sdfcu membership application
DESCRIPTION
ÂTRANSCRIPT
APPLY FOR MEMBERSHIP TODAY
By signing below, I certify in accordance w
ith the provisions of Section 3406(a)(1)(c) of the Internal Revenue Code and under penalties of perjury, that the Social Security Number (SSN)/Taxpayer Identification
Number (TIN) show
n above is my correct identification num
ber and that I am NO
T, unless checked, subject to backup withholding because I have not been notified by the Internal Revenue Service that I am
subject to backup w
ithholding as a result of failing to report all interests or dividends, or the IRS has notified me that I am
no longer subject to backup withholding.
I/We hereby m
ake application for mem
bership in State Department Federal Credit Union and agree that m
y accounts with the Credit Union are and shall be governed by the term
s and conditions of the Mem
bership and Account Agreem
ent, Truth-in-Savings, Rate and Fee Schedule, Funds Availability Policy Disclosure, Overdraft Protection (if applicable), and if a Debit Card or EFT Service is requested, I/W
e agree to the terms of
and acknowledge receipt of the Electronic Funds Transfer Agreem
ent. In addition, I agree to be bound by all of the Credit Union’s by-laws and am
endments there to w
hich may be adopted from
time to tim
e by the Credit Union. I hereby authorize the Credit Union to obtain credit reports and investigations as it m
ay deem necessary to establish m
y accounts and loans. I/We acknow
ledge receipt of a copy of the Agreements and
Disclosures applicable to the accounts and services requested herein.
Security Interest: All present and future deposits into my accounts w
ill secure any and all obligations that I owe the Credit Union, including fees and charges as w
ell as loans and credit cards that I have with you.
PLEASE READ AND SIGN
PRIMARY O
WN
ER SIGN
ATURE
D
ATE
JOIN
T OW
NER SIG
NATU
RE
DATE
FOR O
FFICE USE O
NLYEm
ployee
DateM
embership O
ff.
Date
MEM
BER DUE DILIGENCE Q
UESTIONS
What is the prim
ary source of deposit to the account?A.
Employm
ent Income
B. Retirem
ent/Social SecurityC.
Investment incom
e
D. Cash
E. O
ther - Please Specify:___________________________________________________
Do you expect to make or receive w
ire transfers?A.
YesB.
No
BRING TO
ANY BRANCH LOCATIO
N, MAIL TO
MEM
BERSHIP DEVELOPM
ENT, 1630 KING STREET, ALEXANDRIA, VA 22314, O
R JOIN O
NLINE AT WW
W.SD
FCU
.ORG
Monthly housing paym
ent: $_________________________________ Occupancy Status: m
Buying/Ow
n with M
ortgage m Rent O
ccupancy Duration: yr(s)_______months________
Prior Address (if at address less than 2 years) Street City
State Zip
Prior Employer (if at em
ployer for less than 2 years)_____________________________________# of Years_______Occupation___________________________Incom
e_________________
I am a: o
U.S. Citizen o Perm
anent Resident Alien o Non Resident Alien
Only check if either applies to you: o I am
subject to backup withholding. o I am
exempt from
paying taxes.
JOINT O
WNER CO
NTINUED (Multiple Party w
ith Survivorship)
MEMBERSHIPAPPLICATION
At SDFCU, you are more than a customer. You are a member and an owner. Enjoy personalized service, low rates and special perks, while avoiding the hidden fees and headaches of big banks.
Experience the freedom to bank the way you want.
800.296.8882703.706.5000
www.sdfcu.org
Federally insured by [email protected]
Information good as of January 2016
How do I apply for membership?
Stop by any SDFCU branch or apply online at www.sdfcu.org.
Or mail your completed application to:State Department Federal Credit UnionAttn: Membership Development1630 King StreetAlexandria, VA 22314
STAT
E DE
PART
MEN
T FE
DERA
L C
REDI
T U
NIO
N
USA
Patri
ot A
ct –
Impo
rtant
Info
rmat
ion A
bout
Ope
ning
A Ne
w Ac
coun
t – T
o he
lp th
e go
vern
men
t figh
t the
fund
ing o
f ter
roris
m a
nd m
oney
laun
derin
g ac
tivitie
s, Fe
dera
l law
requ
ires a
ll fina
ncial
ins
titutio
ns to
obt
ain, v
erify
and
reco
rd in
form
ation
that
iden
tifies
eac
h pe
rson
who
ope
ns a
n ac
coun
t.
Full N
ame
(Firs
t/Mid
dle/
Last
) m
M m
F
Socia
l Sec
urity
Num
ber/T
ax I.
D.
Resid
entia
l Stre
et A
ddre
ss (N
o P.
O. B
ox e
xcep
t FPO
/APO
) Ci
ty
Stat
e Zi
p
ing
Addr
ess
(if di
ffere
nt)
Ci
ty
Stat
e Zi
p
Date
of B
irth
(mm
/dd/
yyyy
) Ho
me
Phon
e W
ork
Phon
e Ce
ll Pho
ne
Drive
r’s L
icens
e No
. St
ate
Issue
d Da
te Is
sued
Ex
pira
tion
Date
E-m
ail A
ddre
ssEm
ploy
men
t Sta
tus:
m C
urre
ntly
Empl
oyed
m
Ret
ired
Ar
e Yo
u A
Cont
ract
Em
ploy
ee?
m
Yes
m
No
Empl
oyer
____
____
____
____
____
____
____
____
____
____
____
____
_ #
of Y
ears
____
____
____
____
____
___
Occ
upat
ion_
____
____
____
____
____
____
__In
com
e___
____
____
____
____
____
Mon
thly
hous
ing
paym
ent:
$___
____
____
____
____
____
____
____
__ O
ccup
ancy
Sta
tus:
m B
uyin
g/O
wn
with
Mor
tgag
e m
Ren
t
O
ccup
ancy
Dur
atio
n: y
r(s)_
____
__m
onth
s___
____
_
Prio
r Add
ress
(if a
t add
ress
less
than
2 y
ears
) Stre
et
City
St
ate
Zip
Prio
r Em
ploy
er (if
at e
mpl
oyer
for l
ess
than
2 y
ears
)___
____
____
____
____
____
____
____
____
__#
of Y
ears
____
___O
ccup
atio
n___
____
____
____
____
____
____
Inco
me_
____
____
____
____
I am
a:
o U
.S. C
itizen
o
Per
man
ent R
eside
nt A
lien
o
Non
Res
ident
Alie
n
Onl
y ch
eck
if eit
her a
pplie
s to
you
: o
I am
sub
ject t
o ba
ckup
with
hold
ing.
o I
am e
xem
pt fr
om p
ayin
g ta
xes.
Mem
bers
hip
Elig
ibilit
y:
m I
quali
fy fo
r mem
bers
hip
thro
ugh
my
empl
oyer
/ass
ociat
ion
m
I qu
alify
for m
embe
rshi
p th
roug
h m
y re
latio
nshi
p w
ith a
mem
ber o
f SDF
CU
m
Imm
ediat
e Fa
mily
— s
pous
e, p
aren
t, ch
ild, s
iblin
g, g
rand
pare
nt, g
rand
child
, ste
ppar
ent,
step
child
, ste
psib
ling
or a
dopt
ive re
latio
nshi
p
m
Hou
seho
ld —
per
sons
livin
g in
the
sam
e re
siden
ce m
ainta
inin
g a
singl
e ec
onom
ic un
it
m A
CC —
The
Am
erica
n Co
nsum
er C
ounc
il pro
vides
mem
bers
hip
eligi
bility
to S
DFCU
and
ACC
. I a
m c
urre
ntly
a m
embe
r of A
CC o
r agr
ee to
bec
ome
a
mem
ber i
n or
der t
o jo
in S
DFCU
.
Spon
sor’s
/Em
ploye
r Nam
e __
____
____
____
____
____
____
____
____
____
____
Spo
nsor
’s SD
FCU
acct
. no.
___
____
____
____
____
____
____
_Spo
nsor
’s/Em
ploye
r Pho
ne (_
____
_) _
____
_–__
____
___
How
did yo
u he
ar a
bout
SDF
CU?
o C
o-wo
rker
o
My E
mplo
yer
o
Eve
nt
o F
riend
o
Sea
rch
o M
ail
o M
etro
/VRE
o
Mob
ile A
d
o R
adio
o
Web
Ad
o
Oth
er__
____
____
____
____
____
____
____
____
____
____
____
___
Prom
o Co
de (if
app
licab
le):_
____
____
____
____
____
____
____
____
____
____
__
MEM
BER
INFO
RMAT
ION
(plea
se p
rint)
ACCO
UNT
SECU
RITY
m S
avin
gs A
ccou
nt —
We
will
depo
sit $
1.00
in
to y
our a
ccou
nt to
sta
rt yo
u as
a m
embe
r.m
Ove
rdra
ft Pr
otec
tion
— F
unds
tran
sfer
red
from
you
r sav
ings
acc
ount
whe
n ch
eckin
g fu
nds
are
unav
ailab
le. (O
ther
opt
ions
av
ailab
le.)
m F
ree
E-st
atem
ents
Plea
se ch
oose
onl
y one
chec
king
acc
ount
.m
Bas
ic C
heck
ing
— F
ree,
no
min
imum
ba
lance
che
ckin
go
Fre
e De
bit C
ard
m A
dvan
tage
Che
ckin
g —
$2,
000
min
imum
ba
lance
inte
rest
che
ckin
g*o
Fre
e De
bit C
ard
m P
rivile
ge C
heck
ing
— $
25,0
00 m
inim
um
balan
ce, h
igh-
rate
inte
rest
che
ckin
g*o
Fre
e De
bit C
ard
OPE
N AC
COUN
TS
Mem
bers
hip
Acct
. No.
JOIN
T O
WNE
R (M
ultip
le Pa
rty w
ith S
urviv
orsh
ip)
Full N
ame
(Firs
t/Mid
dle/
Last
) m
M m
F
Socia
l Sec
urity
Num
ber/T
ax I.
D.
Resid
entia
l Stre
et A
ddre
ss (N
o P.
O. B
ox e
xcep
t FPO
/APO
) Ci
ty
Stat
e Zi
p
ing
Addr
ess
(if di
ffere
nt)
Ci
ty
Stat
e Zi
p
Date
of B
irth
(mm
/dd/
yyyy
) Ho
me
Phon
e W
ork
Phon
e Ce
ll Pho
ne
Drive
r’s L
icens
e No
. St
ate
Issue
d Da
te Is
sued
Ex
pira
tion
Date
E-m
ail A
ddre
ssEm
ploy
men
t Sta
tus:
m C
urre
ntly
Empl
oyed
m
Ret
ired
Ar
e Yo
u A
Cont
ract
Em
ploy
ee?
m
Yes
m
No
Empl
oyer
____
____
____
____
____
____
____
____
____
____
____
____
_ #
of Y
ears
____
____
____
____
____
___
Occ
upat
ion_
____
____
____
____
____
____
__In
com
e___
____
____
____
____
____
Crea
te a
pas
swor
d fo
r tele
phon
e ide
ntifi
catio
n pu
rpos
es.
Mus
t be a
min
imum
of s
ix ch
arac
ters
and
a m
axim
um o
f ni
ne ch
arac
ters
.
3 * Per
sona
l Acc
ount
s O
nly.
Inte
rest
calc
ulat
ed d
aily.
Min
imum
$20
0 Di
rect
Dep
osit
mon
thly.
Mus
t be
signe
d up
for o
nlin
e ba
nkin
g an
d es
tate
men
ts.
Plea
se N
ote:
Adv
anta
ge A
ccou
nts
are
requ
ired
to h
ave
ten
post
ed d
ebit
card
tran
sact
ions
mon
thly.
STAT
E DE
PART
MEN
T FE
DERA
L C
REDI
T U
NIO
NM
EMBE
R AP
PLIC
ATIO
N*A
ll fiel
ds re
quire
d
m N
ew A
ccou
ntm
Add
Joi
nt O
wne
rm
Cha
nge
Data
Why should I become a member of SDFCU?
State Department Federal Credit Union (SDFCU) is the financial institution you can trust to deliver best in class service and exceptional products.
Enjoy the many benefits of membership, including:
• A competitively low rate VISA Credit Card featuring no annual fees and a point-per-dollar rewards program
• Convenient smartphone app with Mobile Deposit feature
• Low home and auto loan rates, with options for overseas members
• Access to nearly 30,000 free CO-OP Network ATMs
To learn more, visit www.sdfcu.org or contact a Member Service Representative at 703.706.5000 or 800.296.8882.