Membership /
Add Joint Owner Application

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorist and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: when you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you.  We may also ask to see your driver’s license or other identifying documents.

New Membership Application	Add Joint Account Owner
Qualification For Membership (New Applicants Only)
New Savings/Membership Account: Ready Access Savings: Information High Yield Savings: Information
Purpose of Account: I qualify because: Click Here to Select My employment qualifies me for membership. I am retired from employment that qualifies me for membership. I am in the immediate family of a member. Member of a KY Retirement System. Joining Under Relative's Membership? Name of Relative Relation Phone Address Along with your $5 or more deposit, please include: 1) Copy of a picture ID (such as driver’s license) with an address matching the information given below, AND 2) a copy of a utility bill with matching name and address AND the company name plainly visible. (We reserve the right to verify this information) Owners For Charity As a new Commonwealth Credit Union owner/member, Commonwealth Credit Union will make a $1 donation to the charity you select below as part of our Owners For Charity program. Learn More... Please select one of the following: American Diabetes Assoc. American Heart Assoc. Crusade for Children

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Additional Services: Money Market: Information Checking Account: Information Global or ATM Card: Information Christmas Savings: Information Vacation Club: Information "Tellie": Information Payroll Deduction: Information

A minimum deposit of $5.00 is required for each savings account and a $25.00 minimum deposit for opening a checking account. Print and return this application with your deposit to P.O. BOX 978, FRANKFORT, KY 40602-0978

 

Member Name	Birthdate	SSN

Residential Address1

Residential Address2

City	State	Zip

Mailing Address (if different)

City	State	Zip

Home Phone	Work Phone
Employer

Fax Number	E-Mail Address

Start My Payroll Deductions Of $ ( Per Month) ( Per Check) To My Savings Account.

 

Joint Owner Information

Joint Owner	Birthdate	SSN		Work Phone

Joint Owner Residential Address1

Joint Owner Residential Address2

City	State	Zip

Joint Owner Mailing Address (if different)

City	State	Zip

Joint Owner Home Phone	Joint Owner Fax Number
Joint Owner E-Mail Address

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Complete For Checking Account

Your membership deposit of $5 in a Ready Access or High Yield Savings Account must be established. Please send my first box of checks FREE! Please select one: Individual Account Joint Account Add a Second Account In case I overdraw my Checking Account, please transfer funds from the following savings or checking accounts: My Own Account: Other Member #: Acct #: Acct #: Primary Savings (#1) Secondary Savings (#8) Other Savings/Checking Acct. Primary Savings (#1) Secondary Savings (#8) Other Savings/Checking Acct. If other: please specify # If other: please specify #   Other Member #: Acct #: Primary Savings (#1) Secondary Savings (#8) Other Savings/Checking Acct. If other: please specify #   In case I overdraw my Checking Account, I wish the checks returned and no transfer made. Have you lived at your present address for the past 2 years? Yes No Previous Address: Have you ever had a checking account with us before? Yes No Checking Acct. #     Initial deposit of at least $25 to open Checking Account: Is included by Check May be transferred from my Savings Account

In what country are you a citizen? United States Other Are you or any of your relatives or associates connected to the government of a country other than the United States? Yes No If yes, what country What types of items do you expect to be deposited to the account: e.g. cash, checks, direct deposit, wires, etc.? How frequently will deposits be made? How much will you be depositing per month? Cash: Domestic Wires Foreign Wires ACH How much will you be withdrawing per month? Cash: Domestic Wires Foreign Wires ACH Will the transactions involve countries other than the United States? Yes No If yes, list the primary country

I hereby authorize Commonwealth Credit Union, Inc. to withhold funds from my payroll checks to acquire shares (funds on deposit) in Commonwealth Credit Union. I also authorize Commonwealth Credit Union to request any changes that will be necessary to reflect the completion of a new loan, renewal of an existing loan or a change in the required amount of shares (funds on deposit). I also authorize Commonwealth Credit Union to obtain a credit report on me. I certify that I am qualified to be a member. I ALSO CERTIFY UNDER PENALTY OF LAW THAT MY TAX IDENTIFICATION NUMBER (SOCIAL SECURITY NUMBER) IS CORRECT. These funds are held jointly with right of survivorship if the account is a joint account. I hereby acknowledge receipt of and accept the agreement/disclosure of the above services. All policies are subject to change without notice.

Applicant's Signature:

_________________________________________________

Date: ______________________________________

Joint Signature:

_________________________________________________

Date: ______________________________________

 

Please print out, sign and return this application with your initial deposit. You can drop this off at any branch or mail to:
P.O. Box 978, Frankfort, Ky 40602-0978

 

Commonwealth Credit Union Office Use Only:

In Office

By Mail/Other

Teller #_______________