sdfcu custodian application

2
800.296.8882 703.706.5000 www.sdfcu.org Federally insured by NCUA CUSTODIAN APPLICATION By signing below, I certify in accordance with the provisions of Section 3406(a)(1)(c) of the Internal Revenue Code and under penalties of perjury, that the Social Security Number (SSN)/Taxpayer Identification Number (TIN) shown above is my correct identification number and that I am NOT, unless checked, subject to backup withholding because I have not been notified by the Internal Revenue Service that I am subject to backup withholding as a result of failing to report all interests or dividends, or the IRS has notified me that I am no longer subject to backup withholding. I/We hereby make application for membership in State Department Federal Credit Union and agree that my accounts with the Credit Union are and shall be governed by the terms and conditions of the Membership and Account Agreement, Truth-in-Savings, Rate and Fee Schedule, Funds Availability Policy Disclosure, Overdraft Protection (if applicable), and if a Debit Card or EFT Service is requested, I/We agree to the terms of and acknowledge receipt of the Electronic Funds Transfer Agreement. In addition, I agree to be bound by all of the Credit Union’s by-laws and amendments there to which may be adopted from time to time by the Credit Union. I hereby authorize the Credit Union to obtain credit reports and investigations as it may deem necessary to establish my accounts and loans. I/We acknowledge receipt of a copy of the Agreements and Disclosures applicable to the accounts and services requested herein. Security Interest: All present and future deposits into my accounts will secure any and all obligations that I owe the Credit Union, including fees and charges as well as loans and credit cards that I have with you. PLEASE READ AND SIGN PRIMARY OWNER SIGNATURE DATE JOINT OWNER SIGNATURE DATE MEMBER DUE DILIGENCE QUESTIONS What is the primary source of deposit to the account? A. Employment Income B. Retirement/Social Security C. Investment income D. Cash E. Other - Please Specify:___________________________________________________ Do you expect to make or receive wire transfers? A. Yes B. No FOR OFFICE USE ONLY Employee Date Membership Off. Date BRING TO ANY BRANCH LOCATION, MAIL TO MEMBERSHIP DEVELOPMENT, 1630 KING STREET, ALEXANDRIA, VA 22314, OR JOIN ONLINE AT WWW.SDFCU.ORG Monthly housing payment: $_________________________________ Occupancy Status: m Buying/Own with Mortgage m Rent Occupancy Duration: yr(s)_______months________ Prior Address (if at address less than 2 years) Street City State Zip Prior Employer (if at employer for less than 2 years)_____________________________________# of Years_______Occupation___________________________Income_________________ I am a: o U.S. Citizen o Permanent Resident Alien o Non Resident Alien Only check if either applies to you: o I am subject to backup withholding. o I am exempt from paying taxes. JOINT OWNER CONTINUED (Multiple Party with Survivorship) Minor’s SDFCU Acct. No. CUSTODIAN ACCOUNT APPLICATION (please print) A Membership Application must be completed for minor. See the accompanying account agreements and a disclosure booklet for Custodian Account Agreement. Custodian Full Name (First/Middle/Last) Social Security Number/Tax I.D. (required) Driver’s License No. State Issued Date Issued Expiration Date Residential Street Address (No P.O. Box except FPO/APO) City State Zip Mailing Address (if different) City State Zip Date of Birth (mm/dd/yyyy) Home Phone Work Phone Cell Phone E-mail Address U.S. Citizen? m Yes m No Alien Reg. No. As the Custodian for __________________________________________________ under the Virginia Uniform Transfers to Minors Act, I make application on this minor’s behalf for membership in SDFCU. As the Custodian, I acknowledge that all deposited funds are made by me as an irrevocable gift, to be paid to or used for the exclusive benefit of the minor. As the Custodian, under the Virginia Uniform Transfers to Minors Act, I designate the age of 18 or 21 (circle one) as the age on which I must turn over to the minor all of the funds, including accumulated dividends which remain in the account. (If no age is specified, age 18 will be assumed.) I, the undersigned, agree to the terms and conditions of the Custodian Account Agreement as stated in the accompanying account agreements and disclosures booklet. CUSTODIAN SIGNATURE DATE DESIGNATION OF SUCCESSOR CUSTODIAN (OPTIONAL) Name Phone Address City State Zip I hereby designate the above referenced person as successor custodian for above mentioned minor to succeed to the duties on the renunciation, death, resignation or removal of myself as Custodian. TRANSFEROR / CUSTODIAN SIGNATURE DATE (Minor’s name) [email protected]

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Page 1: SDFCU Custodian Application

800.296.8882703.706.5000

www.sdfcu.org

Federally insured by NCUA

CUSTODIANAPPLICATION

By signing below, I certify in accordance w

ith the provisions of Section 3406(a)(1)(c) of the Internal Revenue Code and under penalties of perjury, that the Social Security Number (SSN)/Taxpayer Identification

Number (TIN) show

n above is my correct identification num

ber and that I am NO

T, unless checked, subject to backup withholding because I have not been notified by the Internal Revenue Service that I am

subject to backup w

ithholding as a result of failing to report all interests or dividends, or the IRS has notified me that I am

no longer subject to backup withholding.

I/We hereby m

ake application for mem

bership in State Department Federal Credit Union and agree that m

y accounts with the Credit Union are and shall be governed by the term

s and conditions of the Mem

bership and Account Agreem

ent, Truth-in-Savings, Rate and Fee Schedule, Funds Availability Policy Disclosure, Overdraft Protection (if applicable), and if a Debit Card or EFT Service is requested, I/W

e agree to the terms of

and acknowledge receipt of the Electronic Funds Transfer Agreem

ent. In addition, I agree to be bound by all of the Credit Union’s by-laws and am

endments there to w

hich may be adopted from

time to tim

e by the Credit Union. I hereby authorize the Credit Union to obtain credit reports and investigations as it m

ay deem necessary to establish m

y accounts and loans. I/We acknow

ledge receipt of a copy of the Agreements and

Disclosures applicable to the accounts and services requested herein.

Security Interest: All present and future deposits into my accounts w

ill secure any and all obligations that I owe the Credit Union, including fees and charges as w

ell as loans and credit cards that I have with you.

PLEASE READ AND SIGN

PRIMARY O

WN

ER SIGN

ATURE

D

ATE

JOIN

T OW

NER SIG

NATU

RE

DATE

MEM

BER DUE DILIGENCE Q

UESTIONS

What is the prim

ary source of deposit to the account?A.

Employm

ent Income

B. Retirem

ent/Social SecurityC.

Investment incom

e

D. Cash

E. O

ther - Please Specify:___________________________________________________

Do you expect to make or receive w

ire transfers?A.

YesB.

No

FOR O

FFICE USE O

NLYEm

ployee

DateM

embership O

ff.

Date

BRING TO

ANY BRANCH LOCATIO

N, MAIL TO

MEM

BERSHIP DEVELOPM

ENT, 1630 KING STREET, ALEXANDRIA, VA 22314, O

R JOIN O

NLINE AT WW

W.SD

FCU

.ORG

Monthly housing paym

ent: $_________________________________ Occupancy Status: m

Buying/Ow

n with M

ortgage m Rent O

ccupancy Duration: yr(s)_______months________

Prior Address (if at address less than 2 years) Street City

State Zip

Prior Employer (if at em

ployer for less than 2 years)_____________________________________# of Years_______Occupation___________________________Incom

e_________________

I am a: o

U.S. Citizen o Perm

anent Resident Alien o Non Resident Alien

Only check if either applies to you: o I am

subject to backup withholding. o I am

exempt from

paying taxes.

JOINT O

WNER CO

NTINUED (Multiple Party w

ith Survivorship)

Minor’s SDFCU Acct. No.

CUSTODIAN ACCO

UNT APPLICATION (please print)

A Mem

bership Application must be com

pleted for minor. See the accom

panying account agreements and a disclosure booklet for Custodian Account Agreem

ent.

Custodian Full Name (First/M

iddle/Last) Social Security Num

ber/Tax I.D. (required)

Driver’s License No. State Issued

Date Issued Expiration Date

Residential Street Address (No P.O. Box except FPO

/APO)

City

State

Zip

Mailing Address (if different)

City

State

Zip

Date of Birth (mm

/dd/yyyy) Hom

e Phone

Work Phone

Cell Phone

E-mail Address

U.S. Citizen? m Yes m

No Alien Reg. No.As the Custodian for __________________________________________________ under the Virginia Uniform

Transfers to Minors Act, I m

ake application on this minor’s behalf for m

embership in SDFCU.

As the Custodian, I acknowledge that all deposited funds are made by m

e as an irrevocable gift, to be paid to or used for the exclusive benefit of the minor. As the Custodian, under the Virginia Uniform

Transfers to Minors Act, I

designate the age of 18 or 21 (circle one) as the age on which I must turn over to the m

inor all of the funds, including accumulated dividends which rem

ain in the account. (If no age is specified, age 18 will be assumed.)

I, the undersigned, agree to the terms and conditions of the Custodian Account Agreem

ent as stated in the accompanying account agreem

ents and disclosures booklet.

CU

STOD

IAN SIG

NATU

RE

DATE

DESIGNATIO

N OF SUCCESSO

R CUSTODIAN (O

PTIONAL)

Name

Phone

Address

City

State

Zip

I hereby designate the above referenced person as successor custodian for above mentioned m

inor to succeed to the duties on the renunciation, death, resignation or removal of m

yself as Custodian.

TRANSFERO

R / CU

STOD

IAN SIG

NATU

RE D

ATE

(Minor’s nam

e)

[email protected]

Page 2: SDFCU Custodian Application

How do I apply?

Stop by any SDFCU branch or apply online at www.sdfcu.org.

For a Minor Account: Complete the membership application with the minor’s information and have the minor sign the application. The parent/guardian is to complete the “Joint Owner” section and sign.

For a Custodian Account: Complete the membership application with the minor’s information. You, the custodian, must then sign the membership application as follows: “John Doe custodian for Jane Doe.” The custodian is to also complete and sign the “Custodian Account Application.”

If you prefer, you can mail your completed application to:State Department Federal Credit UnionAttn: Membership Development1630 King StreetAlexandria, VA 22314

STAT

E DE

PART

MEN

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titutio

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and

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form

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I am

a:

o U

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itizen

o

Per

man

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eside

nt A

lien

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Non

Res

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Alie

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if eit

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you

: o

I am

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ckup

with

hold

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o I

am e

xem

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xes.

Mem

bers

hip

Elig

ibilit

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m I

quali

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bers

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thro

ugh

my

empl

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mem

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CU

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pous

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aren

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pare

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child

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step

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or a

dopt

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livin

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the

sam

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siden

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CC —

The

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ounc

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vides

mem

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bility

to S

DFCU

and

ACC

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m c

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CC o

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ee to

bec

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a

mem

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der t

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DFCU

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Spon

sor’s

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r Nam

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____

____

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____

____

____

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acct

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JOIN

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What is the difference between a Minor Account and a Custodian Account?

A Minor Account gives your child control over his/her money. He/she will have access to online banking, receive eStatements and more. As long as a child can sign their own name, they can have a minor account. Opening an account requires a signature of someone over 18.

A Custodian Account is established by an adult for the benefit of a minor. This is a good option if you would like to teach your child responsible spending, but maintain control over the account. The custodian does not have to be a member, but the child does have to qualify for membership. The custodian can choose to turnover account access to the child at age 18 or 21.

To learn more, visit www.sdfcu.org or contact a Member Service Representative at 703.706.5000 or 800.296.8882.

Why should I open an account for my child?

Teaching your children sound savings habits early is a good idea. Working with your children when it comes to opening an account is a great opportunity to discuss goals and what it means to be responsible. We encourage responsible money management and provide account options to help you and your children build a solid financial foundation. Plus, you are giving them Credit Union membership they can take advantage of throughout their life.