UNITE Credit Union SKIP-A-PAY FORM
This form can allow you to skip your secured or personal loan payment(s). 1st Mortgages, Home Equity, Overdraft Protection Line of Credit, Credit Cards loans and auto loans with GAP coverage cannot be skipped.

Your UNITE Credit Union accounts must be current and in good standing in order to qualify. Loan balance must be greater than $3,000. All skip a payments are subject to approval. If you meet the qualifications, you may skip all payments required to be made on each loan that you have with UNITE Credit Union during any one (1) calendar month each year, and you cannot skip payments in December of one year, and January of the following year. A convenience fee of $30.00 must be collected for each requested skipped loan account ($30 per loan, not per payment skipped). The fee must be received before loan payment can be skipped. We must be notified at least 14 business days prior to your payment due date to ensure your request can be processed.

If you submit this form and do not hear from a UNITE Credit Union Representative within 3 business days, please contact us at (319) 273-2479 to confirm that we received your request.

Last 4 Digits of Your Member Number *
Your answer
Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Last 2 Digits of Your SSN *
Your answer
Mother's Maiden Name *
Your answer
Email Address *
Your answer
Please Retype Email Address *
Your answer
Phone Number *
Your answer
Number of loans (not payments) you are requesting to skip: *
Note: You must skip payments for all of these loans in the SAME month. If you wish to skip payments on multiple loans, but in different months, you must complete a separate form for each MONTH you wish to skip payments.
Your answer
Loan Type(s) you wish to skip *
Required
Select which month you wish to skip your loan payments: *
Note: We must be notified at least 14 business days prior to your payment due date and the $30 fee must be received before your skip-a-pay can be processed. you may skip all payments required to be made on each loan that you have with UNITE Credit Union during any one (1) calendar month each year, and you cannot skip payments in December of one year, and January of the following year.
Method of Payment for skip fee ($30 per loan, not per payment skipped): *
Choose one:
Any comments you wish to make:
Your answer
How did you hear about this skip-a-payment offer? *
Please check all that apply.
Required
By typing your name(s) below, you are authorizing UNITE Credit Union to extend your final loan payment(s) by one month. Interest will continue to accrue on your loan during the month when your payment is deferred and will extend the time required to pay of your loan(s) in full based on your required minimum monthly payment.

**PLEASE NOTE: GAP insurance may not cover skipped payments (refer to your GAP contract for details)**.

Payments that are normally made via payroll allotment or ACH from another financial institution will be deposited into your UNITE Credit Union savings account. Automatic transfer from an existing UNITE Credit Union account will simply be suspended throughout the deferral.
Primary Member *
Type your name below as your authorized signature.
Your answer
Joint Member - must be filled-in if there is a Co-Borrower on the loan(s)
Type your name below as your authorized signature.
Your answer
Click the "Submit" button below if you are finished completing this form. If you click "Submit" and it appears nothing has happened, please scroll up to be sure that you have filled in all required fields.
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