Loan payments set up within Liberty FCU's online banking or through another financial institution must be modified by the member for the date affected. Liberty FCU does not have access to make any changes to transactions set up within LFCU online banking or through other financial institutions.

Any ACH payments that are not canceled at least five business days prior to the scheduled payment date may still post to your loan.

*

I acknowledge it is my responsibility to cancel my automatic loan payment set up within Liberty FCU's online banking or through another financial institution. I understand that if I do not submit my Due Date Change request at least 5 business days prior to my scheduled ACH payment, my payment may still post to my loan on the originally scheduled date.