Skip A Payment Form

* Required Fields

Personal Information

First Name:

Last Name:

Last Four Digits of Member Number:

Last Four Digits of Social Security Number:

Date of Birth:

/ /

Preferred Telephone Number:

Email:

Please provide any information pertaining to this Skip A Payment that may be relevant for review::

Preferred Method of Contact:

Phone

Loan Information

Loan Type:

Loan Suffix:

Skip Month and Year:

Loan Information #2

Loan Type:

Loan Suffix:

Skip Month and Year:

Loan Information #3

Loan Type:

Loan Suffix:

Skip Month and Year:

Which account would you like to debit your Skip A Payment Fee from?

Checking

Savings

N/A

Skip A Pay Authorization Form

Tampa Bay Federal offers the Skip A Pay feature as follows: I will be allowed to make no payment for one month of my choosing without being considered delinquent on my plan (“skip period”). Program does not include First and Second Mortgages, Home Equity Loans, Manufactured Home (Triad) Loans, or any loan with an active CPI (Collateral Protection Insurance) Policy added on. To be eligible for the Skip A Pay Program All your share and loan accounts with Tampa Bay Federal must be current and in good standing, your loan must be active for six months, and completed Authorization Form four (4) days prior to due date. Interest and finance charges will continue to accrue during the skip period. A fee (see fee schedule) per consumer loan is imposed for exercising the skip feature. I understand and agree that this fee will be taken from my share savings account; therefore, I must have sufficient funds in order to process the skip payment request. This fee is a finance charge, and will increase my Annual Percentage Rate (APR) on my loan. My required minimum monthly payment will start again beginning in the month immediately following the skip period and will continue as originally scheduled. I understand that I can only exercise this feature once in a calendar year. Any additional payments resulting from the exercise of the skip payment feature will not be covered by credit insurance and/or GAP. I further understand that exercising the skip payment feature will extend the time it takes to pay off my plan in full. I understand all Skip-A-Payment requests are subject to final approval from the Credit Union. ACH originations or Automatic Funds Transfers will continue to post to savings or checking account, however they will not post to my loan(s). Thank you for using our Website application. By placing this Web request, you certify that all statements made are true and complete. A credit union representative will contact you if any additional information is needed to process your request or if your request is denied. Fees and qualifications may be waived in the event of an emergency declaration.

Terms and Conditions Agreement:

By clicking here, I indicate I have read and agree to the Terms and Conditions above.

Member Signature :

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