Missouri Central Credit Union - Skip-a-Payment Form

* - Indicates required field

Member Information

First Name

Last Name

Member Number

Phone Number

Email Address

Loan Information

Loan 1

Loan Number or Description

Month to Skip

Loan 2

Loan Number or Description

Month to Skip

Loan 3

Loan Number or Description

Month to Skip

Loan 4

Loan Number or Description

Month to Skip

Payment Information

No skips will be processed without the processing fee paid up front.

I wish to pay the $25 processing fee for each loan by:

Deduct From Savings
Deduct From Checking
Deduct From Other Institution

Finishing Up

Signature (Primary Borrower, not Co-maker)

By signing above, I understand that the terms and conditions of my loan agreement are unchanged and remain in full force and effect, except that there will not be any regular payment(s) required during the deferral period. I also understand that interest will continue to accrue on the outstanding balance during the deferral period and until the loan is paid in full, that I continue to be responsible for the entire outstanding principal and interest of my loan, that I will continue to make the schedule payment(s) until all principal and interest is paid in full and that the net effect of this deferral will be to lengthen the term of my loan. Missouri Central Credit Union reserves the right to refuse any skip-a-payment request and will advise you only if your request is denied. Requests must be received 5 days before the payment is due. Automatic payments will be deposited into your savings or checking account and may be withdrawn. Payments made via MessagePay are subject to standard fees. Skip a payment is limited to 3 times over the life of the loan.