MEMBER APPLICATION & AGREEMENT

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Midwest Operating Engineers
Credit Union
6240 Joliet Road
Countryside, IL 60525
  

_________________________________
Account Number                           

MEMBER INFORMATION

Name

LAST                                                                 FIRST                                                              INITIAL

Address/City/State/ZIP
SSN/TIN                                                                                    Phone
Date of Birth                                                                          Driver's Lic. #
Membership Eligibility:                                                                              

  
 [  ] Local                                Registration #                                                    
 [  ] Family Membership - Spouse or Dependents                                               
       Name:                                                                                                        
Husband's First Name or Wife's Maiden Name                                                                                                                                                                        
  
JOINT OWNERS
(1.) Name
Address/City/State/ZIP
SSN/TIN                                                                                    Phone
Date of Birth                                                                          Driver's Lic. #
(2.) Name
Address/City/State/ZIP
SSN/TIN                                                                                    Phone
Date of Birth                                                                          Driver's Lic. #
  

OWNERSHIP OF ACCOUNT

SELECT ONE OWNERSHIP TYPE AND, IF APPLICABLE, INCLUDE A BENEFICIARY DESIGNATION. THE OWNERSHIP TYPE AND BENEFICIARY DESIGNATION SPECIFIED ON THIS DOCUMENT WILL REMAIN THE SAME FOR ALL ACCOUNTS LISTED BELOW.
1.  [  ] INDIVIDUAL                                                2. [  ] JOINT WITH SURVIVORSHIP (and not as tenants in common)
3.  [  ] MEMBER AS CUSTODIAN FOR MINOR UNDER THE ILLINOIS UNIFORM TRANSFER TO MINORS ACT (UTMA)
4.  [  ] TRUST-SEPARATE AGREEMENT DATED ________________________________________
5.  _____________________________________________________________________________________________
BENEFICIARIES: [  ] REVOCABLE TRUST OR [  ] PAY-ON-DEATH DESIGNATION AS DEFINED IN THE ACCOUNT
TERMS AND CONDITIONS: (Place name and address of beneficiaries below.)

                                                                                                                                                                                                                                             

ACCOUNT TYPE

[  ] SHARES

________________________________

[  ] MONEY MARKET

________________________________

[  ] IRA SHARES

________________________________

[  ] SHARE DRAFT

________________________________

[  ] SHARE CERTIFICATE

________________________________

[  ] IRA CERTIFICATE

________________________________

SIGNATURES & CERTIFICATIONS

BACKUP WITHHOLDING CERTIFICATION - Check box (A) only if true or (B) below:

     (A) [  ] By signing below, I (name) ------------------------------------------------------------------------ certify under penalties of perjury that (1) the Taxpayer Identification Number (TIN) shown above is my correct TIN and I am not subject to backup withholding either because (a) I have not been notified by the Internal Revenue Service that I am subject to backup withholding as a result of a failure to report all interest or dividends or (b) the IRS has notified me that I am no longer subject to backup withholding and (2) I am a U.S. person (including a U.S. resident alien).
     (B) [  ] A separate W-9 has been completed (or W-8 in the case of a non-resident alien.).
By signing below, the undersigned apply for membership in this Credit Union; agree to its by-laws and the terms and conditions of any approved account, as amended from time to time; and authorize the Credit Union to verify credit and employment history by any necessary means, including preparation of a credit report by a credit reporting agency. The undersigned certify that information provided on this Application is true and correct and that the terms on the Application apply to all accounts held by the undersigned at this Credit Union. By checking the boxes below, the undersigned acknowledges receipt of the named disclosures and the terms and conditions that apply to any approved account.
[  ] Funds Availability  [  ] Truth-In-Savings  [  ] Electronic Fund Transfers  [  ] Privacy  [  ] _____________________________________________
  

(1) X    
              Member Signature (DO NOT PRINT)                                                  (DATE)   Member/Account #
(2) X    
              Joint Owner Signature (DO NOT PRINT)                                            (DATE)   Relationship to Member
(3) X    
              Joint Owner Signature  (DO NOT PRINT)                                           (DATE)   Relationship to Member

CREDIT UNION USE ONLY

ACCT. TITLE
  
ACCT. SERVICES

INITIAL DEPOSIT $                                          FORM:   [  ] CASH    [  ]                                                                                                                         

APPLICATION APPROVED (date)                                      BY

  
 © 1993 Bankers Systems, Inc., St. Cloud, MN Form MPAA-ILCU 2/20/2001  Customized 1,2,3                                                                     (page 1 of 2)
Provided in Cooperation with the Illinois Credit Union System
  

PROXY

  
Member Name                                                                                                                          Soc. Sec. No.

MIDWEST OPERATING ENGINEERS
CREDIT UNION                 

The undersigned hereby constitutes and appoints the Board of Directors of Midwest Operating Engineers Credit Union, who are qualified and acting Directors at the time this proxy is used, or their assigns, my true and lawful attorneys, for me and in my name, place, and stead, with full power of substitution, from the date of this instrument until this proxy is cancelled by written notice to the Secretary-Treasurer of said Credit Union, to vote as my proxy all shares of the undersigned in said Credit Union at any and all meetings, regular or special, of the shareholders of said Credit Union, or and adjournment thereof, which may be held during the time this proxy is in force, giving and granting to my said proxys all the powers the undersigned would possess if personally present. My attendance at any meeting or meetings of the shareholders of said Credit Union shall suspend the powers herein granted and this proxy shall be ineffective only as to such meetings attended by me, thereafter to remain in full force and effect until rescinded as herein provided.

Signed this ______________________________ Day of ___________ .  X __________________________________________________________
                                                                                                                              Shareholder


AGREEMENT - This agreement is subject to applicable federal laws and the laws of the state of Illinois (except to the extent that this agreement can and does vary such rules or laws). We may permit some variations from this standard agreement, but any variations must be agreed to in writing. Unless it would be inconsistent to do so, words and phrases used in this agreement should be construed so that the singular includes the plural and the plural includes the singular. As used in this agreement, the words "we," "our," and "us" mean the credit union and the words "you" and "your" mean the owner(s) of this account and any "agent" appointed by or on behalf of the owner(s) to sign on the account in a representative capacity. This account may not be transferred or assigned without our written consent.
LIABILITY - Each of you agrees for yourself (and the person or entity you represent if you sign as a representative of another) to the terms of this account and the schedule of charges that we impose. You authorize us to deduct these charges as accrued directly from the account balance. You also agree to pay additional reasonable charges we may impose for services you request which are not covered by this agreement. Each of you also agrees to be jointly and individually liable for any account deficit resulting from charges or overdrafts, whether caused by you or another authorized to withdraw from this account, and our costs to collect the deficit including, to the extent permitted by law, our reasonable attorneys' fees. You agree that at our option we may suspend your rights to member services if you violate the terms of this agreement.
DEPOSITS - Any items, other than cash, accepted for deposit (including items drawn "on us") will be given provisional credit only until collection is final (and actual credit for deposits of, or payable in, foreign currency will be at the exchange rate in effect on final collection in U.S. dollars). We are not responsible for transactions initiated by mail or outside depository until we actually record them. All transactions received after our "daily cutoff time" on a business day we are open, or received on a day in which we are not open for business, will be treated and recorded as if initiated on the next following business day that we are open. We are prohibited by law from guaranteeing the payment of dividends or that dividends we do pay will be at the disclosed rate. Unless otherwise agreed, you waive any right to receive any original item after it is paid.
WITHDRAWALS - Unless otherwise clearly indicated to the contrary, any one of you who signs in the space designated for signatures on the signature card, including any agents, may withdraw or transfer all or any part of the account balance at any time on forms approved by us. We may charge against your account a check, even though payment was made before the date of the check, unless you have given us written notice of the postdating. The fact that we may honor withdrawal requests which overdraw the finally collected account balance does not obligate us to do so, unless required by law. Withdrawals will first be made from collected funds, and we may, unless prohibited by law or our written policy, refuse any withdrawal request against uncollected funds, even if our general practice is to the contrary. We reserve the right to refuse any withdrawal or transfer request which is attempted by any method not specifically permitted, which is for an amount less than any minimum withdrawal requirement, or which exceeds any frequency limitation. Even if we honor a nonconforming request, repeated abuse of the stated limitations (if any) may eventually force us to close this account. We will use the date a transaction is completed by us (as opposed to the day you initiate it) to apply the frequency limitations. We reserve the right to require you to notify us of your intention to withdraw funds from this account as explained in our by-laws. Additional withdrawal limitations may be disclosed elsewhere. See your notice of penalties for early withdrawal.
ACH AND WIRE TRANSFERS - If you originate a fund transfer for which Fedwire is used, and you identify by name and number a beneficiary financial institution, an intermediary financial institution or a beneficiary, we and every receiving or beneficiary financial institution may rely on the identifying number to make payment. We may rely on the number even if it identifies a financial institution, person or account other than the one named. You agree to be bound by automated clearing house association rules. These rules provide, among other things, that payments made to you, or originated by you, are provisional until final settlement is made through a Federal Reserve Bank or payment is otherwise made as provided in Article 4A-403(a) of the Uniform Commercial Code. If we do not receive such payment, we are entitled to a refund from you in the amount credited to your account and the party originating such payment will not be considered to have paid the amount so credited. If we receive a credit to an account you have with us by wire or ACH, we are not required to give you any notice of the payment order or credit.
OWNERSHIP OF ACCOUNT AND BENEFICIARY DESIGNATION - These rules apply to this account depending on the form of ownership and beneficiary designation, if any, specified on the account records. This Credit Union is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account. The right or authority of this Credit Union under this agreement shall not be changed or terminated by said owners, or any of them except by written notice to this Credit Union which shall not affect transactions theretofore made. We reserve the right to refuse some forms of ownership on any or all of our accounts. Individual Account - is owned by one person. Joint Account - With Survivorship (And Not As Tenants In Common) - is owned by two or more persons. Each of you intend that upon your death the balance in the account will belong to the survivor(s). If two or more of you survive, you will own the balance in the account as joint tenants with survivorship and not as tenants in common. Joint Account - No Survivorship (As Tenants In Common) - is owned by two or more persons, but none of you intend (merely by opening this account) to create any right of survivorship in any other person. We encourage you to agree and tell us in writing of the percentage of the account funds contributed by each of you. This information will not, however, affect the "number of signatures" necessary for withdrawal. Revocable Trust or Pay-On-Death Account - Pay-On-Death accounts may be created only if the account is owned by one person. Revocable Trust accounts may be created by accounts with one or more owners. If two or more of you create a Revocable Trust account, you own the account jointly with survivorship. Beneficiaries of either of these account types acquire the right to withdraw only if: (1) all persons creating the account die, and (2) the beneficiary is then living. If two or more beneficiaries are named and survive the death of the owner(s) of the account, such beneficiaries will own this account in equal shares, without right of survivorship. Any of the person(s) creating either a Pay-On-Death or Revocable Trust account reserves the right to: (1) change beneficiaries, (2) change account types, and (3) withdraw all or part of the account funds at any time. Corporate, Partnership, and other Organizational Accounts - We will usually require a separate authorization form designating the person permitted to withdraw and the conditions required for withdrawal from any account in the name of a legal entity such as a partnership, corporation, or other organization. We will honor the authorization according to its terms until it is amended or terminated in writing by the governing body of the organization.
PLEDGES - Unless you tell us differently in writing, each owner of this account may pledge all or any part of the funds in it for any purpose to which we agree. Any pledge of this account must first be satisfied before the rights of any joint account survivor, pay-on-death beneficiary, or trust account beneficiary becomes effective.
STOP PAYMENTS - A stop-payment order must be given in the manner required by law, must be received in time to give us a reasonable opportunity to act on it, and must precisely identify the number, date and amount of the item, and the payee. Our stop-payment cutoff time is one hour after the opening of the next banking day after the banking day on which we receive the item. Additional limitations on our obligation to stop payment are provided by law. We will honor a stop-payment request by the person who signed the particular item, and, by any other person, even though such other person did not sign the item, if such other person has an equal or greater right to withdraw from this account than the person who signed the item in question. A release of the stop-payment request may be made only by the person who initiated the stop payment.
AMENDMENTS AND TERMINATION - We may change our bylaws and any term of this agreement. Rules governing changes in dividend rates have been provided separately. For other changes we will give you reasonable notice in writing or by any other method permitted by law. We reserve the right to close this account if your membership in this credit union terminates. You agree to keep us informed about your current address at all times. Notice from us to any one of you is notice to all of you.
STATEMENTS - You must examine your statement of account with "reasonable promptness." If you discover (or reasonably should have discovered) any unauthorized payments or alterations, you must promptly notify us of the relevant facts. If you fail to do either of these duties, you will have to either share the loss with us, or bear the loss entirely yourself (depending on whether we exercised ordinary care and, if not, whether we substantially contributed to the loss.) The loss could be not only with respect to items on the statement but other items forged or altered by the same wrongdoer. You agree that the time you have to examine your statement and report to us will depend on the circumstances, but that such time will not, in any circumstance, exceed a total of 30 days from when the statement is first made available to you.
You further agree that if you fail to report any unauthorized signatures, alterations, forgeries or any other errors in your account within 60 days of when we make the statement available, you cannot assert a claim against us on any items in that statement, and the loss will be entirely yours. This 60 day limitation is without regard to whether we exercised ordinary care. The limitation in this paragraph is in addition to that contained in the first paragraph of this section.
DIRECT DEPOSITS - If, in connection with a direct deposit plan, we deposit any amount in this account which should have been returned to the Federal Government for any reason, you authorize us to deduct the amount of our liability to the Federal Government from this account or from any other account you have with us, without prior notice and at any time, except as prohibited by law. We may also use any other legal remedy to recover the amount of our liability.
TEMPORARY ACCOUNT AGREEMENT - If this option is selected, we may restrict or prohibit further use of this account if you fail to comply with the requirements we have imposed within a reasonable time.
FACSIMILE SIGNATURES - You authorize us, at any time, to charge you for all checks, drafts, or other orders, for the payment of money, that are drawn on us regardless of by whom or by what means the facsimile signature(s) may have been affixed so long as they resemble the facsimile signature specimen on the signature card or that are filed separately with us, and contain the required number of signatures for this purpose.
RIGHT TO REPAYMENT OF INDEBTEDNESS - You each agree that we may (without prior notice and when permitted by law) charge against and deduct from this account any due and payable debt owed to us now or in the future, by any of you having the right of withdrawal, to the extent of such persons' or legal entity's right to withdraw. If the debt arises from a note, "any due and payable debt" includes the total amount of which we are entitled to demand payment under the terms of the note at the time we charge the account, including any balance the due date for which we properly accelerate under the note.
In addition to these contract rights, we may also have rights under a "statutory lien." A "lien" on property is a creditor's right to obtain ownership of the property in the event a debtor defaults on a debt. A "statutory lien" is one created by federal or state statute. If federal or state law provides us with a statutory lien, then we are authorized to apply, without prior notice, your shares and dividends to any debt you owe us, in accord with the statutory lien.
Neither our contract rights nor rights under a statutory lien apply to this account if: (a) it is an Individual Retirement Account or other tax-deferred retirement account, or (b) the debt is created by a consumer credit transaction under a credit card plan (but this does not affect our rights under any consensual security interest), or (c) the debtor's right of withdrawal arises only in a representative capacity. We will not be liable for the dishonor of any check or draft when the dishonor occurs because we charge and deduct an amount you owe us from your account. You agree to hold us harmless from any claim arising as a result of our exercise of our right to repayment.
AGENTS - An agent is someone who you authorize to have access to this account on your behalf. (We, however, have no duty or agreement whatsoever to monitor or insure that the acts of the agent are for your benefit.) This may be done by allowing your agent to sign on the space as an authorized signer on the signature card, or by separate form (such as a power of attorney). An agent is not an owner of the account. We will allow agents to be appointed only on individual accounts unless each owner of a joint account has executed a separate power of attorney naming an agent. We may refuse to accept an agent, or an agency account.

  © 1993 Bankers Systems, Inc., St. Cloud, MN Form MPAA-ILCU 2/20/2001                                                                               (page 2 of 2)
Provided in Cooperation with the Illinois Credit Union System