L-6
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View L-6 as PDF for free.
More details
- Words: 622
- Pages: 3
Completing the Revision Agreement Reasons to fill out a revision agreement: You want to change your due date to another date within the same month You want defer your next loan payment(s) to extend your loan. You want to close out an open line of credit You want to remove automatic payments for your loan You want to add MBI coverage for your auto loan and have discussed this with our Financial Services Representatives
1. Enter the primary accountholder’s name 2. Enter the Golden 1 account number 3. Select this box to change your due date within the same month. If you currently have automatic payments applied to your loan or line of credit, please complete an automatic payment card. For assistance, please contact a Member Service Representative. 4. Select this box and list reasons why you want to defer your next loan payment(s). If you currently have automatic payments applied to your loan, please complete an automatic payment card. If approved, interest will continue to accrue on your loan. For assistance, please contact a Member Service Representative. 5. Select this box to close a line of credit. Either the applicant or co-applicant may sign this form. For assistance, please contact a Member Service Representative. 6. Select this box if you want to cancel automatic payments or your loan or line of credit. Please complete an automatic payment card so that we may cancel the automatic payment. For assistance, please contact a Member Service Representative. 7. For assistance, please contact a Financial Services Representative. 8. For assistance, please contact a Member Service Representative. 9. Signatures of all parties (applicants and co-applicants) are required, except where noted. Missing signatures can delay your request from being processed.
If you have any questions about completing this form, one of our Member Service Loan Representatives will be happy to assist you. To speak with one of our Member Service Loan Representatives, you may visit any Golden 1 Office or call them at (916) 732-2900 or 877GOLDEN 1. You may take the completed form into any Golden 1 Office to be processed. You may also mail the completed form to the following address: The Golden 1 Credit Union Attn: Lending Department P.O. BOX 15966 Sacramento, CA 95852-1966 Everyone on the loan must sign this Revision Agreement (except where noted) in order for this request to be processed.
REVISION AGREEMENT Name: ___________________________________________
Account Number: _______________________
Purpose of Revision (check and complete all that apply):
□ Change the due date within the same month:
From: ___________________ To: ___________________
If this loan is on automatic payment, a new auto-pay card is required.
□ Extension of loan payment(s) due on: _____________________________________________________
If this loan is on automatic payment, a new auto-pay card is required. Explain reason(s) for extension of loan payment here: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
□ Request to close line of credit
Either the applicant or co-applicant may sign this revision.
□ Delete the automatic payment on the loan.
Rate will be increased per the Credit Agreement and Truth in Lending Disclosure.
□ Add MBI Coverage (for use by Financial Services department only)
Premium Amount: _____________
Old Payment: _____________
Final Payment Amount: _____________
New Payment: _____________
Final Due Date: _____________
□ Other:
_____________________________________________________________________________________
I agree to the new terms listed below, if applicable:
_____________________________________
_____________________________________
Member’s Signature
Co-Applicant’s Signature
Date
Date
_____________________________________
_____________________________________
Co-Applicant’s Signature
Co-Applicant’s Signature
Date
Date
The section below is to be completed by Credit Union staff New Final Due Date
New Final Payment Amount
For Staff Use Only Application #
Branch/Dept.
Purpose Code
Employee Name
Original Balance
Branch/Dept. Ext.
Current Balance
Action Taken:
Current Due Date Loan Payment Interest Due (loan extensions only) L-6 (08/03)
$
1. Enter the primary accountholder’s name 2. Enter the Golden 1 account number 3. Select this box to change your due date within the same month. If you currently have automatic payments applied to your loan or line of credit, please complete an automatic payment card. For assistance, please contact a Member Service Representative. 4. Select this box and list reasons why you want to defer your next loan payment(s). If you currently have automatic payments applied to your loan, please complete an automatic payment card. If approved, interest will continue to accrue on your loan. For assistance, please contact a Member Service Representative. 5. Select this box to close a line of credit. Either the applicant or co-applicant may sign this form. For assistance, please contact a Member Service Representative. 6. Select this box if you want to cancel automatic payments or your loan or line of credit. Please complete an automatic payment card so that we may cancel the automatic payment. For assistance, please contact a Member Service Representative. 7. For assistance, please contact a Financial Services Representative. 8. For assistance, please contact a Member Service Representative. 9. Signatures of all parties (applicants and co-applicants) are required, except where noted. Missing signatures can delay your request from being processed.
If you have any questions about completing this form, one of our Member Service Loan Representatives will be happy to assist you. To speak with one of our Member Service Loan Representatives, you may visit any Golden 1 Office or call them at (916) 732-2900 or 877GOLDEN 1. You may take the completed form into any Golden 1 Office to be processed. You may also mail the completed form to the following address: The Golden 1 Credit Union Attn: Lending Department P.O. BOX 15966 Sacramento, CA 95852-1966 Everyone on the loan must sign this Revision Agreement (except where noted) in order for this request to be processed.
REVISION AGREEMENT Name: ___________________________________________
Account Number: _______________________
Purpose of Revision (check and complete all that apply):
□ Change the due date within the same month:
From: ___________________ To: ___________________
If this loan is on automatic payment, a new auto-pay card is required.
□ Extension of loan payment(s) due on: _____________________________________________________
If this loan is on automatic payment, a new auto-pay card is required. Explain reason(s) for extension of loan payment here: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
□ Request to close line of credit
Either the applicant or co-applicant may sign this revision.
□ Delete the automatic payment on the loan.
Rate will be increased per the Credit Agreement and Truth in Lending Disclosure.
□ Add MBI Coverage (for use by Financial Services department only)
Premium Amount: _____________
Old Payment: _____________
Final Payment Amount: _____________
New Payment: _____________
Final Due Date: _____________
□ Other:
_____________________________________________________________________________________
I agree to the new terms listed below, if applicable:
_____________________________________
_____________________________________
Member’s Signature
Co-Applicant’s Signature
Date
Date
_____________________________________
_____________________________________
Co-Applicant’s Signature
Co-Applicant’s Signature
Date
Date
The section below is to be completed by Credit Union staff New Final Due Date
New Final Payment Amount
For Staff Use Only Application #
Branch/Dept.
Purpose Code
Employee Name
Original Balance
Branch/Dept. Ext.
Current Balance
Action Taken:
Current Due Date Loan Payment Interest Due (loan extensions only) L-6 (08/03)
$
