Deposit Application


* indicates a required field


Please enter your personal information below:


STEP 1: Select an Account

Select a Checking Account

Blue Ribbon Checking >>learn more
Plus Checking >>learn more
Freedom Classic Checking >>learn more
Gold Checking >>learn more
First Choice Checking >>learn more
Not interested at this time

View a Comparison Chart

Would you like to open a savings or money market account today?

Select a Savings Account

Regular Savings Account >>learn more
Christmas Club >>learn more
Not Interested at this time

Select a IRA Account

Traditional >>learn more
Roth >>learn more
Educational >>learn more
Club >>learn more
Not interested at this time

Select a Share Certificate Account

6 Month
12 Month
18 Month
24 Month
36 Month
48 Month
60 Month
Not interested at this time

*Ownership

Single Owner
Joint

IMPORTANT INFORMATION ABOUT PROCEDURES FOR 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 may also ask to see your driver's license or other identifying documents.




STEP 2: Tell Us About Yourself

Primary Account Owner

*Name (First M. Last)
*Date of Birth (mm/dd/yyyy) / /
*SSN
*Home Phone Number
Work Phone Number
Cell Phone Number
*Address
(No P.O. Boxes accepted)
*City, State, Zip ,
E-mail
*Mother's Maiden Name
*Driver's License Number
*State
*Expiration / /
*Date Issued / /
*Current Employer

Joint Account Owner (if you selected joint account ownership)

Name (First M. Last)
Date of Birth (mm/dd/yyyy) / /
SSN
Home Phone Number
Work Phone Number
Cell Phone Number
Address
(No P.O. Boxes accepted)
City, State, Zip ,
E-mail
Mother's Maiden Name
Driver's License Number
State
Expiration / /
Date Issued / /
Current Employer

STEP 3: Learn About Account Access

Penn Liberty OnLine internet banking service


*Would you like to access your accounts online with free internet banking? You may also register for Bill Pay when you access our Internet Banking. Yes
No

Visa Check Card (provides account access at ATM and point of sale)
*Would you like to order a Check Card?* Visa Check Card >>learn more
No Visa Check Card at this time.
Select a Personal Identification Number: (4-digit PIN)
How many card(s) would you like to order? Name on Card 1
Name on Card 2
*If you have a savings account, would you like to access this account at ATMs with your card? Yes
No

It is certified that the above information is complete and true, and is given to induce you to issue said Card(s). I (We) authorize you to make whatever credit and/or investigative inquiries deemed necessary in connection with this application and to exchange with others regarding my (our) Card transactions. I (We) understand that this Card is not a Credit Card, and that no commitment to extend credit to me (us) will be made by your issuance of the Card(s) requested. I/we hereby authorize Penn Liberty Bank to issue ATM or Debit Card(s).

Visa Check Card Orders
There is no annual fee for this card. If my card is lost or destroyed, you may be charged for a replacement card.
Order Checks
*Would you like to order checks? (Select all that apply.) Yes; Order the FREE exclusive design wallet style single checks that are available with my checking account choice.
Yes; Order the FREE exclusive design wallet style duplicate checks that are available with my checking account choice.
Yes; I would like to order a special check style. Please contact me for more information.
No checks at this time.
How would you like your information printed on your checks?
Name
Address
City
State
Zip
Home Phone Number Yes:
No
We encourage our customer to avoid listing social security numbers on their checks for security reasons.

STEP 4: Fund Your Account

Fund Your Account
Do not put comma(,) when you enter a dollar amount in the text fields below
i.e "1000"
*Initial Deposit $
*Initial Deposit Types Transfer funds from an existing AOD FCU account.
Account Number

Check
Send to:
AOD Federal Credit Union
Attn. New Account Department
P.O. Box 608
Bynum, AL 36253

I authorize you to initiate an electronic withdrawal from my current bank to fund my new account.
Current Bank:
Name and Address
Routing Number
Account Number

STEP 5: Verify Information

Taxpayer Identification Number Certification *Social Security Number(s) The Social Security Number(s) shown above is my correct SSN.
*Backup Withholding 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.
Exempt Recipients I am an exempt recipient under the Internal Revenue Service Regulations.
Nonresident Alien I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.
*I certify under penalties of perjury the statements checked in this section are true.


*I authorize AOD Federal Credit Union obtain a copy of my current credit report as a condition of acceptance of this application and for the purpose of extension of or renewal of credit.

* indicates a required field

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