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Below is a cache of http://www.firstfinancial.org/forms/MembApp.pdf. It's a snapshot of the page taken as our search engine crawled the Web.
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. MEMBERSHIP APPLICATION Savings Account 1 MEMBERSHIP APPLICATION Savings Account (Please print clearly in ink) Account # Social (To be completed by FFFCU) Security # Name First Middle Initial Last Street Apt. No. Address (if any) City, State, Zip Mothers Home Phone ( ) Maiden Name
e-mail Date of Birth / / address Employer Name Business Phone ( ) Occupation How do you meet membership eligibility? NEW ACCOUNT DISCLOSURE I hereby make application for membership in the First Financial Federal Credit Union and agree to conform to the Federal Credit Union Act, NCUA Rules and Regulations, the Credit Union policies, rules, regulations and bylaws, and any amendments thereto and subscribe for at least one share. I hereby authorize the Credit Union to investigate my credit record and to verify my credit, employment, income and any other information furnished herein. As a family member of a Baltimore or Carroll County public school student, I certify that I am not eligible for membership in another credit union. NON-TRANSFERABLE. Under the penalties of perjury, I certify (1) that the social security number shown on the 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. I certify that I have received and read disclosure, and agree to the terms of the Regular Share Savings, Joint Account Agreement, Checking Account, Line of Credit Open End Loan Account, Fee Schedule, Funds Availability (Regulation CC), and Check/ATM card, Touch Tone Teller, OnLine Teller and PC Teller (Regulation E) enclosed and made a part hereof and incorporated herein by reference. Signing below amounts to execut- ing this agreement under seal and undersigned adopts as his/her seal the word (Seal) appearing beside his/her signature. (Seal) / / Signature of Member Date ID (Seal) / / Signature of Joint Owner Date ID (Seal) / / Signature of Second Joint Owner Date ID X TO BE COMPLETED BY FFFCU q New Account q Add Joint Owner ___Sav ___Ck ___ODP q Add Checking q Remove Joint Owner ___Close & Re-Open q Change Account To ___Reg Acct ___Trust q Change Account # Previous Account # q Add P.O.D. Payee(s) q Add Secondary ___Sav ___Ck q Other I hereby designate the following as joint owner(s) of this account and authorize First Financial Federal Credit Union to recognize any of the signatures subscribed hereto in the
payment of funds or the transaction of any business for this account. Unless contrary direction is given in this agreement, upon the death of a party, the funds in this multiple party account shall belong to the surviving party or parties. You may designate P.O.D. payee(s) to receive payment of the funds in this account upon the death of all joint owners by completing the P.O.D. Designation. Joint Owners Name Social Security # of Joint Birth Date of Joint / / Street Address of Joint Owner City, State, Zip Additional Joint Owners Name Social Security # of Joint Birth Date of Joint / / Street Address of Joint Owner City, State, Zip Upon the death of the last party to the account, funds remaining in the account shall belong to the living P.O.D. payee(s). I/We hereby designate as P.O.D. payee(s) on this account. The P.O.D. payee(s) shall not possess a right to draw upon
the funds in the account during my/our lifetime. Printed Name(s) of P.O.D. Payee(s) Social Security #.(s) Birth Date(s) of P.O.D.(s) of P.O.D. Payee(s) / / Street Address(es) of P.O.D. Payee(s) City, State, Zip P.O.D. Designation AND / OR ed. 3/02 - ptd. 3/02 OnLine Home Banking, Check/ATM Cards & Banking By Phone Please indicate in boxes below, a 4-digit number to use as your: l Visa Check Card/ATM Card Personal
Identification Number
(PIN); l Touch Tone Teller Access Code; l OnLine Teller Internet Home Banking Access
Code. If no 4-digit number is select-
ed, I understand that one will
be randomly generated for me. 4 Adding a Joint Owner to Savings 5 (Information required on Side 5) (Information required on Side 5) (Signature required on Side 1) q Apply for a Checking account. Account # Add a Joint to checking Joint Name First Middle Initial Last Social Security # Date of Birth / / Street Address Apt. No. (if different from primary) (if any) Home City, State, Zip Phone ( ) Business Employer Name Phone ( ) Employer Address (Joint signature required at bottom) Overdraft Protection q Checking only (no overdraft) q Checking, Savings* q Checking, Savings*, Line of Credit** q Checking, Line of Credit**, Savings* q Checking, Line of Credit** *I authorize the Credit Union to make up to a total of 6 automated withdrawals per month from my savings account to clear checks. I understand there will be a $1.00 fee for each automated withdraw-
al from my savings account. Automated withdrawals include overdraft transfers to checking, audio response, other automated withdrawals, and debit card transactions.
**Complete Line of Credit section below. Apply for a Line of Credit** (Please check one option) q $300.00 credit limit q Higher limit (Please complete a line of credit application) I/We understand that as security for this line of credit, I/we give a security interest in our shares (except IRA and other accounts subject to ERISA). / / / / Signature of Primary Owner Date Signature of Joint Owner Date TO BE COMPLETED BY FFFCU Check Style Check to: q q I certify that I have received and read disclosure, and agree to the terms of the Regular Share Savings, Joint Account
Agreement, Checking Account, Line of Credit Open End Loan Account, Fee Schedule, Funds Availability (Regulation CC), and
Check/ATM card, Touch Tone Teller, OnLine Teller and PC Teller (Regulation E) enclosed and made a part hereof and incorpo-
rated herein by reference. Signing below amounts to executing this agreement under seal and undersigned adopts as his/her seal
the word (Seal) appearing beside his/her signature. (Seal) / / Signature of Joint Owner Date Checking Account X X 3 Check to: q Apply for a Visa Check Card / ATM Card q Or, an ATM Card only Begin: q Direct Deposit (paycheck is deposited to your First Financial checking account) q Payroll Deduction (portion of paycheck is deposited to your First Financial savings account) Total Monthly $ Per-Pay $ To Payroll Department:
I hereby authorize you to deduct at once from my pay as noted until further notice
and transmit same to First Financial Federal Credit Union of Maryland. Access to: q Touch Tone Teller (24 hour banking by phone) q OnLine Teller (24 hour online banking) q I decline access to Touch Tone Teller and OnLine Teller. Free, 24 hour services TO BE COMPLETED BY FFFCU VCC/ATM Offset B Chex: q OK q Neg. VCC/ATM Offset B Chex: q OK q Neg. This application approved by the Membership Office. Membership Officers Signature Initials (Savings) Date Credit Limit Initials (Checking) Date Checking Final Approval Signature The credit union industry q Deduct $1.00 per year from my year-end Share ID 01 dividends. q Deduct $ per year from my Share ID 01 account. Contributions will be debited from your account on the last day of each calendar year starting with the year this form is received. This donation will continue until canceled. Contributions will be noted on your statements as PAC $. You may cancel at any time by notifying First Financial FCU in person, in writing or by phone. By initialing below, you attest that your contribution is purely voluntary. Contributions are not tax deductible. Initials Support: Automated Services 2 Lookup #
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. MEMBERSHIP APPLICATION Savings Account 1 MEMBERSHIP APPLICATION Savings Account (Please print clearly in ink) Account # Social (To be completed by FFFCU) Security # Name First Middle Initial Last Street Apt. No. Address (if any) City, State, Zip Mothers Home Phone ( ) Maiden Name
e-mail Date of Birth / / address Employer Name Business Phone ( ) Occupation How do you meet membership eligibility? NEW ACCOUNT DISCLOSURE I hereby make application for membership in the First Financial Federal Credit Union and agree to conform to the Federal Credit Union Act, NCUA Rules and Regulations, the Credit Union policies, rules, regulations and bylaws, and any amendments thereto and subscribe for at least one share. I hereby authorize the Credit Union to investigate my credit record and to verify my credit, employment, income and any other information furnished herein. As a family member of a Baltimore or Carroll County public school student, I certify that I am not eligible for membership in another credit union. NON-TRANSFERABLE. Under the penalties of perjury, I certify (1) that the social security number shown on the 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. I certify that I have received and read disclosure, and agree to the terms of the Regular Share Savings, Joint Account Agreement, Checking Account, Line of Credit Open End Loan Account, Fee Schedule, Funds Availability (Regulation CC), and Check/ATM card, Touch Tone Teller, OnLine Teller and PC Teller (Regulation E) enclosed and made a part hereof and incorporated herein by reference. Signing below amounts to execut- ing this agreement under seal and undersigned adopts as his/her seal the word (Seal) appearing beside his/her signature. (Seal) / / Signature of Member Date ID (Seal) / / Signature of Joint Owner Date ID (Seal) / / Signature of Second Joint Owner Date ID X TO BE COMPLETED BY FFFCU q New Account q Add Joint Owner ___Sav ___Ck ___ODP q Add Checking q Remove Joint Owner ___Close & Re-Open q Change Account To ___Reg Acct ___Trust q Change Account # Previous Account # q Add P.O.D. Payee(s) q Add Secondary ___Sav ___Ck q Other I hereby designate the following as joint owner(s) of this account and authorize First Financial Federal Credit Union to recognize any of the signatures subscribed hereto in the
payment of funds or the transaction of any business for this account. Unless contrary direction is given in this agreement, upon the death of a party, the funds in this multiple party account shall belong to the surviving party or parties. You may designate P.O.D. payee(s) to receive payment of the funds in this account upon the death of all joint owners by completing the P.O.D. Designation. Joint Owners Name Social Security # of Joint Birth Date of Joint / / Street Address of Joint Owner City, State, Zip Additional Joint Owners Name Social Security # of Joint Birth Date of Joint / / Street Address of Joint Owner City, State, Zip Upon the death of the last party to the account, funds remaining in the account shall belong to the living P.O.D. payee(s). I/We hereby designate as P.O.D. payee(s) on this account. The P.O.D. payee(s) shall not possess a right to draw upon
the funds in the account during my/our lifetime. Printed Name(s) of P.O.D. Payee(s) Social Security #.(s) Birth Date(s) of P.O.D.(s) of P.O.D. Payee(s) / / Street Address(es) of P.O.D. Payee(s) City, State, Zip P.O.D. Designation AND / OR ed. 3/02 - ptd. 3/02 OnLine Home Banking, Check/ATM Cards & Banking By Phone Please indicate in boxes below, a 4-digit number to use as your: l Visa Check Card/ATM Card Personal
Identification Number
(PIN); l Touch Tone Teller Access Code; l OnLine Teller Internet Home Banking Access
Code. If no 4-digit number is select-
ed, I understand that one will
be randomly generated for me. 4 Adding a Joint Owner to Savings 5 (Information required on Side 5) (Information required on Side 5) (Signature required on Side 1) q Apply for a Checking account. Account # Add a Joint to checking Joint Name First Middle Initial Last Social Security # Date of Birth / / Street Address Apt. No. (if different from primary) (if any) Home City, State, Zip Phone ( ) Business Employer Name Phone ( ) Employer Address (Joint signature required at bottom) Overdraft Protection q Checking only (no overdraft) q Checking, Savings* q Checking, Savings*, Line of Credit** q Checking, Line of Credit**, Savings* q Checking, Line of Credit** *I authorize the Credit Union to make up to a total of 6 automated withdrawals per month from my savings account to clear checks. I understand there will be a $1.00 fee for each automated withdraw-
al from my savings account. Automated withdrawals include overdraft transfers to checking, audio response, other automated withdrawals, and debit card transactions.
**Complete Line of Credit section below. Apply for a Line of Credit** (Please check one option) q $300.00 credit limit q Higher limit (Please complete a line of credit application) I/We understand that as security for this line of credit, I/we give a security interest in our shares (except IRA and other accounts subject to ERISA). / / / / Signature of Primary Owner Date Signature of Joint Owner Date TO BE COMPLETED BY FFFCU Check Style Check to: q q I certify that I have received and read disclosure, and agree to the terms of the Regular Share Savings, Joint Account
Agreement, Checking Account, Line of Credit Open End Loan Account, Fee Schedule, Funds Availability (Regulation CC), and
Check/ATM card, Touch Tone Teller, OnLine Teller and PC Teller (Regulation E) enclosed and made a part hereof and incorpo-
rated herein by reference. Signing below amounts to executing this agreement under seal and undersigned adopts as his/her seal
the word (Seal) appearing beside his/her signature. (Seal) / / Signature of Joint Owner Date Checking Account X X 3 Check to: q Apply for a Visa Check Card / ATM Card q Or, an ATM Card only Begin: q Direct Deposit (paycheck is deposited to your First Financial checking account) q Payroll Deduction (portion of paycheck is deposited to your First Financial savings account) Total Monthly $ Per-Pay $ To Payroll Department:
I hereby authorize you to deduct at once from my pay as noted until further notice
and transmit same to First Financial Federal Credit Union of Maryland. Access to: q Touch Tone Teller (24 hour banking by phone) q OnLine Teller (24 hour online banking) q I decline access to Touch Tone Teller and OnLine Teller. Free, 24 hour services TO BE COMPLETED BY FFFCU VCC/ATM Offset B Chex: q OK q Neg. VCC/ATM Offset B Chex: q OK q Neg. This application approved by the Membership Office. Membership Officers Signature Initials (Savings) Date Credit Limit Initials (Checking) Date Checking Final Approval Signature The credit union industry q Deduct $1.00 per year from my year-end Share ID 01 dividends. q Deduct $ per year from my Share ID 01 account. Contributions will be debited from your account on the last day of each calendar year starting with the year this form is received. This donation will continue until canceled. Contributions will be noted on your statements as PAC $. You may cancel at any time by notifying First Financial FCU in person, in writing or by phone. By initialing below, you attest that your contribution is purely voluntary. Contributions are not tax deductible. Initials Support: Automated Services 2 Lookup #
