Checking Services Application


Baltimore County Employees Federal Credit Union

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.

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

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

Please submit a copy of your drivers license and joint owner's drivers license (if applicable) with this application.

Are You in Good Standing?

At this time, I wish to sign up for the many benefits of Credit Union Checking!
Joint owner (if any) on your savings account must be the same for the checking account.


Member Account Information

I understand that my email address will remain confidential in the Credit Union’s database and that I will only receive periodic on-line news and advertisements from my Credit Union.
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- - (Month/Day/Year)
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Joint Owner Information (if applicable)

I understand that my email address will remain confidential in the Credit Union’s database and that I will only receive periodic on-line news and advertisements from my Credit Union.
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- - (Month/Day/Year)
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Checking and Check Re-ordering
Please provide only what you would like to appear on your checks.
- - (optional)
Check Type Indicate Choice

Products & Services
SmartCash Check Card Service

Available to checking account holders only.


Convenience Services Savings ATM Card
QuickTeller Audio Response
QuickTeller On-Line

QuickTeller On-Line Bill Pay

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.

We take pride in member education and encourage you to fully understand the products and services we offer. Please take a few minutes to read the sections below that relate to your application. By signing and submitting this document for review, you agree to abide by the disclosed terms and conditions of the Credit Union Checking Account and its related services as outlined in the following disclosures in accordance with applicable state and federal laws.

X _______________________________________________________ ______________
Applicant's Signature Date
 
X _______________________________________________________ ______________
Joint Owner Signature Date

Baltimore County Employees Federal Credit Union logo Baltimore County Employees Federal Credit Union
23 W. Susquehanna Ave., Towson, MD 21204
410-828-4730

ABA/Routing Number: 2520-7575-7