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  1. Home
  2. Applications and Forms
  3. Membership Application and Account Card

Membership Application and Account Card

Existing members can establish a new membership or update an existing one by mail.

Instructions

For existing Star One members only, unless opening a Trust, Estate, or Transfer-to-Minors account:

  1. Read and accept the two disclosures provided
  2. Fully complete the form that appears after you accept the disclosures
  3. Agree to the Trust Agreement at the end of the form if opening a Trust
  4. Print the form
  5. Sign the form
  6. Gather additional supporting documents if required for your Account Ownership type
  7. Photocopy your valid U.S. driver's license or State-issued ID card
  8. Mail the photocopy and printed form to Star One Credit Union, P.O. Box 3643, Sunnyvale CA 94088-3643

To avoid processing delays, and to collect your most current information, the Member Application and Account Card must be completed in its entirety.

Membership Application and Account Card

Your savings federally insured to at least $250,000 and backed by the full faith and credit of the United States Government. National Credit Union Administration, a U.S. Government Agency.

1. Important information about opening a new account

To help our 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 when opening a new account.

What does this mean for you? When you open an account, we will ask your name, address, birth date, and other information that will help us to identify you. We may also ask to see some type of positive identification.


2. Accept the two following disclosures

Please carefully read the two following electronic communications disclosures and acknowledge your consent by checking the corresponding "I Agree" buttons:

Membership and Account Agreement

Please carefully read this Membership and Account Agreement disclosure, then acknowledge your consent by clicking the "I Agree" button below.

Checking and Savings Rate and Fee Schedule

Please carefully read this Checking and Savings Rate and Fee Schedule disclosure, then acknowledge your consent by clicking the "I Agree" button below.

Enter your application information


Account ownership

Additional supporting document required for membership:

Please include this document when you mail in this printed form.


Irrevocable Trust Qualification



Member/Owner

Owner is:



:

Opening deposit

 
 
 

Add account services

into

Joint Owners

Joint Owner is:



:

Joint Owner is:



:

Joint Owner is:



:

Pay-on-Death Beneficiaries





UTMA Successor Custodian


TIN Certification and Backup Withholding Information

By signing this document, I certify, under penalties of perjury, that (1) I am a U.S. person (including a U.S. resident alien), (2) the Social Security Number (SSN)/taxpayer identification number (TIN) shown is my/the correct identification number and (3) I am NOT, unless designated below, subject to backup withholding because I have not been notified that I am subject to backup withholding as a result of a failure to report all dividends or interest, or because the IRS has notified me that I am no longer subject to backup withholding. Check below applicable boxes:


Acknowledgements

Consent to Utilize Credit Report for Additional Services:

Occasionally, Star One Credit Union uses information obtained from an applicant's credit report to evaluate if additional products or services will enhance the financial well-being of the applicant. To enable Star One to provide this valuable service, we have added this disclosure to request your authorization to used information in your credit report to make future credit offers.


For Account and/or Account Service Requests: by signing below, you acknowledge that you have received and agree to the terms and conditions contained in the Membership and Account Agreement, Truth in Savings Disclosure, Funds Availability Policy Disclosure, Electronic Funds Transfer Agreement and Disclosure and Privacy Notice and to any amendments to these documents that the Credit Union may make from time to time.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

This Membership Application and Account Card must be signed by all account owners. If updates are being made, this will supersede the current Membership Application and Account Card on file.


___________________________________________
, Primary Owner
_______________________
Date

___________________________________________
,
_______________________
Date

___________________________________________
,
_______________________
Date

___________________________________________
,
_______________________
Date

Application for Account Held by Trust

Each Trustee agrees to provide an original or certified Trust document as evidence of the Trust's existence. Trustee(s) agrees to complete and sign the Membership Application and Account Card that accompanies this Application for Account Held by Trust:

Trust Agreement and Certification of Trust

Each Trustor/Trustee certifies to the Credit Union the following terms of authority and account conditions:

  1. A valid living Trust has been established under applicable law and currently exists.
  2. At least one Trustor of a Revocable Trust must be a member of the Credit Union. All Trustors or all named beneficiaries of an Irrevocable Trust must be members of the Credit Union.
  3. Trustee agrees to notify the Credit Union in writing of any change in Trustees for the Trust.
  4. The Credit Union is under no obligation to administer the Trust, act as a Trustee, or inquire as to the powers and duties of any Trustee. The Credit Union may, however, withhold payment of funds to any party until satisfactory evidence of authority is produced.
  5. The Credit Union may rely on the authority of any Trustee until it receives written notice of revocation of the Trust or termination of Trustee's authority. The Credit Union may release funds or rely on the direction of any one Trustee acting alone unless the Credit Union agrees in writing that consent of more than one Trustee is required.
  6. The Trust and the Trustees will indemnify and hold the Credit Union harmless from any claim, damage, or loss arising from the unauthorized acts of any Trustee or former Trustee unless a Successor Trustee notifies the Credit Union in writing prior to the unauthorized acts.
  7. All accounts held in the name of the Trust will be governed by this Agreement, the Membership Application and Account Card, and by the terms of the Credit Union's Membership and Account Agreement and Disclosures as amended from time to time. Trustee has received a copy of the Agreement and Disclosures pertaining to the account(s) requested.
  8. If this is a Revocable Trust and the Credit Union receives any garnishment, levy, or other form of execution against the Trustor(s), or if the Trustor(s) owes money to the Credit Union, the Credit Union may treat all accounts held by or on behalf of the Trust as if they were held by the Trustor(s) individually.
  9. THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS. IF YOU DESIRE ASSISTANCE OR ADVICE CONCERNING THIS AGREEMENT, YOU SHOULD SEEK THE ADVICE OF AN ATTORNEY OR OTHER PROFESSIONAL PERSON. THE CREDIT UNION CANNOT GIVE LEGAL ADVICE REGARDING EITHER THIS AGREEMENT OR THE TRUST.

Member number ,

Name of Trust:
Date of Trust:
SSN/Trust TIN:
Name of Trustor #1:
Name of Trustor #2:

Beneficiary information is not required; however, failure to provide such information may disqualify the account from additional NCUSIF share insurance available for multiple beneficiary accounts.

"I declare under penalty of perjury and as provided under the California Trust Law, Division 9, Section 18100.5 of the California Probate Code, that (1) I am a trustor/Trustee of the Trust and the Trust is currently in full force and effect; (2) I am authorized to transact business with Star One Credit Union on behalf of the Trust; (3) I am qualified and have the power to act and am properly exercising the powers under the Trust; (4) the foregoing statements are true and correct and the Trust has not been revoked, modified or amended in any manner that would cause any representation contained in this Trust Agreement or Certification of Trust to be incorrect; and (5) this Trust Agreement and Certification of Trust is being signed by all of the Trustor(s) and currently acting Trustee(s) of the Trust."

___________________________________________
, Primary Owner
_______________________
Date

___________________________________________
,
_______________________
Date

___________________________________________
,
_______________________
Date

___________________________________________
,
_______________________
Date


Star One Credit Union use only

Rev: 5/26/2021

Don't forget to include the supporting document required for membership when you mail in this form:

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