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1212 Adams St. Toledo, Ohio 43604 (419) 242-4926

Hardship Deferral Request

You may choose to skip 1 or 2 months of your loan(s) payments with no charge. This does not apply to credit cards, or mortgage loans.

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DISCLOSURE

I wish to participate in Toledo Metro Federal Credit Union Hardship skip a pay. Please defer payment(s) for the loan(s) listed on this form. I authorize Toledo Metro Federal Credit Union to extend my final loan payment by up to two months. Interest will continue to accrue on your loan during the month(s) you skip. Following the skipped payment month, the loan will revert back to the original payment schedule. Toledo Metro Federal Credit Union has the right to refuse any skip a payment request. I understand that I continue to be responsible for the entire outstanding principal and interest balance on my loan(s), and that I will be responsible to continue to make the monthly payments after the original maturity date until all principal and interest is paid in full and that my pledge of security shall remain in effect until the loan is fully repaid. This offer does not apply to credit cards, mortgage loans, or loans that are more than 30 days past due.

If you have a Total Loss Claim on your vehicle and have purchased Guaranteed Auto Protection (GAP) coverage, a skip a pay may reduce your GAP coverage by the amount of your monthly payment.

By submitting this request, you agree to the conditions and limitations below.