Joint Account Holder. In submitting your application for the Funds Transfer Service, you confirm that, if any of your Accounts is a joint account, your joint account holder has consented for you to use your Accounts for the Funds Transfer Service. We will end your use of the Funds Transfer Service if any joint account holder notifies us that (i) they never consented to your use of our Funds Transfer Service, (ii) the joint account can no longer be operated on your instructions alone, or (iii) they are withdrawing consent for you to operate the joint account.
Joint Account Holder. In submitting your application for the Service, you confirm that, if any of your Accounts is a joint account, your joint account holder has consented for you to use your Accounts for the Service. We will end your use of the Service if any joint account holder notifies us that (i) they never consented to your use of our Service, (ii) the joint account can no longer be operated on your instructions alone, or (iii) they are withdrawing consent for you to operate the joint account.
Joint Account Holder. In submitting your application for the Service, you confirm that, if any of your Accounts is a joint account, your joint account holder has consented for you to use the account you share with them for the Service. We will end your use of the Service if any joint account holder notifies us that the joint account holder does not consent to the use of the Service.
Joint Account Holder. For Consumer Accounts only By using the Transfer Service, you confirm that, if any of your Accounts is a joint account, your joint account holder has consented for you to use your Accounts for the Transfer Service. Each joint account holder on Accounts at American Federal Bank has the right of access to account activity and to view transfers scheduled to be debited from the American Federal Bank Account. For your American Federal Bank checking and savings Accounts, a joint account holder may cancel, but not edit, any pending or scheduled transfer where funds are being transferred from a American Federal Bank Account if the cancellation occurs before the transaction is sent for processing. We reserve the right to end your use of the Transfer Service if any joint account holder notifies us that (i) the joint account holder never consented to your use of our Transfer Service, (ii) the joint account can no longer be operated on your instructions alone, or (iii) the joint account holder is withdrawing consent for you to use the joint account for the Transfer Service.
Joint Account Holder. Co-Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Officer or Director/Trustee ☐ Fidelity Employee ☐ Fidelity Fund Officer or Director/Trustee ☐ Immediate Family Member of Fidelity Officer or Director/Trustee ☐ Fidelity Affiliate ☐ Private Fund ☐ Not Applicable Entity Information (only required for entity account types) Entity Name Tax ID Number Date of Formation (mm/dd/yyyy) Legal Street Address City State Zip Country of Domicile (Form W-8 required for non-U.S.) Email Address Exemptions per Form W-9 (see Form W-9 instructions at xxx.xxx.xxx) Exemptions for FATCA Reporting Code (if any) Please indicate if you are a: ☐ Pension Plan ☐ Profit Sharing Plan ☐ Not-for-Profit Organization 4 Transfer on Death Beneficiary Information (Optional for Individual / Joint Accounts) Please designate the beneficiary information for your account. If completed, all information is required. Secondary beneficiary information may only include whole percentages and must total 100%. (Not available for Louisiana residents). ☐ Primary First Name MI Last Name SSN Date of Birth ☐ Secondary % ☐ Primary First Name MI Last Name SSN Date of Birth ☐ Secondary % ☐ Primary First Name MI Last Name SSN Date of Birth ☐ Secondary % Fidelity Private Credit Fund | Subscription Agreement 5 5 ERISA Plan Assets Regulation Are you a “benefit plan investor”5 within the meaning of the Plan Assets Regulation6 or will you use the assets of a “benefit plan investor” to invest in Fidelity Private Credit Fund? ☐ Yes ☐ No
Joint Account Holder. Custodian (if Uniform Gift / Transfer to Minors Account) / Co-Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Employee ☐ Fidelity or Fidelity Fund Officer or Directors/Trustees ☐ Immediate Family Member of Fidelity Officer or Directors/Trustees ☐ Fidelity Affiliate ☐ Not Applicable Fidelity Private Credit Fund | Subscription Agreement 3
Joint Account Holder. In the case of death of any joint holders where two or more persons are jointly holding the account the Bank will have the right to hold investments amount to the order of the survivor/s without any prejudice to the Bank’s right of lien and set-off of whatsoever nature and the right to take any steps to comply with the provisions of the Bank’s rules governing Mudaraba investments or other connected laws and regulations applicable from time to time. In the case of death of one of the account holders, the survivor/s do hereby undertake to advise the Bank in writing forthwith.
Joint Account Holder. Co-Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Officer or Director/Trustee ☐ Fidelity Employee ☐ Fidelity Fund Officer or Director/Trustee ☐ Immediate Family Member of Fidelity Officer or Director/Trustee ☐ Fidelity Affiliate ☐ Private Fund ☐ Not Applicable Entity Information (only required for entity account types) Entity Name Tax ID Number Date of Formation (mm/dd/yyyy) Legal Street Address City State Zip Country of Domicile (Form W-8 required for non-U.S.) Email Address Exemptions per Form W-9 (see Form W-9 instructions at xxx.xxx.xxx) Exemptions for FATCA Reporting Code (if any) Please indicate if you are a: ☐ Pension Plan ☐ Profit Sharing Plan ☐ Not-for-Profit Organization
Joint Account Holder. In submitting your application for the Online Money Movement Service, you confirm that, if any of your Accounts is a joint account, your joint account holder has consented for you to use your Accounts for the Service. We will end your use of the Service if any joint account holders notify us that (i) they never consented to your use of our Online Money Movement Service, (ii) the joint account can no longer be operated on your instructions alone, or (iii) they are withdrawing consent for you to operate the joint account.
