Skip-a-Pay 2016

Please fill out the form below and return to one of our offices. You can also contact us at 315-785-2400 or 315-785-2470 for more information.


Account#________ Loan#________ Payment $_________

Account#________ Loan#________ Payment $_________

Account#________ Loan#________ Payment $_________


*You may skip EACH loan, in good standing ONLY ONCE during the skip-a-pay promotion

Circle which month that you want to skip, choose one:

September or  October  or   November  or   December

*Excludes Credit builders, Christmas loans, No Credit Check Loans, Mortgages, Home Equity & New loans with the 1st payment due. (Any collateralized loans with GAP Insurance may be affected…please ask how)

*By signing this form, you agree to amend the terms of your original agreement & to repay the entire unpaid balance & accrued interest.  A $40 processing fee per loan will be automatically deducted from your Share Savings Account.  If funds are not available in the Share Savings account, you must pay the processing fee before you can Skip-a-Payment.  Payments made through payroll deduction or Direct Deposit will be deposited into your Share Savings Account on the 15th of the month that you are skipping.

Your Signature ______________________________________          Date _____________

Joint Signature _______________________________________       Date  _____________

Contact Phone Number ________________________________

Email Address  ________________________________