Basic Membership Application
Please fill out the form on your screen, print out and mail to the address listed below. The Credit Union requires an INK Signature for this application. We will not accept a faxed copy. This helps reduce account fraud.

  • A $5.00 minimum is required along with your application - the money will be directly deposited into your new Share Savings Account.
  • Submit a clear photocopy of your driver's license.

Please note: Signatures MUST be notarized on applications mailed to the Credit Union

Baltimore County Employees Federal Credit Union
23 W. Susquehanna Avenue - Towson, Maryland 21204

Important Information About Opening A New Account
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 will also ask to see your government issued picture identification such as a driver’s license, passport, military identification or other identifying documents.

I hereby make application for membership in and agree to conform to the By-Laws or any amendments in the Baltimore County Employees Federal Credit Union Account Agreement

Account Number:
Name:
Driver's License #:
Social Security #: - -
Date of Birth: (Month/Day/Year) - -
Spouse's First Name:
Home Phone: - -
Office Phone - Extension: - - x
Mailing Address:
City: State
Zip+4:
Employer: Dept.

Office Use Only Non Transferable
Eligibility Verified By: ____________________________________________________
Date: ____________________________________________________
Signed ____________________________________________________
(Approved for Membership)

Joint Owner(s)
I hereby make application for membership in the Baltimore County Employees Federal Credit Union and agree to conform to the Federal Credit Union Act, NCUA Rules and Regulations and Credit Union policies, rules, regulations and bylaws and any amendments thereto and subscribe for at least one share. The joint owner(s) agree that the primary member may pledge all or any part of the shares in this account as collateral security for a loan or loans with this Credit Union. I hereby acknowledge receipt of a copy of this Joint Account Agreement. This account is established pursuant to the Annotated Code of Maryland, Financial Institutions Article, Section 1-204, et. seq.

[Unless contrary, direction is given in this account agreement upon the death of a party (parties); the funds in the multiple party account shall belong to the surviving party or parties.] Joint owner(s) (named herein), balance at death of any party payable to the survivor(s). Any joint owner has a present right to draw upon the funds in this account.

Joint Owner (1):
Social Security Number: - -
Date of Birth: (Month/Day/Year) - -
Home Phone: - -
Current Mailing Address:
City: State
Zip+4:
Driver's License Number /
State of Issue:
Signature of Joint Owner (1) X ___________________________________________________

Joint Owner (2):
Social Security Number: - -
Date of Birth: (Month/Day/Year) - -
Home Phone: - -
Current Mailing Address:
City: State
Zip+4:
Driver's License Number /
State of Issue:
Signature of Joint Owner (2) X ___________________________________________________

If more than one joint owner is designated herein, the Credit Union will issue, upon the death of a joint owner, one check payable to all joint owners who are then living.

Payable on Death Payee(s)
[Unless contrary, direction is given in this account agreement upon the death of a party; the funds in the multiple party account shall belong to the surviving party or parties.] Upon the death of the party (parties), the funds in this account shall be payable to the below named P.O.D. payee(s). The P.O.D. payee(s) shall not possess a right to draw upon the funds in the account during the lifetime of the party member.

Name of P.O.D. Payee (1):
Date of Birth of P.O.D.: (Month/Day/Year) - -
Current Mailing Address:
City: State
Zip+4:

Name of P.O.D. Payee (2): (Month/Day/Year)
Date of Birth: - -
Current Mailing Address:
City: State
Zip+4:


If more than one P.O.D. payee is designated herein, the Credit Union will issue, upon the death of the party (parties), one check payable to all P.O.D. payees who are then living.
Eligibility for Membership

I, the undersigned do solemnly declare and affirm under penalty of perjury that either

a) I am an employee, volunteer, or member of (Organization) and give my permission to the Organization to verify and report my status to the Baltimore County Employees Federal Credit Union, thus waiving my rights to privacy of my personnel and or membership records under Maryland Statute Article 76A; OR

b) I am eligible for membership at Baltimore County Employees Federal Credit Union under the rules of family membership defined in the ByLaws of said Credit Union.

I am related to:

My relationship to the Primary Member stated above is that of

X _______________________________________________________
______________
Applicant's Signature
Date

Under penalties of perjury, I certify (1) that the number shown at the top of 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 has notified me that I am no longer subject to backup withholding.

The Internal Revenue Service does not require your consent to any provisions of this document other than the certifications required to avoid backup withholding.

STATUTORY LIEN: Pursuant to 12U.S.C. 1757, the Credit Union has a right to impress and enforce a statutory lien against your account shares, deposits and dividends, if you are in default on any loan indebtedness or other financial obligation to the Credit Union. The federal law gives the Credit Union the right to apply the balance of shares and dividends in your account(s) at the time of default to satisfy the financial obligation. The Credit Union may exercise this right without further notice to you, once you are in default. The lien applies to the financial obligations of members who are primarily, secondarily or otherwise responsible for an outstanding financial obligation to the Credit Union, including, without limitation an obligor, maker, guarantor, co-signer, endorser, surety or accommodation party. This means a lien can be impressed and enforced against the shares and dividends of a guarantor or other accommodation party.

X _______________________________________________________
______________
Applicant's Signature
Date

.