APPLY FOR MEMBERSHIP TODAY

By signing below, I certify in accordance w

ith the provisions of Section 3406(a)(1)(c) of the Internal Revenue Code and under penalties of perjury, that the Social Security Number (SSN)/Taxpayer Identification

Number (TIN) show

n above is my correct identification num

ber and that I am NO

T, unless checked, subject to backup withholding because I have not been notified by the Internal Revenue Service that I am

subject to backup w

ithholding as a result of failing to report all interests or dividends, or the IRS has notified me that I am

no longer subject to backup withholding.

I/We hereby m

ake application for mem

bership in State Department Federal Credit Union and agree that m

y accounts with the Credit Union are and shall be governed by the term

s and conditions of the Mem

bership and Account Agreem

ent, Truth-in-Savings, Rate and Fee Schedule, Funds Availability Policy Disclosure, Overdraft Protection (if applicable), and if a Debit Card or EFT Service is requested, I/W

e agree to the terms of

and acknowledge receipt of the Electronic Funds Transfer Agreem

ent. In addition, I agree to be bound by all of the Credit Union’s by-laws and am

endments there to w

hich may be adopted from

time to tim

e by the Credit Union. I hereby authorize the Credit Union to obtain credit reports and investigations as it m

ay deem necessary to establish m

y accounts and loans. I/We acknow

ledge receipt of a copy of the Agreements and

Disclosures applicable to the accounts and services requested herein.

Security Interest: All present and future deposits into my accounts w

ill secure any and all obligations that I owe the Credit Union, including fees and charges as w

ell as loans and credit cards that I have with you.

PLEASE READ AND SIGN

PRIMARY O

WN

ER SIGN

ATURE

D

ATE

JOIN

T OW

NER SIG

NATU

RE

DATE

FOR O

FFICE USE O

NLYEm

ployee

DateM

embership O

ff.

Date

MEM

BER DUE DILIGENCE Q

UESTIONS

What is the prim

ary source of deposit to the account?A.

Employm

ent Income

B. Retirem

ent/Social SecurityC.

Investment incom

e

D. Cash

E. O

ther - Please Specify:___________________________________________________

Do you expect to make or receive w

ire transfers?A.

YesB.

No

BRING TO

ANY BRANCH LOCATIO

N, MAIL TO

MEM

BERSHIP DEVELOPM

ENT, 1630 KING STREET, ALEXANDRIA, VA 22314, O

R JOIN O

NLINE AT WW

W.SD

FCU

.ORG

Monthly housing paym

ent: $_________________________________ Occupancy Status: m

Buying/Ow

n with M

ortgage m Rent O

ccupancy Duration: yr(s)_______months________

Prior Address (if at address less than 2 years) Street City

State Zip

Prior Employer (if at em

ployer for less than 2 years)_____________________________________# of Years_______Occupation___________________________Incom

e_________________

I am a: o

U.S. Citizen o Perm

anent Resident Alien o Non Resident Alien

Only check if either applies to you: o I am

subject to backup withholding. o I am

exempt from

paying taxes.

JOINT O

WNER CO

NTINUED (Multiple Party w

ith Survivorship)

MEMBERSHIPAPPLICATION

At SDFCU, you are more than a customer. You are a member and an owner. Enjoy personalized service, low rates and special perks, while avoiding the hidden fees and headaches of big banks.

Experience the freedom to bank the way you want.

800.296.8882703.706.5000

www.sdfcu.org

Federally insured by NCUAsdfcu@sdfcu.org

Information good as of January 2016

How do I apply for membership?

Stop by any SDFCU branch or apply online at www.sdfcu.org.

Or mail your completed application to:State Department Federal Credit UnionAttn: Membership Development1630 King StreetAlexandria, VA 22314

STAT

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JOIN

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m

Yes

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Empl

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____

____

____

____

____

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Why should I become a member of SDFCU?

State Department Federal Credit Union (SDFCU) is the financial institution you can trust to deliver best in class service and exceptional products.

Enjoy the many benefits of membership, including:

• A competitively low rate VISA Credit Card featuring no annual fees and a point-per-dollar rewards program

• Convenient smartphone app with Mobile Deposit feature

• Low home and auto loan rates, with options for overseas members

• Access to nearly 30,000 free CO-OP Network ATMs

To learn more, visit www.sdfcu.org or contact a Member Service Representative at 703.706.5000 or 800.296.8882.