“I hereby make application for membership in Long Island Realtors Federal Credit Union (LIRFCU), and agree to conform to its bylaws and amendments thereof, and to subscribe for at least one (1) share. The LIRFCU is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The joint owners of this account hereby agree with each other and with LIRFCU that all sums now paid in on shares, or heretofore or hereafter paid in on shares by any or all of said joint owners to their credit as such joint owners with all accumulations thereon, are and shall be owned by them jointly, with right of survivorship and be subject to the withdrawal or receipt of any of them, and payment to any of them or the survivor or survivors shall be valid and discharge said conditions of the account as established by the LIRFCU from time to time. Any or all of said joint owners may pledge all or any part of the shares in this account as collateral security to a loan or loans from this Credit Union. The right, or authority of the LIRFCU under this agreement shall not be changed or terminated by said owners, or any of them, except by written notice to LIRFCU which shall not affect transactions theretofore made.
Under the penalties of perjury, I certify (1) that the number shown on this form is my correct taxpayer identification number and (2) that I am not subject to Backup Withholding either because I have not been notified that I am subject to back up withholding as a result of a failure to report all interest or dividends, OR 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).
My signature below certifies that I have received and read the full Membership Terms and Disclosures for Long Island Realtors Federal Credit Union,
agree with their contents, and am aware that they are subject to change. My Signature also signifies my agreeance with all member-completed content on this form. I acknowledge that Long Island Realtors Federal Credit Union may require additional documentation to fully process this application. Failure to receive such documents may result in a delay in the application process. If this documentation is not received in a reasonable amount of time, you may be required to resubmit this application.”
By pressing the "Submit Application" button below, you agree to the above statement.