Under penalties of perjury, I certify that:
Certification Instructions. 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.
I/we agree to the terms and conditions of the Membership and Account Agreement,Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We have received and read the Agreement and Disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree tot the terms of and acknowledge receipt of the Electronic Funds Transfer Agreement.
The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.