Membership - Construction Federal Credit Union

Membership Application

Congratulations on taking the first step to CFCU membership.

To qualify for membership call us directly at 248-358-4140. We are happy to review all membership applications with you. Your initial $5 deposit to a regular savings account gives you all access to the products and services of the Credit Union.

Our Membership application can be completed below. Once complete, one of our associates will reach out to you to finalize your membership.

APPLICATION FOR MEMBERSHIP AND SHARE ACCOUNT AGREEMENT WITH BENEFICIARY OPTION

* Required Fields

Last Name:

First Name:

Middle Initial:

Part I: OWNERSHIP INFORMATION

I/we submit this form to Construction Federal Credit Union for two purposes. First, the individual listed as Owner Name (1) below (unless already a member) applies for membership in the credit union. Second. I/we request the credit union to open a share account in the owner name(s) listed below. If more than one owner name is listed below, the account shall be a multiple name share account ant the multiple name account provisions of this agreement shall be applicable. If one or more beneficiaries are listed in the Beneficiary Information and Provisions section (Part IV), the beneficiary provisions of this agreement shall be applicable.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fi ght the funding of terrorism and money laundering activities, Federal law requires all fi nancial institutions to obtain, verify, and record information that identifi es each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Owner (1)

Name:

Full Address:

Full Address 2:

City:

State:

ZIP:

Home Phone Number:

Work Phone Number:

Cell or Other Phone:

Email Address:

Employer Name:

Address:

Address 2:

City:

State:

ZIP:

Date of Birth:

/ /

Mother's Maiden Name:

ID No:

SSN/TIN(Taxpayer Identification Number):

Eligibilty based on (If family relationship, specify type of relationship and name of family member.):

Owner 2

Name:

Full Address:

Full Address 2:

City:

State:

ZIP:

Home Phone Number:

Work Phone Number:

Cell or Other Phone:

Email Address:

Employer Name:

Address:

Address 2:

City:

State:

ZIP:

Date of Birth:

/ /

Mother's Maiden Name:

ID No:

SSN/TIN(Taxpayer Identification Number):

Owner 3

Name:

Full Address:

Full Address 2:

City:

State:

ZIP:

Home Phone Number:

Work Phone Number:

Cell or Other Phone:

Email Address:

Employer Name:

Address:

Address 2:

City:

State:

ZIP:

Date of Birth:

/ /

Mother's Maiden Name:

ID No:

SSN/TIN(Taxpayer Identification Number):

Part II: TIN CERTIFICATION AND BACKUP WITHHOLDING INFORMATION

Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer identifi cation number, and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notifi ed by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notifi ed me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien).

Signature of Owner Name (1):

Date:

Signature of Owner Name (2):

Date:

Signature of Owner Name (3):

Date:

Certification instructions: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. Cross out item 3 and complete a W-8-BEN if you are not a U.S. person.

Part III. MULTIPLE NAME ACCOUNT AGREEMENT

The joint owners of this account hereby agree with each other and with the credit union that all sums now paid into this account, by any or all of said joint owners with all accumulations thereon, are and shall be owned by they jointly, with right of survivorship, and shall be subject to withdrawal or receipt of any of them, except to the extent an initialed restriction below applies. Payment in accordance with such a proper demand shall be valid and discharge the credit union from any liability for such payment. The credit union is hereby authorized to recognize the signature(s) subscribed above, in accordance with the restrictions initialed below, in the payment of funds or the transaction of any business for this account. However, no individual may be removed as an owner of this account, except upon death, without that individual’s consent. No benefi ciary or this account may be changed except with the consent of all living owners.

The right or authority or the credit union under this agreement shall not be changed by any owners, except by written notice to the credit union. Such notice shall not affect any transactions made prior to receipt of the notice by the credit union.

WITHDRAWAL RESTRICTIONS (Name (1) Check box that applies and insert initials in space provided.):

Any owner of this account may make a withdrawal without the signature of any other owner.

Note - if no box is checked, this provision shall apply.)

Signatures of all living owners required for any withdrawal.

Other:

If Other, indicate terms:

Part IV: BENEFICIARY INFORMATION AND PROVISIONS

Upon the death of the owner, or the last surviving owner if there is more than one, the funds covered by this agreement shall become the property of the benefi ciary(ies) listed below who are alive at the time. In addition, each such benefi ciary shall have the power to withdraw only his or her equal share of the remaining account balance together with any accumulations on such amount. The multiple name account agreement (Part IV) shall not apply to benefi ciaries. No benefi ciary shall have any right under any circumstances to change the terms and conditions of this agreement.

Beneficiary Names:

Part V: ACKNOWLEDGEMENT

By signing below, I/we acknowledge receipt of the Credit Union’s separate account disclosures (listed below). and agree to be bound by all of the terms and conditions of the disclosures and this application, and any amendments thereto, or to those contained in any membership agreement and disclosures provided to me/us at any time, which conditions contained therein are fully incorporated herein. I/we certify that the information on this application is true and correct. I/we understand that this account is established subject to the laws of the State of Michigan. The Credit Union is authorized to make whatever inquiries it deems necessary of others concerning the information contained in this application, and to provide information arising out of my/our transactions with the Credit Union with consumer reporting agencies.

I/We agree:

Electronic Fund Transfers (EFT) Agreement

Funds Availability Policy

Truth in Savings Disclosure

Other:

If Other, please explain:

Signature of Owner Name (1):

Signature of Owner Name (2):

Signature of Owner Name (3):

Security Code:

Membership Application

Congratulations on taking the first step to CFCU membership.

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