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 to make my regular Loan payment

I want to make an extra payment on my Loan

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

I want to pay off and CLOSE my Line of Credit

Your Information

First Name

Last Name

Business Name (Optional)

Phone Number

e.g. 403 555 6878

Email Address

Branch

I consent to Lakeland Credit Union 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 Lakeland Credit Union 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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