Loan Payment Extension Application

This is an application for NuUnion Credit Union in Michigan. After completing, please print, sign, and return to NuUnion.

Have questions about this application?

The application should be received 10 days before the next payment is due to allow processing time.

ACCOUNT INFORMATION

First Name
MI
Last Name
Account #
Daytime Phone Number
Loan Account Number
	Please complete a separate application for each requested loan extension.
Skip Next Payment
Monthly Payment Amount:
Deduct $35.00 Loan Payment Extension fee from:

REASON FOR REQUEST(Required)

SIGNATURE REQUIRED FOR ALL PARTIES ON LOAN
By signing this application and if you are qualified, you authorize NuUnion to extend your final loan payment by one month and debit the selected account unless paid by check. Interest will continue to accumulate on your loan during the month you skip your payment and your loan maturity will be extended when payment is deferred. All terms and conditions remain the same. Internal NuUnion transfers will be skipped for the month you request. Payments made through Direct Deposit, ACH, or Internet Banking recurring transfers, will need to be stopped by the owner of the account. All loan payments must be current to qualify. This offer does not apply to revolving credit or Payment Shaver loans. Loan must have at least six month history of payments. Applicant must be a member in good standing and meet current credit guidelines. In the case of a GAP claim, any additional amount by this election to skip a payment may not be covered by the GAP contract signed at the origination of the loan.
Borrower Signature	Date	Co-Borrower/Co-Signer Signature	Date

Office Use Only
Loan Officer Signature		Date

TO SUBMIT

NuUnion Credit Union
Loan Department
501 S. Capitol Avenue
Lansing, MI 48933-2320