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• Bring to: Your nearest DOCCU branch • Fax to (225) 219-7563• Mail to: DOCCU Skip-A-Payment PO Box 4789 Baton Rouge, LA 70821-4789

Skip your payment(s) in two easy steps:1. Complete the requested informaon below. 2. Submit your completed form by the last day of the month before the requested skip month. For your convenience, you can choose one of the delivery methods below:

Month Requested __________ Loan Suffix __________ Loan Type __________ Payment __________

Month Requested __________ Loan Suffix __________ Loan Type __________ Payment __________

Month Requested __________ Loan Suffix __________ Loan Type __________ Payment __________

Phone NumberMember Number

Name

REVIEWED & ACCEPTED BY TELLER #: _______ DATE FEE COLLECTED: _____________*Eligible loans include: Signature, Automobile, Recreaonal Vehicle, and Share-Secured

Members in good standing mayskip loan payment(s) for an enre month for just $25 a loan*

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