Submit this form at least 5 business days before the due date of your loan(s). Please list the loans you wish to skip and the corresponding month.** (Only eligible for two regular skips per year per loan).

*Your payments must be up-to-date at the time of your request for a skip-a-payment. Credit cards, mortgages, holiday loans, business loans and Lines of Credit do not qualify for this offer. Interest will continue to accumulate on your loan during the month you skip your payment, which may cause the maturity date on each loan to be extended. Skipping a payment may reduce the amount of any benefits you would receive from credit disability, life, and/or GAP insurance should a claim be filed. Qualifying loan types include: personal, power sport, RV, auto, boat, and share-secured loans. Approval for this promotion is subject to the discretion of the credit union based on your payment history with FreeStar Financial. We reserve the right to revoke this offer at any time. Should you not qualify, you will be notified by phone or mail immediately.

**You are responsible for canceling the payment for the month that you are skipping. By signing above, you authorize FreeStar Financial Credit Union to extend your final loan payment by an additional month. The $35.00 fee(s) will be automatically added to your loan unless otherwise indicated above. Interest will continue to accrue on your loan during the month you skip your payment. Please keep a copy of this form for your records.