(315) 342-4574      Monday – Friday 9:30am – 5pm

Oswego Teachers FCU New Member Application


Savings     Christmas Club    Summer Savings    Checking   
Individual    Joint   



Primary Account Holder







Employment


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)