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pt the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM1Check Card, check this box. Brooklyn Branch AUSON JOHN WILLIAMS Sponsor Account Number Branch Name Member Service Representative EFTA00124591

ther because I have not been notified that I am subject to backup withholding as a result of failure to report all interest or dividends, or because 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). The Internal Reven

ion and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM/Check Card, check this box. Sponsor Account Number Brooklyn Branch KAMAL RAMKISSOON Branch Name Member Service Representative EFTA00124682

nal Revenue Service has notified me that I am no longer subject to backup withholding; and (3)1 am a U.S. citizen (including a U.S. resident alien). The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding. rg liiV)(49 Acme

tion and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATWCheck Card, check this box. Sponsor Account Number Brooklyn Branch Date Branch Name Member Service Representative EFTA00133667 MC . %JP I Strong Trusted cantiTIEC21 Growing PO ECA 3205, NEW YOtiK, NY 10D^

ther because I have not been notified that I am subject to backup withholding as a result of failure to report all Interest or dividends, or because 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). The Internal Reven

pt the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATMIChedc Card, check this box. Brooklyn Branch Sponsor Account Number Branch Name Member Service Representative EFTA00133758 Pileniber Signature MC MUNICIPAL CREDIT UNION U P.O. Box 3205

ther because I have not been notified that I am subject to backup withholding as a result of failure to report all Interest or dividends, or because 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). The Internal Reven