The Membership/Signature card you will sign includes
the following statements and agreements:
I hereby make application for membership in Lewis Clark Credit Union (LCCU), and agree to conform to
its bylaws and amendments thereof, and to subscribe for at least
one (1) share. The LCCU is hereby authorized to recognize any
of the signatures subscribed hereto in the payment of funds or
the transaction of any business for this account. The joint owners
of this account hereby agree with each other and with LCCU
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 conditions of the account as established
by the LCCU from time to time. Any or all of said joint owners
may pledge all or any part of the shares in this account as collateral
security to a loan or loans from this Credit Union. The right,
or authority of the LCCU under this agreement shall not be
changed or terminated by said owners, or any of them, except
by written notice to LCCU which shall not affect transactions
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 back up 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, and (3) I am a U.S. citizen
(including a U.S. resident alien).
I/We understand that credit union membership is required to fully process this loan application and further documentation / signatures may be required. By submitting this form with your electronic signature(s), you agree that everything stated in this application is correct to the best of your knowledge and grant permission to the Credit Union to perform the following. The Credit Unionis authorized to validate your information, investigate your creditworthiness, employment history, and obtain a credit report. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature. The Credit Union may keep this application whether or not it is approved.
By pressing the "Submit Application" button below, you agree to the above statement.
I have read LCCU Online Banking E-Sign Disclosure & Consent.
To avoid delays in processing your request please provide us with the best method and time to contact.
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