AA Credit Union

ȵ'q"ry for P2%('-!{P.O..) TIN Cer-"q-"(''ȵ$.)"-!!(%"' Inf(+&-"(' 01/2016 " '-.re PRIMARY Owner Signature: Date: JOINT Owner For joint account(s), ensure joint information is completed. Signature: Date: PRIMARY AND JOINT OWNERS MUST SIGN. MISSING INFORMATION MAY DELAY PROCESSING. The Credit Union reserves the right to refuse the form if verbiage has been altered. Federally insured by NCUA The Internal Revenue Service does not require your consent to any provision of this document other than the certiqcations required to avoid backup withholding. ȴ&+"'ȴ"+%"',Fr%ȶr"-U'"(' &+ȴ))%"-"('%ȴ(.'-("q-"(' ȴȶȶȴ +0"-!-!ȶ+"-'"(' -!--!)+,('{,|'&%(0",+," '-{| )2{,|)('&2-!{-!-!(-!%,-,.+/"/(+(.,|}%% ,.!.',,!%%(0'')2&'-,,!%%&--! +*.,-('2,.+/"/"' )2{,|ȴ"-"('% )2{,|'," '-'--!-(-!(.&'- By not designating a speciqc account for the names listed below} the names will be used for all your Credit Union accounts except for IRAs and Trust Accounts. If the total percentage does not equal ʢʡʡx} the percentage will be ad#usted prorata to ʢʡʡx. If no percentage is selected and more than one P.O.D. payee is indicated} beneqciaries will share equally. This form is incorporated as a part of your Account Agreement with American Airlines Federal Credit Union. Your P.O.D. may not be an owner of the account. S!r P.O.. P2e', F.%% Nme - (ȵ"r-! / / SS #/ITIN P!2,"% -r-ȴr,, {No P.Oȵ(1,) ȶ"-y S-- C(.'-ry Re%-"(',!") -( P+"&ry Owner Per'- ȴ ("fy R&(/ P+"&ry S!re A"-"('%S!re ȶ!$"' ALL Under penalties of per#ury} I certify that {ʢ| The number shown on this form is my correct taxpayer identiqcation number {or I am waiting for a number to be issued to me| and {É| I am not sub#ect to backup withholding because {a| I am exempt from backup withholding} or {b| I have not been notiqed by the Internal Revenue Service {IRS| that I am sub#ect to backup withholding as a result of a failure to report all interest or dividends} or {c| the IRS has notiqed me that I am no longer sub#ect to backup withholding and {ʣ| I am a U.S. citi3en or other U.S. person {as deqned in IRS form ʩ instructions| and {ʤ| I am exempt from FATCA reporting. Certiqcation instructions You must cross out item É above if you have been notiqed by the IRS that you are currently sub#ect to backup withholding because you have failed to report all interest and dividends on your tax return. If you are not a U.S. person} cross out item ʣ and contact the Credit Union for instructions {a ʨ B form will need to be completed|. By our signatures below as account owner and #oint account owner {if applicable|} we agree that all funds deposited into the account opened} including any earnings thereon} shall be owned by us #ointly with right of survivorship. On the death of one party to the #oint account} all sums in the account on the date of the death vest in and belong to the surviving party or parties as his or her separate property and estate. By my signature below} I acknowledge receipt of your embership and Account Agreement booklet and have read all appropriate Disclosure Statements and Agreements. I agree to be bound by the terms and conditions set forth in your Account Agreement I agree to conform to the Credit Unionªs Rules} Regulations} Bylaws and Policies now in eŮect and as amended or adopted hereafter and I agree to pay any charges or fees which may be required or assessed under such Rules} Regulations} Bylaws and Policies. By applying for membership in American Airlines Federal Credit Union} I authori3e the Credit Union to obtain and use credit reports and verify my employment history in connection with this account application and for the purpose of considering me for additional qnancial products and services both now and in the future. I also agree to subscribe for at least one share. S!r P.O.. P2e', F.%% Nme - (ȵ"r-! / / SS #/ITIN P!2,"% -r-ȴr,, {No P.Oȵ(1,) ȶ"-y S-- C(.'-ry Re%-"(',!") -( P+"&ry Owner Per'- ȴ ("fy R&(/ P+"&ry S!re A"-"('%S!re ȶ!$"' ALL '"/".% Non-'"/".% '"/".% Non-'"/".%

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