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APPLY FOR A LOAN NEW ACCOUNT
> Business Checking Application

* Required Fields
Business Information

Organization Type:
Business Annual Income:
Are you a citizen of the United States?
 
Business Questions
Has the business or anyone who will be an authorized signer on the account resided in Minnesota for the past five years?
Has the business or anyone who will be an authorized signer on the account had a transaction account at this or another financial institution within 12 months before making this application?
Has the business or anyone who will be an authorized signer on the account had a transaction account closed by a financial institution without consent within 12 months of making this application?
Has the business or anyone who will be an authorized signer on the account had a transaction account that has been involved in a conviction of a criminal offense within 24 months of making this application?
Are you registered as a Money Service Business (MSB)?
Do you sell money orders, travelers' checks or pre-paid access products?
Do you offer check cashing services?
Do you offer foreign currency exchange services?
Are the transactions done for $1,000 or more per day?
Will funds be direct deposited into your account?
Will there be other ACH activity on the account exceeding $2,000 per month?
Will you be sending or receiving more than $2,000 per month using wire transfers?
Do you plan to have cash deposits or withdrawals exceeding $2,000 per month?
Will there be purchases of monetary instruments such as money orders exceeding $2,000 per month?
 
Authorized Signer Information
Date of Birth:
 /   / 

Please choose one:
Issue Date:
 /   / 
Exp. Date:
 /   / 
 
Authorized Signer Information
Date of Birth:
 /   / 

Please choose one:
Issue Date:
 /   / 
Exp. Date:
 /   / 
 
Please read the following statement: I/We agree to not use this account to engage in unlawful internet gambling.

Request for Taxpayer Identification Number and Certification

Under penalty of perjury, enter the organization's Taxpayer Identification Number (TIN) on the line below. The TIN must match the Business or Organization name shown above. If you are a sole proprietor and you have an Employer Identification Number (EIN), you may use either your SSN or EIN. The IRS prefers you use your SSN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner's SSN or EIN (not the disregarded entity's EIN). If the LLC is classified as a corporation or partnership, enter the entity's EIN. For other entities, provide the entity's EIN. Complete rules on TINs can be found on IRS Form W-9 and related instructions. Also see Understanding Your EIN at www.irs.gov

Under penalty of perjury, I certify that (check all that apply):
For LLC's, check the tax classification:
 
Authorization & Signature(s)
By signing below, I/we acknowledge receipt of and agree to the terms and conditions of my account(s) as stated in the "Understanding Your Accounts" disclosure and any amendments the Credit Union makes to these documents from time to time. It is a Federal crime to willfully and deliberately provide incomplete or incorrect information on account applications made to Federal or State chartered credit unions insured by the NCUA. I/we understand that any of these terms may be charged by the Credit Union from time to time. The Internal Revenue Service does not require your consent to any provisions of this document other than the certifications required to avoid backup withholding.
Date:
 /   / 
Date:
 /   / 
 
Please review required paperwork and information HERE.
Security Code:

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