Common use of Multiple Owners Clause in Contracts

Multiple Owners. INFORMATION (An owner may start, conduct transactions on, maintain, change, add and terminate an account, product or service.) 4 Owner 4 Name Address City State ZIP Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Employer/Retired From Mother’s Maiden Name Driver’s License - State, Number & Issue and Exp. Date Owner 5 Name Address City State ZIP Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Employer/Retired From Mother’s Maiden Name Driver’s License - State, Number & Issue and Exp. Date TRANSACTOR N1 N2 N3 or INFORMATION USER ▇▇ ▇▇ ▇▇ 5 (A transactor (an “authorized signer” in our data processor) may conduct transactions, and an information user may access information, on behalf of the owner(s)) Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address BENEFICIARY/PAYABLE ON DEATH PAYEE DESIGNATION(S) (People or organizations to receive the funds held in the account(s) on the death of the final owner.) 6 Beneficiary/POD Payee 5 Name Relationship Social Security No. Beneficiary/POD Payee 6 Name Relationship Social Security No. Beneficiary/POD Payee 7 Name Relationship Social Security No. Beneficiary/POD Payee 8 Name Relationship Social Security No. Beneficiary/POD Payee 9 Name Relationship Social Security No. Beneficiary/POD Payee 10 Name Relationship Social Security No. Beneficiary/POD Payee 11 Name Relationship Social Security No. Beneficiary/POD Payee 12 Name Relationship Social Security No. ACKNOWLEDGMENT Owner 1 is or applies to be a member of Mid-Illini Credit Union (“we”, “us” & “our”), or is authorized to take action, according to our Member Service Agreement 10 (the MSA Parts 1 & 2). All owners (“you” & “your”) request the accounts, products and services selected on this Part 1 form, and acknowledge receiving or being offered the Part 2 of the MSA, which includes the Electronic Funds Transfer, Funds Availability, Privacy Notice and Rate & Charges disclosures (and which, along with our records, comprise the terms of the MSA). Part 2 has been emailed to Owner 1’s address if provided. To identify and provide you with excellent service, we may review and image your current identification. We may also obtain and use credit, account and employment reports to verify your eligibility for membership and accounts, products and services we may offer. To serve your currency needs, we may require additional information from you. You affirm all information you provide is accurate, and that this Part 1 has been completed according to your instructions. Because you control how the funds in account(s) with us are disbursed on your death, you irrevocably waive the right to dispose of funds in account(s) by will. You understand the MSA governs membership and current and future accounts, products, services and other aspects of your relationship with us. You agree we may rely solely on the MSA and have no obligation to rely on any other documentation. You also understand an owner may conduct transactions on and take action to start, maintain, change, add or terminate accounts, products and services, a transactor may conduct transactions on accounts, products and services, and an information user may access information about accounts, products and services, as explained in Part 2 of this MSA. If you provide us with a mobile phone number, you agree we may text or call you at that number about accounts, products and services you have or that we may offer. Calls may include autodialed, prerecorded or artificial voice calls. This consent is not required for membership, accounts, products or services. You may call, email or write us to opt out of these calls. We may change the MSA, and you may make changes and additions to a Part 1 form as we allow, and those changes and additions are binding on you. You may call us with questions or obtain a copy of the MSA from us during business hours, and Part 2 from our website at your convenience. You may start, maintain, review, change, add or terminate an account, product, service or membership at any time according to the MSA. To assure consent to and accuracy of the MSA, we may require a Part 1 to be notarized or re-completed and re-signed. By signing or authorizing this Part 1, by using an account, product or service, or by receipt or accessibility of a statement, you agree to the MSA. The IRS does not require your consent to any provision of the MSA other than the certification required to avoid backup withholding (in Section 9 on page 1). Owner 1 Signature Owner 2 Signature Owner 3 Signature Owner 4 Signature Owner 5 Signature Transactor or Information User 1 Signature This is Page 2 of the MSA Part 1

Multiple Owners. INFORMATION (An owner may start, conduct transactions on, maintain, change, add and terminate an account, product or service.) 4 Owner 4 Name Address City State ZIP Mobile Phone Employer/Retired From Work Phone Social Security Number Date of Birth E-mail Address Employer/Retired From Mother’s Maiden Name Date of Birth Driver’s License - State, E-mail Address Number & Issue and Exp. Date Owner 5 Name Address City State ZIP Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Employer/Retired From Mother’s Maiden Name Driver’s License - State, Number & Issue and Exp. Date TRANSACTOR N1 N2 N3 or INFORMATION USER ▇▇ ▇▇ ▇▇ 5 (A transactor (an “authorized signer” in our data processor) may conduct transactions, and an information user may access information, on behalf of the owner(s)) Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address Mobile Phone Work Phone Social Security Number Date of Birth E-mail Address BENEFICIARY/PAYABLE ON DEATH PAYEE DESIGNATION(S) (People or organizations to receive the funds held in the account(s) on the death of the final owner.) 6 Beneficiary/POD Payee 5 Name Relationship Social Security No. Beneficiary/POD Payee 6 Name Relationship Social Security No. Beneficiary/POD Payee 7 Name Relationship Social Security No. Beneficiary/POD Payee 8 Name Relationship Social Security No. Beneficiary/POD Payee 9 Name Relationship Social Security No. Beneficiary/POD Payee 10 Name Relationship Social Security No. Beneficiary/POD Payee 11 Name Relationship Social Security No. Beneficiary/POD Payee 12 Name Relationship Social Security No. ACKNOWLEDGMENT Owner 1 is or applies to be a member of Mid-Illini Credit Union (“we”, “us” & “our”), or is authorized to take action, according to our Member Service Agreement 10 (the MSA Parts 1 & 2). All owners (“you” & “your”) request the accounts, products and services selected on this Part 1 form, and acknowledge receiving or being offered the Part 2 of the MSA, which includes the Electronic Funds Transfer, Funds Availability, Privacy Notice and Rate & Charges disclosures (and which, along with our records, comprise the terms of the MSA). Part 2 has been emailed to Owner 1’s address if provided. To identify and provide you with excellent service, we may review and image your current identification. We may also obtain and use credit, account and employment reports to verify your eligibility for membership and accounts, products and services we may offer. To serve your currency needs, we may require additional information from you. You affirm all information you provide is accurate, and that this Part 1 has been completed according to your instructions. Because you control how the funds in account(s) with us are disbursed on your death, you irrevocably waive the right to dispose of funds in account(s) by will. You understand the MSA governs membership and current and future accounts, products, services and other aspects of your relationship with us. You agree we may rely solely on the MSA and have no obligation to rely on any other documentation. You also understand an owner may conduct transactions on and take action to start, maintain, change, add or terminate accounts, products and services, a transactor may conduct transactions on accounts, products and services, and an information user may access information about accounts, products and services, as explained in Part 2 of this MSA. If you provide us with a mobile phone number, you agree we may text or call you at that number about accounts, products and services you have or that we may offer. Calls may include autodialed, prerecorded or artificial voice calls. This consent is not required for membership, accounts, products or services. You may call, email or write us to opt out of these calls. We may change the MSA, and you may make changes and additions to a Part 1 form as we allow, and those changes and additions are binding on you. You may call us with questions or obtain a copy of the MSA from us during business hours, and Part 2 from our website at your convenience. You may start, maintain, review, change, add or terminate an account, product, service or membership at any time according to the MSA. To assure consent to and accuracy of the MSA, we may require a Part 1 to be notarized or re-completed and re-signed. By signing or authorizing this Part 1, by using an account, product or service, or by receipt or accessibility of a statement, you agree to the MSA. The IRS does not require your consent to any provision of the MSA other than the certification required to avoid backup withholding (in Section 9 on page 1). Owner 1 Signature Owner 2 Signature Owner 3 Signature Owner 4 Signature Owner 5 Signature Transactor or Information User 1 Signature This is Page 2 of the MSA Part 1