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Direct Deposit
Click here to print your direct deposit form.
  • Membership Authorization: I/We hereby make application for membership in Kemba Credit Union and agree to conform to its Articles, By Laws, and Regulations, copies of which have been made available to me/us and amendments thereof, and to subscribe for at least one (1) share. I/We agree to be bound by the applicable agreements which have been provided to me/us in current form for the accounts and services indicated below. All accounts designated to have one or more Co-owners in addition to the Primary Member/Owner shall be in Joint Tenants with Rights of Survivorship.

  • Taxpayer Identification and Backup Withholding: Under 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 backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service (IRS) has notified me that I am no longer subject to backup without withholding and that I am, unless designated below, a U.S. person (including U.S. resident alien).

  • I/We Acknowledge Receipt of a copy of the Agreement and Disclosures, and policy procedures applicable to each of the credit union?s accounts.

  • I/We agree that Kemba Credit Union may contact any source necessary to determine my/our credit and financial responsibility. The Information provided on this application is true and complete.

  • The IRS does not require you to consent to any provisions of this document other that the certifications required to avoid backup withholding.

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