MOBILE CHECK DEPOSIT - REQUEST FOR SAME DAY AVAILABILITY


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*Date
*Account Number
*Name
*Social Security Number
*Birthdate (xx/xx/xxxx)
*Current Address
*City, State Zip ,
*Years There
*Housing:

*HOUSING PAYMENT PER MONTH
*PREFERRED CONTACT NUMBER
*Current Employer
*Employment START Date (XX/XX/XXXX)
*ANNUAL salary

You "The Member" warrant the truth of the above information and you realize it will be relied upon by The Summit Federal Credit Union in deciding whether or not to grant the request for this service. You hereby authorize The Summit, our employees and agents to investigate and verify any information provided to us by you. You authorize The Summit to accept your electronic consent on this application and agree that your electronic consent will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting The Summit to accept your electronic consent.

A consumer/ credit report may be requested in connection with this application. Upon your request, The Summit will tell you the name and address of the consumer reporting agency providing the information.

By clicking on the Submit box below, you will confirm that you agree to the terms of this application and understand that The Summit will request consumer and credit reports reflecting your credit history.


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