Skip A Payment Authorization

Take This Month Off

I would like to participate in the Skip a Payment promotion and authorize Highpoint Community Bank to debit the $65.00 extension fee from my Highpoint Community Bank deposit account in lieu of my monthly payment. Further, I realize that the final maturity date of my contract will be extended because of my acceptance, resulting in additional interest.
  • Eligible only on Personal and Fixed Home Equity Loans.
  • $65 extension fee will be debited from this account.
  • If you have a HCB Advantage Checking account you are allowed 1 free Skip A Payment per calendar year. If you would like to use this option, please check the box below.
  • Submission of this form authorizes a debit to the Highpoint Community Bank account listed above in the amount of $65.
  • This field is for validation purposes and should be left unchanged.