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Oswego Teachers FCU New Member Application

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Primary Account Holder


TIN Certification and backup withholding information

By completing and submitting this document, I certify, under penalties of perjury

  1. that the Social Security Number (SSN)/Taxpayer Identification Number (TIN) shown is my/the correct number

  2. that I am NOT, unless designated below, 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 dividends or interest, or because the IRS has notified me that I am no longer subject to backup withholding

  3. that I am a U.S. person (including a U.S. resident alien)

By clicking the submit button: I hereby make application for membership in and agree to conform to the OSWEGO TEACHERS EMPLOYEES FEDERAL CREDIT UNION Membership and Account Agreement . In considering this application, Oswego Teachers’ Federal Credit Union may request and use reports from outside reporting agencies. If you request it, we will tell you whether or not we asked for such a report, and, if we have, the name and address of the agencies. I acknowledge notice of this disclosure and I also agree to the terms and conditions of any account that I 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.