Savings and Club Accounts Disclosures - Island Federal Credit Union (Hauppauge, NY)

Savings and Club Accounts

By submitting this application (via e-mail, fax, US Mail or in person) you acknowledge that you have read and agree to the following disclosures.

Disclosures

Share Account Agreement

The Island Federal Credit Union is hereby authorized to recognize any of the signatures for this account in the payment of funds or the transaction of any business for this account. Joint owners of this account hereby agree with each other and with said credit union that all sums now paid in on shares, or heretofore or hereafter paid in on shares by any or all of said joint owners to their credit as such joint owners with all accumulations thereon, are and shall be owned by them jointly, with right of survivorship and be subject to the withdrawal or receipt of any of them, and payment to any of them or the survivor or survivors shall be valid and discharge said credit union from any liability for such payment. The joint owners also agree to the terms and conditions of the account as established by the credit union from time to time. Any or all of said joint owners may pledge all or part of the shares in this account as collateral security to a loan or loans from the credit union. The right or authority of the credit union under this agreement shall not be changed or terminated by said owners, or any of them except by written notice to said credit union which shall not affect transactions theretofore made.

By submitting the Share Account Agreement I (We) hereby agree to conform to the bylaws and any amendments thereof in the Island Federal Credit Union. I (We) also agree to the terms and conditions of any account that I (we) have in the credit union now or in the future and agree that the credit union may change those terms and conditions from time to time.

Taxpayer Identification (Check One)

Under the penalties of perjury, I certify (1) that the number shown on this form is my correct taxpayer identification number and (2) that I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. (NOTE: If you have been notified by the Internal Revenue Service that you are subject to backup withholding and have not been notified that backup withholding has been terminated, then you must strike out clause (2) above.

Applied For Declaration

Under penalties of perjury, I certify (1) that a taxpayer identification number has not been issued to me and that I mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office (or I intend to mail or deliver an application in the near future). I understand that if I do not provide a taxpayer identification number to the credit union within 60 days, the credit union is required to withhold 20 percent of all reportable payments made to me until I provide a number. (2) That I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. (NOTE: If you have been notified by the Internal Revenue Service that you are subject to backup withholding and have not been notified that backup withholding has been terminated, then you must strike out clause (2) above.

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