��1. ACCOUNT TYPE/SERVICES

SAVINGS ACCOUNTS 1A. REGULAR SAVINGS 1B. CHRISTMAS CLUB 1C. VACATION CLUB 1D. GOOD SAVERS ACCOUNT 1E. ASSOCIATION ACCOUNT

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CHECKING ACCOUNTS 2A. CHECKING

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SERVICES EXPRESS TELLER CONNECTION (24 Hour Phone Access) PAYROLL DEPOSIT (Whole paycheck automatically deposited - portion of your paycheck may also be deposited) DIRECT DEPOSIT VISA CHECK CARD (A checking account is required for this service) OVERDRAFT PROTECTION OTHER TRANSFER ORDER (in case of overdrawn checking) SHARE�(SAVINGS) ��� 1ST 2ND OVERDRAFT PROTECTION ��� 1ST 2ND

��2. TIN CERTIFICATION AND BACKUP WITHHOLDING INFORMATION

Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer indentification number, (2) I am not subject to backup withholding because: (a) I am exempt from backup witholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup witholding 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 witholding, and (3) I am a U.S. person (including a U.S. resident alien).

Instructions: Cross out item 2 if you have been notified by the IRS that you are currently subject to backup witholding because you have failed to report all interest and dividiends on yur tax return. Cross out item 3 and complete a W-8 BEN if you are not a U.S. person.

��3. MEMBER APPLICATION AND INFORMATION

FIRST NAME MI LAST NAME STREET ADDRESS CITY ST ZIP EMPLOYMENT EMAIL ADDRESS

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SSN/TIN DRIVERS LIC NO DATE OF BIRTH MOTHER'S MAIDEN NAME HOME PHONE WORK PHONE ELIGIBILITY FOR MEMBERSHIP

��4. ACCOUNT OWNERSHIP

Designate the ownership of the accounts and responsibility for the services requested.

SINGLE PARTY

MULTIPLE PARTY WITH SURVIVORSHIP

MULTIPLE PARTY WITHOUT SURVIVORSHIP

JOINT OWNER NAME MI LAST NAME STREET ADDRESS CITY ST ZIP HOME PHONE WORK PHONE SSN/TIN DRIVERS LIC NO DATE OF BIRTH MOTHER'S MAIDEN NAME

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JOINT OWNER NAME MI LAST NAME STREET ADDRESS CITY ST ZIP HOME PHONE WORK PHONE SSN/TIN DRIVERS LIC NO DATE OF BIRTH MOTHER'S MAIDEN NAME

��5. ACCOUNT DESIGNATIONS

	PAYABLE ON DEATH (POD)/TRUST ACCOUNT	���		DESIGNATE SPECIFIC ACCOUNT(S)
	ALL ACCOUNTS

BENEFICIARY NAME MI LAST NAME STREET ADDRESS CITY ST ZIP SSN/TIN RELATION TO MEMBER

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BENEFICIARY NAME MI LAST NAME STREET ADDRESS CITY ST ZIP SSN/TIN RELATION TO MEMBER

	TUTMA (AS CUSTODIAN FOR (MINOR) UNDER THE TEXAS UNIFORM TRANSFERS TO MINORS ACT)	���	MINOR'S SSN/TIN

��6. CLUB ACCOUNT MATURITY

If you have selected a Club Savings Account(s), please note the following: The dividends on both the Holiday and Vacation Club Accounts will be declared annually. Dividends will be paid on October 31st of each year for the Holiday Club Account. On the first business day in November of each year the balance in the Holiday Club Account will be transferred to the Share/Savings Account. Dividends will be paid on April 30th of each year for the Vacation Club Account. On the first business day in May of each year the balance in the Vacation Club Account will be transferred to the Share/Savings Account. Deposits by allotment are preferred, however, over the counter deposits will be accepted. Withdrawals are restricted to the payout date without penalty. If funds are withdrawn other than at the the payout date, all dividends will be forfeited.

��7. AUTHORIZATION

By signing below, you agree to the terms and conditions of the Account Agreement, Truth-in-Savings Rate and Fee Schedule, Funds Availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. You acknowledge receipt of a copy of the Agreement and Disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, you agree to the terms of and acknowledge receipt of the Electronic Funds Transfer agreement. In considering this application and/or any request for financial services, you authorize the Credit Union to check your credit and employment history, to request and use reports regarding same, and to answer questions about it's credit experience with you. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

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OFCU Policies