Loan Payment Request

- 1. Information
- 2. Confirmation

All fields required unless indicated

Loan Information

Loan Number (or Name if account has been renamed)

Payment Amount

Withdraw Funds From Account

Payment Options

I want to make a payment in advance of my normal payment date

I want this payment to be applied as an extra payment to the principal only

I want to pay off my Loan in full

I want to make a payment on my Line of Credit

I want to pay my Line of Credit to a zero balance

Your Information

First Name

Last Name

Business Name (Optional)

Phone Number

e.g. 403 555 6878

Email Address

Branch

I consent to Vermilion Credit Union Ltd. to consider my submission of this form as authorization to debit my account as described above. I understand that the requested loan payment will be processed on my behalf by Vermilion Credit Union Ltd. on the next business day.

Please select the Continue button to proceed to the next page.

Loan Payment Request

Loan Information

Your Information

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