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ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
ications required to avoid backup withholding. 09/25/07 Account Holder Signature Date Joint Account Holder Signature Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM/Check Card, check this box. Manhattan Branch Da
ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
tification required to avoid backup withholding. Accou tld&r•Signa 0915+16 Date Joint Account Holder Signature Date Yes, I elect to accept 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 AUS
ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
red to avoid backup withholding. rg liiV)(49 Acme er A ignaturg 01/21/09 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM/Check Card, check this box. Sponsor Account Numb
ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
than the certification required to avoid backup withholding. Accd 09/23/16 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATMIChedc Card, check this box. Coop City Branch KH
ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
other than the certification required to avoid backup withholding. 09,2316 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATM/Chedc Card, check this box. Coop City Branch KH
ature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tena
other than the certification required to avoid backup withholding. 08:1516 Date Joint Account Holder Signature Date Yes, I elect to accept 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 Spo
Entities connected to both Youth Club and Check Imaging

the Internal Revenue Service
ORGANIZATION
Eric Holder
PERSONFasTrack
ORGANIZATIONCell/Motile
ORGANIZATIONMiddle Initial
LOCATION
Brooklyn Branch
LOCATIONTone Teller
PERSONthe Municipal Credit Union
ORGANIZATIONByLaws
LOCATION#Incoming Wires/Month
ORGANIZATIONDoug Band
PERSONAdvance - Insurance Single Life
ORGANIZATIONNational Credit Union Administration
ORGANIZATIONOceanside Branch
LOCATIONCOMENITY
ORGANIZATIONAdvance - Insurance Disability
ORGANIZATIONROSLYN NY
LOCATIONManhattan Branch
LOCATIONROSANNA TEJEDA
PERSONPETR CORONA NY
ORGANIZATION