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X Primary Owner Signature Date Joint Owner 1 Signature Credit Union Use Only New Reopen ID Scanned Account Previous Name CU Representative Savings Acct Checking Acct Club Acct Page 2 Debit Mastercard 1 ATM Card 1. Page 1 WC 12/2016 E D SSN/Taxpayer Identification Number TIN Certification and backup withholding information Under penalties of perjury I certify that 1 the Social Security Number SSN /Taxpayer Identification Number TIN listed above is my correct taxpayer identification number...

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