Checking Accounts

Quick, easy, and convenient! A checking account gives you the power to pay for all those things you want. You can write checks, use your debit card, set up automatic withdrawals, and have direct deposit. You can have no monthly fees, no minimum balance, and unlimited check writing with a Lat 32™ checking account. Visit Harland Clarke's website to choose and order your custom checks

	Free Checking	Youth Checking	Senior Checking	Business Checking
Minimum Initial Deposit	$0	$0	$0	$100
Minimum Daily Balance	$0	$0	$0	$100
Free Checks	No	No		No
Overdraft Protection		No		No
Free Online and Mobile Banking
Free Online Bill Pay
No Per Check Fee
Free e-Statements
No Annual-Fee Visa Debit Card				N/A

Member Application

Account Card, Membership Account and Services Application

APPLICANT DETAILS

This is the description of your section break.

Applicant Name (*)

This field is required. Please enter a value.

Date of Birth(*)

This field is required. Please enter a value.

Primary Phone(*)

This field is required. Please enter a value.

Phone

This field is required. Please enter a value.

SSN(*)

This field is required. Please enter a value.

Mother's Maiden Name(*)

This field is required. Please enter a value.

Email(*)

This field is required. Please enter a value.

Valid Drivers License or State ID

Type of ID(*)

This field is required. Please enter a value.

State(*)

This field is required. Please enter a value.

ID#(*)

This field is required. Please enter a value.

Date Issued(*)

This field is required. Please enter a value.

Expiry Date(*)

This field is required. Please enter a value.

Address

Street Address(*)

This field is required. Please enter a value.

Address Line 2

Invalid Input

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

Occupation(*)

This field is required. Please enter a value.

Employer Address

Name(*)

This field is required. Please enter a value.

Employer Phone Number(*)

This field is required. Please enter a value.

Street Address

This field is required. Please enter a value.

Address Line 2

Invalid Input

Postal / Zip Code

This field is required. Please enter a value.

City

This field is required. Please enter a value.

State / Province / Region

This field is required. Please enter a value.

Country

This field is required. Please enter a value.

References

Name(*)

This field is required. Please enter a value.

Address

Street address(*)

This field is required. Please enter a value.

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

Phone(*)

This field is required. Please enter a value.

Relationship (*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

References

Name(*)

This field is required. Please enter a value.

Address

Street address(*)

This field is required. Please enter a value.

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

Phone(*)

This field is required. Please enter a value.

Relationship (*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

JOINT APPLICANT DETAILS

Add a joint applicate

This field is required. Please enter a value.

Applicant Name (*)

This field is required. Please enter a value.

Date of Birth(*)

This field is required. Please enter a value.

SSN(*)

This field is required. Please enter a value.

Mother's Maiden Name(*)

This field is required. Please enter a value.

Drivers Licence of Other Government ID

State(*)

This field is required. Please enter a value.

ID#(*)

This field is required. Please enter a value.

Date Issued(*)

This field is required. Please enter a value.

Expiry Date(*)

This field is required. Please enter a value.

Address

Street Address(*)

This field is required. Please enter a value.

Address Line 2

This field is required. Please enter a value.

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

Occupation(*)

This field is required. Please enter a value.

Employer Address

Name(*)

This field is required. Please enter a value.

Employer Phone Number(*)

This field is required. Please enter a value.

Street Address

This field is required. Please enter a value.

Address Line 2

Invalid Input

City

This field is required. Please enter a value.

Postal / Zip Code

Invalid Input

State / Province / Region

This field is required. Please enter a value.

Country

This field is required. Please enter a value.

References

Name(*)

This field is required. Please enter a value.

Address

Street address(*)

This field is required. Please enter a value.

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

Phone(*)

This field is required. Please enter a value.

Relationship (*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

References

Name(*)

This field is required. Please enter a value.

Address

Street address(*)

This field is required. Please enter a value.

City(*)

This field is required. Please enter a value.

Postal / Zip Code(*)

This field is required. Please enter a value.

Phone(*)

This field is required. Please enter a value.

Relationship (*)

This field is required. Please enter a value.

State / Province / Region(*)

This field is required. Please enter a value.

Country(*)

This field is required. Please enter a value.

Authorized Signatures

By signing up below you acknowledge and agree to all terms, disclosures, and representations by you made herein and on your online applications.

Member - Draw your signature into the box below.(*)

Sign Above

This field is required.

Date(*)

This field is required. Please enter a value.

Co-Member - Draw your signature into the box below.(*)

Sign Above

This field is required.

Date(*)

This field is required. Please enter a value.

I understand and agree that the Patriot's Act of 2001 obligates all persons seeking to open an account to fully comply with the identity verification requirements of the Bank Secrecy Act, as amended from time to time. Transactions to/from any accounts may be limited until ID verification of all persons is completed.

I certify (1) that the number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and (2) I am not subject to backup withholding because: (a) I am exempt from back-up withholding, or (b) I have not been notified by the Internal revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding and (3) I am a U.S. person (including a U.S. resident alien.Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return..

SIGNATURES, CONSENTS AND AGREEMENTS:

Each applicant, authorized user or other party signing this Card, (together herein referred to as “applicant(s)”) hereby makes application for the account(s)/services and/or membership as indicated and agrees to conform to the Bylaws, as may be amended, of Latitude 32 Federal Credit Union ("Credit Union"). Applicants certify the signature(s) on this card apply to all accounts designated above; and all information provided is true and correct. Applicants also acknowledge receipt and agree to be bound by any terms and conditions in this card, and in the Accounts & Services of the Credit Union Booklet, Truth-in-Savings Act Rate and Fee Schedule, and any Special Account or other separate Account Service Applications or Agreements as amended from time to time, which are incorporated herein by reference. Each applicant consents that the Credit Union may undertake to verify their eligibility for any account(s) and service(s) now and in the future. In addition, all applicants authorize us to make inquiry to determine your employment history and to obtain information concerning any accounts with other institutions and your credit history, including any credit reports. Applicants specifically consent that the Credit Union may report information concerning their account(s)services to others; and that we may provide the reasons should we determine you to be ineligible for any services or to be an authorized person/user to the other applicants. All present and future deposits to the account(s) designated above secure payment of any account owner's obligations to the Credit Union. If any representative capacity is indicated on the reverse side, the Credit Union shall provide all statements, notices and other information only to the person designated as having authority (e.g., a “trustee’).

ACCOUNT OWNERSHIP (APPLICABLE IF JOINT OWNERSHIP IS DESIGNATED ON REVERSE SIDE):

The owners intend to and do hereby create a joint tenancy with rights of survivorship; and specifically agree to the terms set forth in the Membership Agreement including but not limited to the Credit Union’s rights to pay or transfer any deposits by the order of any owner, to accept a pledge of all sums deposited now or in the future from any owner, and to enforce any legal or contractual lien rights as to any owner’s obligations.