*All persons obligated on the loans must sign the form. Loan must be up to date at the time of the skipped payment. Loan must have been open for six months or more at the time of request. Loan must not have missed two consecutive payments or more in the last 12 months (no 30 day delinquency). Loan cannot have had another skipped payment in the last 12 months (no other extension). Fee for skipped payment is $20.00 and must be paid in advance via check, cash or share payment. Interest will continue to accrue during the month of your skipped payment. Skipped payments will not extend any Credit Insurance that you have acquired through the credit union as part of your loan. Home Equities & Mortgages are not eligible for this offer. Please submit one form for each loan.

Name:

Account#:

Loan Payment Amount: Loan Number:

Please deduct the fee from my (circle one): Savings Checking Payment Enclosed

I would like to skip (circle one): November 2016 December 2016

Signature Joint Signature (if applicable)

(Payments resume Dec 2016)

Skip your November, December or January payment on any eligible loan*!

Take advantage of this opportunity for just $20.00 (per loan). You have the option to have this fee deducted from your account or enclose a check with the completed and signed form. Fill out the information below and return it one of the 4 following ways:

• Use the secure email feature on our website: www.trademarkfcu.org

• Fax to: (207) 883-8629

• Mail to: P.O. Box 1440 * Portland, ME * 04104• Bring in to any of our lobbies

Date Date

January 2017(Payments resume Jan 2017) (Payments resume Feb 2017)

Any way you slice it,

Skip-A-Pay is the best time of the year!