TIN Certification and Backup Withholding
Under penalties of perjury, I certify that: (1) The number shown on this form is
my correct Taxpayer Identification Number; (2) I am not subject to backup withholding
because: (a) I am exempt from backup withholding, or (b) I have not been notified
by 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).
Instructions: 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. Cross out item 3 and complete a W-8 BEN
if you are not a U.S. Person.
By submitting this application to the credit union, you certify that everything
you have stated in this application is correct to the best of your knowledge. You
understand that the credit union will rely on the representations you make in this
application when deciding whether to grant membership. You agree to immediately
notify us of changes to any of the information you have provided in this application.
You understand that it is a federal crime to willfully and deliberately provide
incomplete or incorrect information on applications made to Credit Unions or State
Chartered Credit Unions. You authorize the credit union to submit your information
to Deluxe Detect in order to verify your personal financial standing, and to obtain
credit reports in connection with this application for credit and for any update
renewal or extension of the credit received. If you request, the credit union will
provide you with the name and address of any credit bureau from which it received
your credit report. You will be required to provide us with a valid picture ID (Drivers
license or Passport). By submitting this application you also agree to the terms
of the agreements set out below, applicable to the accounts and services requested,
which will be sent to you upon opening your membership account.
- Membership and Account Agreement. You acknowledge receipt of and agree to the terms
and conditions of the Membership and Account Agreement, Truth-in-Savings Rate and
Fee Schedule, Funds Available Policy Disclosure, if applicable, and to any amendment
the Credit Union makes from time to time which are incorporated herein.
- Overdraft Loan Agreement. If an Overdraft Loan Account is requested and provided,
you acknowledge receipt of and agree to the terms of the Overdraft Loan Agreement
and Truth in Lending Disclosure.
- Electronic Funds Transfer Agreement. If an access card or Electronic Funds Transfer
(EFT) Service is requested and provided, you acknowledge receipt of and agree to
the terms of the Electronic Funds Transfer Agreement.
The Internal Revenue Service does not require your consent to any provision of this
Account Card other than the certifications required to avoid backup withholding.
American Share Insurance – By vote of the membership, deposits in Silver State
Schools Credit Union are insured by American Share Insurance, a private deposit
insurance provider up to $250,000 per account. This institution is not federally
insured, and if this institution fails, the federal government does not guarantee
that depositors will get back their money.
Deluxe Detect or similar qualification is required to obtain both a membership savings
and checking account at SSSCU
Patriot Act Information
To help the government fight the funding of terrorism 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. The identification of an applicant
processed through our website must be verified by a Nevada Notary Public. In some
instances we reserve the right to request any individual to produce identification
documentation in person.
We thank you for your cooperation. In addition to ensuring the security of your
funds, and our country, these procedures will also enable us to provide even greater
safeguards of your personal information against possible fraud.