Tämä on FBI:n tutkinta-asiakirja Epstein Files -aineistosta (FBI VOL00009). Teksti on purettu koneellisesti alkuperäisestä PDF-tiedostosta. Hae lisää asiakirjoja →
FBI VOL00009
EFTA00133624
361 sivua
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0310263 000057201 MCU Account # Statement Period: 05/01/19 - 05/31/19 OMCUOA 0630100 Page 3 of 5 FASTRACK CHECKING (continued) S 02 Date Transaction Withdrawals Deposits Balance 05107 Amazon Prime Arnzn.cormbill WA May 08 Withdrawal - VISA - Visa Purchase -122.35 601.29 05/07 THE RESTAURANT 8 BAR NEW YORK NY May 09 Withdrawal - VISA - Visa Purchase -24.04 577.25 05/09 BP436921678OULEVARD GAS MANHASSET NY May 09 Withdrawal - POS #007295 -82.56 494.69 Whl SUPERCENTER # Wal-Mart Super Center VALLEY STREAM NY May 09 Withdrawal - POS #040709 -82.47 412.22 NNT ULTA #1209 382344 750 WEST SUNRISE HWY VALLEY STREAM NY May 09 Withdrawal - POS #581947 -26.13 386.09 AMAZON.COWMNONB9791 SEATTLE WA May 09 Withdrawal - POS #011724 -22.27 363.82 DOLLAR TREE 2847 W 8TH ST BROOKLYN NY May 09 Withdrawal - POS #688481 -27.07 336.75 AMAZON.COMIANS6R3TV1 SEATTLE WA May 09 Withdrawal - ATM - #740535 -203.00 133.75 1630 SHORE PARKWAY BROOKLYN NY May 09 Withdrawal - ATM Fee -3.00 130.75 1630 SHORE PARKWAY BROOKLYN NY May 09 Withdrawal - Adjustment VISA - Credit Voucher 8.99 139.74 05/09 AMZN Mktp US Amzn.com/Pli WA May 10 Withdrawal - VISA - Visa Purchase -66.00 73.74 05708169 LUDLOW PARKING. LLC NEW YORK NY May 10 Withdrawal - VISA - Visa Purchase -1.25 72.49 05/09 NYCDOT PARKING METERS LONG IS CITY NY May 10 Withdrawal - VISA - Visa Purchase -2.50 69.99 05/09 NYCDOT PARKING METERS LONG IS CITY NY May 11 Withdrawal - VISA - Visa Purchase -28.45 41.54 05/09 PHO TAY HO 86 BROOKLYN NY May 12 Withdrawal - VISA - Visa Purchase -29.64 11.90 05/11 JIFFY CLEANERS MANHASSET NY May 17 Deposit - ACH - AGRI TREAS 310 1,851.22 1,863.12 TYPE: FED SAL ID: 9101036009 AMT: 100.00 CO: AGRI TREAS 310 TYPE. FED SAL ID: 9101036009 MAT: 1.751.22 CO: AGRI TREAS 310 May 18 Withdrawal - ATM - #003518 -621.21 1,241.91 ATM Hotel Danish Venice IT May 18 Withdrawal - ATM Fee -3.00 1,238.91 ATM Hotel Danish Venice IT May 18 Withdrawal - VISA - Visa Purchase -206.00 1,032.91 05/18 TMOBILE'POSTPAID TEL 800-937-8997 WA May 21 Withdrawal - ATM - #003569 -620.20 412.71 ATM Hotel Daniell Venice IT May 21 Withdrawal - ATM Fee -3.00 409.71 ATM Hotel Daniell Venice IT May 24 Withdrawal - POS #594271 -20.00 389.71 NNT ALLWAYS INTL DE881748 T4 JFK AIRPT RM 126 001 JAMAICA NY May 26 Withdrawal - VISA - Visa Purchase -52.43 337.28 05/26 KING KULLEN #8 1430 Nor Manhasset NY May 26 Withdrawal - VISA - Visa Purchase -162.68 174.60 05/25 BESITO RESTAURANT ROSLYN NY May 27 Withdrawal - VISA - Visa Purchase -6.21 168.39 05/27 CVS/PHARMACY #02 02441- BROOKLYN NY EFTA00133744
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0310263 MCU Account # Statement Period: 05/01/19 - 05/31/19 000057201 OMCUOA 0630100 Page 4 of 5 FASTRACK CHECKING (continued) S 02 Date Transaction Withdrawals Deposits Balance May 27 Withdrawal - POS #038368 WM SUPERCENTER S Wal-Mart Super Center VALLEY STREAM NY May 27 Withdrawal - POS #151872 WALWal4Aart Super mem 5293 WAL-SAk4S VALLEY STREAM NY May 28 Withdrawal - VISA - Visa Purchase 05/27 BUTTERCOOKY BAKERY RIANH MANHASSETT NY May 28 Withdrawal - VISA - Visa Purchase 05/27 KFC 3235041 BROOKLYN NY May 31 Deposit - ACH - AGRI TREAS 310 TYPE: FED SAL ID: 9101036009 AMT: 100.00 CO: AGRI TREAS 310 TYPE: FED SAL ID: 9101036009 AMT: 1.681.41 CO: AGRI TREAS 310 May 31 New Balance -41.28 -61.11 -10.74 -28.26 1,781.41 127.11 66.00 55.26 27.00 1.808.41 1,808.41 Totals For This Period: 4,251.62 5,932.12 YEAR TO DATE TOTALS Total Dividends YTD 0.00 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS Write to us at P.O. Box 3205, New York, NY 10007 or telephone us at (212)693-4900 (or (800)323-6713 if outside the five boroughs) if you think your statement or receipt is wrong, or if you need more information about a transfer on your statement or receipt. Write to us as soon as possible. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. Tell us the following: • Your name and MCU account number (if any); • The amount of the suspected error or questioned transfer (and transaction date if known); • A description of the error or the questioned transfer, and an explanation why you believe there is an error or need more information. We will investigate your complaint and correct any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you think is in error, so that you will have use of the money during the time it takes us to complete our investigation. USE THE FOLLOWING FORM TO ASSIST YOU IN BALANCING YOUR CHECKING ACCOUNT LIST CHECKS OUTSTANDING (NOT CHARGED TO YOUR CHECKING ACCOUNT YET) CHECK NUMBER CHECK DATE $ AMOUNT TOTAL: PERIOD ENDING 1. SUBTRACT FROM YOUR REGISTER ANY CHARGES LISTED ON THIS STATEMENT BUT NOT DEDUCTED FROM YOUR BALANCE. 2. ENTER CHECKING BALANCE SHOWN ON THIS STATEMENT. $ + $ 3. ENTER DEPOSITS MADE $ AFTER THE ENDING DATE OF + THIS STATEMENT. $ + 4. TOTAL (2 PLUS 3): $ 5. CARRY OVER OUTSTANDING CHECK TOTAL. $ 6. REGISTER BALANCE (4 MINUS 5): $ SHARES ARE TRANSFERABLE ONLY TO QUALIFIED MEMBERS Your savings federally insured to at 103515250.000 and backed by the full faith and credit of the United States Government NCUA National Credit Union Administrabon. a U.S. Government Agency EFTA00133745
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0310263 000057201 OMCUOA 0630100 MC U Account # Statement Period: 05/01/19 - 05/31/19 Page 5 of 5 EFTA00133746
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M C MUNICIPAL CREDIT UNION Municipal Credit Union Coney Island Branch Brooklyn NY 11224 Inquiries Call: 212-693-4900 Acct Elf: 01/02/19 Tlr: 3072 Doc Number: Date: 01/02/19 Time: 2:06pm 19842474 Deposit to FASTBACK CHECKING 02 Amount: 150.00 New Bel: 1,031.13 Seq: 1712912 Withdrwl from FASTRACK CHECKING 02 Amount: 180.00 New Bel: 851.13 Seq: 1712915 Amt Available On 01/03/19 150.00 Check Received 150.00 Cash Dispense Clearing -180.00 Ref number: 015 Cash Received by ID Source: X Dry Lic SigCard Known Other EFTA00133747
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M C MUNICIPAL CREDIT UNION Municipal Credit Union Coney Island Branch Brooklyn NY 11224 Inquiries Call: 212-693-4900 Acct Eff: 01/14/19 ILL': 3072 Doc Number: Date: ARP* Time: 3:22pm Deposit to FASTBACK CHECKING 02 Amount: 2,000.00 New Bal: 2,005.64 Seq: 1544084 Amt Available On 01/15/19 200.00 Amt Available On 01/16/19 1,800.00 Check Received 2,000.00 EFTA00133748
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M C MUNICIPAL CREDIT UNION Municipal Credit Union Coney Island Branch Brooklyn NY 11224 Inquiries Call: Acct El L: Tlr: 3072 Doc Number: 212-693-4900 Date: 01/14/19 Time: 3:24pm 19893790 Nithdrwl from FASTRACK CHECKING 02 Amount: 100.00 New Bel: 1,905.64 Seq: 1545512 Cash Dispense Clearing -100.00 Ref number: 015 Cash Received by ID Source: Dry Lie SigCard Known X Other CARD SWIPE EFTA00133749
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Page 1 Member Name Information: Title: First Name: Middle Name: Last Name: Suffix: Name Format: Preferred Contact: Home Phone: Work Phone: Work Phone Ext: Mobile Phone: Phone Type: Pager Number: E-Mail Address: Alt E-Mail Address: Preferred Contact Method: DBA Title: DBA First Name: DBA Middle Name: DBA last Name: DBA Suffix: DBA Name Format: Military APR Information; Active Duty: Active Duty Verification Date: Active Duty Start Date: Active Duty Separation Date: Member Address Information: Address Type: Street: City: State: Zip Code: Name Record Information; MBR Number Link: MBR Number Unk Chg Date: License: Address Verify Date: Mall Override: ECOA Code: Benefidary Percent: Extra Information: SSN Change Date: SSN/TIN Override: SSN/TIN Certification: IRS Correction: Amendment Number: Credit Report Consumer Info: Credit Rpt Consumer Date: Use as Marketing Address: Identification 1: Documentary Flag 1: ID Type 1: ID Description I: Account Individual Not Specified: Domestic Not Specified Individual Not In Active Duty Service JJ- JJ- Domestic address 2027 85TH ST BROOKLYN NY 11214 JJ- No override Individual 0.000% JJ— No override Not certified No Correction 0 No Documentary Identification. State Drivers Ucense Name 09/04/2019 Birth Date: Death Date: Sex: Mother's Maiden Name: SSN/TIN: SSN/TIN Type: U.S. Person Hag: Current Employer: Occupation: Curr Gross Mo Pay: Curr Net Mo Pay: Curr Mo Pay Last Updated: Restricted Access: MBR Status: flnCEN Information: CTR Exempt: Legal Entity IceriVer: Beneficial Owner Type: Beneficial Owner Percentage: Nonresident Alien Reporting; IRS Country Code: NRA Tax Rate: NRA Exemption Code: Form W-8 On File: W-8 Expiration Date: Foreign TIN: Chapter 4 Status Code: GUN: Substantial Owner: LOB Code: Extra Address: Country: County Code: Canter Route: ADDR Number Link: ADDR Number Link Chia Date: Copy other Name: Name Type: Name SubType: Name Change Date: Address Change Date: Credit Rpt Address Change Date: Effective Date: Expiration Date: Last FM Date: MBR Last FM Date: ADDR Last FM Date: Confidential: Credit Rpt Address Indicator: CR Address Indicator Date: Indivlcual SSN U.S. Person 0.00 0.00 Normal Non Member Not Exempt None 0.000% 30.000% No 23 No Beneficiary 0 09/25/2007 09/25/2007 09/25/2007 JJ- 09/25/2007 JJ— JJ- Unclassified _./—/— Identification 2; Documentary Flag 2: Non-documentary Identification ID Type 2: Unknown ID Description 2: EFTA00133750
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Page 2 Account Name 09/04/2019 ID Number 1: ID Number 2: ID Issuance Date 1: JJ— ID Issuance Date 2: _1_1_ ID Expiration Date 1: _1.__1_ ID Expiration Date 2: _1_1_ ID Verification Date 1: identification 3t _1_1_ ID Verification Date 2: _1_1_ Documentary Flag 3: ID Type 3: ID Description 3: Non-documentary Identification Unknown ID Number 3: 11) Issuance Date 3: ID Expiration Date 3: ID Verification Date 3: Custom Fields: _1_1_ _1_1_ Membership Card Order: MIP Verified: Place of Birth: Relation to Primary/Joint: EFTA00133751
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Page 1 Account Number: Branch: Account Type: Member Group: Restricted Access: Open Date: Last FM Date: Record Change Date: Activity Date: Purged Rec Activity Dt: Correspondence Date: Proxy Date: Close Date: FM History Purge Date: Reference: Membership Status: Commercial Code: Check Hold Base Amount: Check Dep Total Amount: Check Dep Total Date: Non-Reg CC Check Hold Base Amt: Non-Reg CC Check Dep Total Amt: Enable Floats: Waminos: Warning 01 Code: Warning 02 Code: Warning 03 Code: Warning 04 Code: Warning 05 Code: Warning 06 Code: Warning 07 Code: Warning 08 Code: Warning 09 Code: Warning 10 Code: Warning 11 Code: Warning 12 Code: Warning 13 Code: Warning 14 Code: Warning 15 Code: Warning 16 Code: Warning 17 Code: Warning 18 Code: Warning 19 Code: Warning 20 Code: payment History; Payments Made: 16- 30 Days DQ: 31- 60 Days DQ: 61- 90 Days DQ: 91-120 Days DQ: 121 and up Days DQ: NSF History: NSF Month 01 Day Count NSF Month 02 Day Count: NSF Month 03 Day Count: NSF Month 04 Day Count: NSF Month 05 Day Count: Account 101 General Membership 0 Normal 01/20/2004 09/03/2019 09/03/2019 09/04/2019 02/04/2016 01/21/2004 as— JJ- 04/30/2019 Natural Person Consumer 0.00 0.00 JJ— 0.00 0.00 No CU Float allowed DELINQUENT LOAN RECENT ADDRESS CHANGE <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> <None> 120 0 0 0 0 0 Current Relationship Code: Relationship Code: Relationship Override: Rel Override Eff Date: Rel Override Exp Date: Head of Household: Household Account: Household Statement: Statement Mall Code: E-Statement Email Notify: E-Statement Enable: State Reporting: Created By User: Created At Branch: US Cash Rcvd Amount US Cash Disb Amount: Frgn Cash Rcvd Amt: Frgn Cash Disb Amt: Frgn Cash Rcvd Units: Frgn Cash Disb Units: Wire Received Amount: Wire Disbursed Amount: Warning 01 Expiration: Warning 02 Expiration: Warning 03 Expiration: Warning 04 Expiration: Warning 05 Expiration: Warning 06 Expiration: Warning 07 Expiration: Warning 08 Expiration: Waming 09 Expiration: Waming 10 Expiration: Warning 11 Expiration: Warning 12 Expiration: Warning 13 Expiration: Warning 14 Expiration: Warning 15 Expiration: Warning 16 Expiration: Warning 17 Expiration: Waning 18 Expiration: Warning 19 Expiration: Warning 20 Expiration: Audio/MB Security Audio/HB Frozen Mode: Invalid Attempt Count: Last Inv Attempt Date: Last Inv Attempt Time: 0 NSF Month 13 Day Count: 0 NSF Month 14 Day Count: 0 NSF Month 15 Day Count: 0 NSF Month 16 Day Count: 0 NSF Month 17 Day Count: 09/0412019 0 Regular Regular JJ- Head of Household Do not consolidate statement Use individual mail codes No E-mail notification Enable E-Statement only 9999 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01/20/2012 03/29/2017 JJ— JJ— JJ— JJ— JJ— JJ— JJ— JJ— JJ— JJ— aa JJ— JJ— JJ— JJ— JJ— JJ- - Audb/HB is not frozen 0 04/02/2019 05:16 AM 0 1 0 0 EFTA00133752
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Page 2 Account 09/04/2019 NSF Month 06 Day Count: 0 NSF Month 18 Day Count: 0 NSF Month 07 Day Count: 0 NSF Month 19 Day Count: 0 NSF Month 08 Day Count: 0 NSF Month 20 Day Count: 0 NSF Month 09 Day Count: 0 NSF Month 21 Day Count: 0 NSF Month 10 Day Count: 0 NSF Month 22 Day Count: 0 NSF Month 11 Day Count: 0 NSF Month 23 Day Count: 0 NSF Month 12 Day Count: 1 NSF Month 24 Day Count: 1 NSF Today Count: 0 Fee CanaIna: Capped Fees Amount Cap: 0.00 Capped Fees Amount This Period: 0.00 Capped Fees Count Cap: 0 Capped Fees Count This Period: 0 Daily Limits; Limit Usage Date: 09/03/2019 Limit 1 Description: Limit 4 Description: Limit 1: 0.00 Limit 4: 0.00 Limit 1 Amount 0.00 Umk 4 Amount: 0.00 Limit 1 Count Limit: 0 Limit 4 Count Limit: 0 Limit 1 Count: 0 Limit 4 Count: 0 Limit 1 Per Item Limit: 0.00 Limit 4 Per Item Limit: 0.00 Limit 2 Description: Limit 5 Description: Limit 2: 0.00 Limit 5: 0.00 Limit 2 Amount: 0.00 Limit 5 Amount: 0.00 Limit 2 Count Unit: 0 Limit 5 Count Limit 0 Limit 2 Count: 0 Limit 5 Count: 0 Limit 2 Per Item Limit: 0.00 Limit 5 Per Item Limit: 0.00 Limit 3 Desalption: Limit 6 Description: Limit 3: 0.00 Limit 6: 0.00 Limit 3 Amount 0.00 Limit 6 Amount: 0.00 Limit 3 Count Limit: 0 Limit 6 Count Limit: 0 Limit 3 Count 0 Limit 6 Count: 0 Limit 3 Per Item Limit 0.00 Limit 6 Per Item Limit: 0.00 Custom Fields; Privacy Option: I Membership Source: Certified By: Marketing Promo Code: EFTA00133753
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Page 1 Member Name Information; Title: First Name: Middle Name: Last Name: Suffix: Name Format: Preferred Contact: Home Phone: Work Phone: Work Phone Ext Mobile Phone: Phone Type: Pager Number: E-Mail Address* Alt E-Mall Address: Preferred Contact Method: DBA Title: DBA First Name: DBA Middle Name: DBA Last Name: DBA Suffix: DBA Name Format: Military APR Information; Active Duty: Active Duty Verification Date: Active Duty Start Date: Active Duty Separation Date: Not Specifled: Member Address Information: Address Type: Street: Oty: State: Zip Code: Name Record Information; MBR Number Link: MBR Number Link Chg Date: License: Address Verify Date: Mail Override: ECOA Code: Beneficiary Percent: Extra Information: SSN Change Date: SSN/TIN Override: SSN/TIN Certification: IRS Correction: Amendment Number. Credit Report Consumer Info: Credit Rpt Consumer Date: Use as Marketing Address: Identification I; Documentary Flag 1: ID Type 1: ID Description 1: Account lame OFFICER Domestic Individual Not in Active Duty Service _/_/_ JJ JJ- ISM MANHASSET NY 11030-3331 OOP No override Individual 0.000% JJ- No override SSN/TIN is certified No Correction 0 JJ- No Documentary Identification State Drivers License NY 09/04/2019 Birth Date: Death Date: JJ- Sex: Mother's Maiden Name: SSN/TIN: SSN/TIN Type: In U.S. Person Flag: U.S. Person Current Employer: NEW YORK STATE/FEDERAL AGENCY Occupation: Curr Gross Mo Pay: Curl' Net Mo Pay: Curr Mo Pay Last Updated: Restricted Arriags: MBR Status: FInCEN Information: CTR Exempt: Legal Entity Identifier: Beneficial Owner Type: Beneficial Owner Percentage: Nonresident Alien Remains: IRS Country Code: NRA Tax Rate: NRA Exemption Code: Form W-8 On Hle: W-8 Expiration Date: Foreign TIN: Chapter 4 Status Code: GIIN: Substantial Owner: LOB Code: Extra Address: Country: Country Code: Carrier Route: ADDR Number Unic ADDR Number Unk Chg Date: Copy other Name: Name Type: Name SubType: Name Change Date: Address Change Date: Credit Rpt Address Change Date: Effective Date: Expiration Date: Last FM Date: MBR Last FM Date: ADDR Last FM Date: Confidential: Credit Rpt Address Indicator: CR Address Indicator Date: 0.00 0.00 JJ- Normal Member Not Exempt None 0.000% 30.000% No JJ- 23 No C006 JJ- Primary 1 JJ- 10/08/2018 10/08/2018 JJ- JJ- 10/08/2018 02/27/2017 10/08/2018 Unclassified JJ Identification 2; Documentary Flag 2: Non-documentary Identification ID Type 2: Unknown ID Description 2: EFTA00133754
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Page 2 ID Number 1: ID Issuance Date 1: ID Expiration Date 1: ID Verification Date 1: Identification 3: Documentary Flag 3: ID Type 3: ID DesalptIon 3: ID Number 3: ID Issuance Date 3: ID Expiration Date 3: ID Verification Date 3: Custom Fields; Membership Card Order: MIP Verified: Place of Birth: Relation to Primarypoint: AccounaMiName MEN ID Number 2; ID Issuance Date 2: 02/26/2013 ID Expiration Date 2: ID Verification Date 2: Nor-documentary Identification Unknown JJ- _1_1_ 09/04/2019 _1_1- _1_1_ EFTA00133755
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MCU MUN.CIPA;, CRIDIT UNION PO Box 3205 CSS New York, NY 10007 Tel: (212) 693-4900 Fax: (212) 238-27i:0/2701 State of New York ) ) s.s: County of New York ) BUSINESS RECORD CERTIFICATION (Pursuant to C.P.L.R. 3122-a) SSNM Our Reference; SUB9316-DJ, Danielle Jones, being duly sworn, deposes and says: 1. I am a duly authorized custodian of the attached records and am authorized to make the within certification of behalf of Municipal Credit Union. 2. To the best of my knowledge, after reasonable inquiry, the records or copies thereof are accurate versions of the documents described in the subpoena duces tecum (a copy of which 1 annexed hereto) that are in the possession, custody, or control of Municipal Credit Union, the recipient of the subpoena. 3. To the best of my knowledge, after reasonable inquiry, the records and copies produced: ID represent all the documents described in the subpoena duces tecum (or) • do not represent a complete set of the documents described in the subpoena duces tccum. The missing documents, and the reason for their absence, are as follows: Description of Missing Document Reason for Absence Checks Not Applicable Credit Cards Statements Not Applicable These records do not contain Suspicious Activity Reports or Currency Transaction Reports. Municipal Credit Union's BSA Department will respond directly to any request for Suspicious Activity Reports or Currency Transaction Reports. 4. The records and copies produced were made by personnel or staff of Municipal Credit Union, or persons acting under their control, in the regular course of business, at the time of the act, transaction, occurrence or event recorded therein, or within a reasonable time thereafter, and that it was in the regular course of Municipal Credit Union's business to make or maintain these records. State of New York County of NY "4- sw m to before me this 1 day of x,2019 /014wii- Signature/Date Notary Pu New York No Queen nty Term Expires April 12, 2022 EFTA00133756
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MC MUNICIPAL CREDIT UNION U U PO Box 3205 Church Street Station New York, NY 10007 (212) 693.4900 ACCOUNT SIGNATURE CARD Account Number: Basis for Membership: Employee of the CI Amends Existing Information Please tell us about yourself X Verification Issued By: NY Date of Birth (MMOD/YYYY) Sopa can umber RAN Gender: x Male par Female Mother's Maiden Name (mothers last name before marriage) Middle Initial Suffix Phone Center ID (4-digits required) Number BROOKLYN NY 11207-1012 House # NS Street Name Street NS APT/ APT! City ST Zip Code EW Type EW FL FL# MAILING ADDRESS (where to direct mai other than the home address) If adding a PO BOX address, check here House # NS EW Street Name Street NS APT/ APT/ City ST Zip Code Type EW BOX BOX# C DHS Employer Name &feeler Job. Title U.S. Person USA NYC Agency Seg. Group 718-363-0702 Work ft 3.500.00 20 0 Cell/Mobile Phone Number Citizenship Gross Income/Month Cash Deposit Amt/Month #Incoming Wires/Month mat ress NYS Learners Permit ID 1 Type Job identification I um r ID 2 Type ID 2 Number Re-Type Email Address (for verification) NY Permit ID 1 Description NYC DHS ID 2 Desaiption ID 2 Expiration Date 03126119 ID 1 Expiration Date 0610120 Joint Account Holder Check if address same as Primary L Verification Issued By: I Amends Existing Information Last Name First Name Date of Birth (MWDOMYYY) Gender: Male Female Add Joint Account Holder Social Security Number Mother's Maiden Name (mothers last name before marriage) (4-digits required) Middle Initial Suffix Phone Center ID Home Phone Number House # NS Street Name Street NS APT! APT/ City ST Zip Code EW Type EW FL FL# Employer Name Job Title Seg. Group Work # Relationship to Primary Member Cell/Motile Phone Number Citizenship Gross Income/Month Cash Deposit Amt/Month ItIncoming Wires/Month Email Address ID 1 Type ID 1 Number Re-Type Email Address (for verification) ID 1 Description ID 1 Expiration Date ID 2 Type ID 2 Number ID 2 Description ID 2 Expiration Date EFTA00133757
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MC MUNICIPAL CREDIT UNION U U PO Box 3205 Church Street Station New York, NY 10007 (212) 6934900 ACCOUNT SIGNATURE CARD Beneficiary Information (optional) X Check if address same as Primary Last Name First Middle Initial Surt x Mr Social Security Number Relationship to Primary Member Home Phone Number BROOKLYN NY 11207 House # NS Street Name Street NS APT! APT! City ST Zip Code EW Type EW FL FL# Mother 347485-3318 Beneficiary Information (optional) Check if address same as Primary Last Name First Name Middle Initial Suffix Date of Birth Social Security Number Relationship to Primary Member Home Phone Number House # NS Street Name Street NS APT! APT! City ST Zip Code EW Type EW FL FL# X Accounts/Services To OPEN: Accounts/Services To RE-OPEN X Shares X FasTrack checking X Instant ATM/Check Card Alternative Checking Money Market x Touch Tone Teller E-Statement x MCU OnLine Banking X Order Checks Young Executive Convert Young Executive/EasySave Account WRG Temporary Password Mailed ATM/Check Card I hereby apply for membership and subscribe for at least one share (55.00) in the Municipal Credit Union and agree to conform to its ByLaws and amendments thereof. I agree to be governed by the Account Agreement, Rules and Regulations and Schedule of Dividends. Service Charges and Fees of the Municipal Credit Union applicable to Share. FasTrack Checking. Vacation. Holiday and Money Market accounts as now in effect and as from time to time amended. I agree to be bound by the terms and conditions of the MCU Cash Connection, MCU ATM/Check Card. MCU OnLine Banking, and Touch Tone Teller Agreements (which will be later mailecVprovided to me), upon my first use of such servioe(s). I understand that the designations made on this signature card/form will apply to all MCU deposit accounts which are or will be in the future maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts), and will have the effect of revoking all previous designations made with regard to such accounts. If a joint tenant has been designated on this signature card, it is agreed that these accounts be payable to either of us and upon the death of one of us. to the survivor. Also, it is agreed that any joint tenant may. without the consent of or notice to the other, pledge all or any part of the shares in these accounts as collateral security for a loan with MCU. If a beneficiary (beneficiaries) has (or have) been designated on this signature card, it is agreed that this is a voluntary and revocable trust, and that upon my/our death, the funds in these accounts, and all other deposit accounts maintained under the same root account number (except IRA, Youth Club, and Share Certificate accounts). will become the property of the named beneficiary or beneficiaries who are alive at the time of my/our death in equal proportions. If both a joint tenant and a beneficiary (or beneficiaries) have been designated on this signature card, it is agreed that the beneficiary(ies) will only acquire an Interest in these accounts upon the death of the last surviving joint tenant. By signing below. VW° authorize Municipal Credit Union to perform a credit investigation including the verification of the information on this application. Verification of income and employment may also be required. Under penalties of perjury, I certify (1) that the number shown on this form Is my correct taxpayer Identification number; and (2) that I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of failure to report all Interest or dividends, or because the Internal Revenue Service has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. citizen (including a U.S. resident alien). The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding. 08:1516 Date Joint Account Holder Signature Date Yes, I elect to accept the Check Imaging option and agree to pay the associated service charge. If Joint Account Holder requests an MCU ATMIChedc Card, check this box. Brooklyn Branch Sponsor Account Number Branch Name Member Service Representative EFTA00133758
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Pileniber Signature MC MUNICIPAL CREDIT UNION U P.O. Box 3205 Church Street Station - New York, NY 10007 (212) 693-4900 ACH Stop Payment Request / Cancellation Please complete, sign and return this form to either request or cancel a stop payment of an electronic (ACH) payment transaction. If you were provided with a pre-addressed envelope with this form, please use it to expedite delivery. Yon can also fax the completed request form to (212) 416.7304. If you requested a stop payment verbally, please be aware of the following: A stop payment request is effective for fourteen (14) calendar days only unless a written request. signed by the account owner and meeting MCU specifications, is received. If a written request, signed by the account owner and including all required information, is not received by MCU within 14 calendar days, your verbal stop payment request will cease to be binding and MCU may honor subsequent debits to your account. Member Name 08/19/19 Account No Date Brooklyn NY 11207-1012 Address / City / State / Zip Please place a stop payment on the following ACH Debit. EXACT Name of Party Originating Payment (Select "All" to stop ACH payments from all parties) Reference Number (Leave blank if unknown) Next Scheduled Presentment Date EXACT Amount (or ANY Amount) Clticards All 0.00 X Any Amount Service Charge: I agree to pay MCU a fee of $20.00 to be debited from my 02 FASTBACK CHECKIaccount (Savings/Checking/MMA) for placing this stop payment. MCU's Agreement to Act: I understand that MCU's sole responsibility pursuant to this stop payment request will be to attempt to act in accordance with this request within a reasonable period after it has been received and accepted. I understand and acknowledge that MCU will not be liable for its failure to stop an ACH debit unless my request was received at least three (3) business days prior to the scheduled presentment date and includes all required information. Recurring Payments: I understand that this stop payment request authorizes MCU to stop all ACH payments matching the information indicated above until either the verbal request expires or the written, signed request is cancelled. Cancellation: I understand that a written, signed stop payment request will remain in effect until MCU processes a written, signed request from me to cancel it, which may take up to 3 business days after receipt of my request. Cancellation Date (OPTIONALI: Please cancel the above-referenced stop payment as of Note: We recommend that you notify the originating party directly if you are revoking your authorization for the ACH payment(s) listed above. 08/19/19 Date For MCU Use Only: MCU Em knee Date Received by: 08/19/19 Reference No. Incident No. Entered By: Verified By: Verbal Request (or unsecured email) Verbal Expiry Date EFTA00133759
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MC- P.O Box 3205 Church Street Station . New York, NY 10007 (212) 693-4900 MUNICIPAL CREDIT UNION ACH Stop Payment Request / Cancellation Please complete, sign and return this form to either request or cancel a stop payment of an electronic (ACH) payment transaction. If you were provided with a pre-addressed envelope with this form, please use it to expedite delivery. Von can also fax the completed request form to (212) 416.7304. If you requested a stop payment verbally, please be aware of the following: A stop payment request is effective for fourteen (14) calendar days only unless a written request. signed by the account owner and meeting MCU specifications, is received. If a written request, signed by the account owner and including all required information, is not received by MCU within 14 calendar days, your verbal stop payment request will cease to be binding and MCU may honor subsequent debits to your account. Member Name 08/19/19 Account No Date Brooklyn NY 11207-1012 Address / City / State / Zip Please place a stop payment on the following ACH Debit. EXACT Name of Party Originating Payment (Select "All" to stop ACH payments from all parties) Reference Number (Leave blank if unknown) Next Scheduled Presentment Date EXACT Amount (or ANY Amount) Macys All 0.00 X Any Amount Service Charge: I agree to pay MCU a fee of $20.00 to be debited from my 02 FASTBACK CHECKIaccount (Savings/Checking/MMA) for placing this stop payment. MCU's Agreement to Act: I understand that MCU's sole responsibility pursuant to this stop payment request will be to attempt to act in accordance with this request within a reasonable period after it has been received and accepted. I understand and acknowledge that MCU will not be liable for its failure to stop an ACH debit unless my request was received at least three (3) business days prior to the scheduled presentment date and includes all required information. Recurring Payments: I understand that this stop payment request authorizes MCU to stop all ACH payments matching the information indicated above until either the verbal request expires or the written, signed request is cancelled. Cancellation: I understand that a written, signed stop payment request will remain in effect until MCU processes a written, signed request from me to cancel it, which may take up to 3 business days after receipt of my request. Cancellation Date (OPTIONALI: Please cancel the above-referenced stop payment as of Note: We recommend that you notify the originating party directly if you are revoking your authorization for the ACH payment(s) listed above. Member Signature 08/19/19 Date For MCU Use Only: MCU Employee Date Received by: 08/19/19 Reference No. Incident No. Entered By: Verified By: Verbal Request (or unsecured email) Verbal Expiry Date EFTA00133760
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MC MUNICIPAL CREDIT UNION U P.O. Box 3205 Church Street Station - New York, NY 10007 (212) 693-4900 ACH Stop Payment Request / Cancellation Please complete, sign and return this form to either request or cancel a stop payment of an electronic (ACH) payment transaction. If you were provided with a pre-addressed envelope with this form, please use it to expedite delivery. Von can also fax the completed request form to (212) 416.7304. If you requested a stop payment verbally, please be aware of the following: A stop payment request is effective for fourteen (14) calendar days only unless a written request. signed by the account owner and meeting MCU specifications, is received. If a written request, signed by the account owner and including all required information, is not received by MCU within 14 calendar days, your verbal stop payment request will cease to be binding and MCU may honor subsequent debits to your account. Account No Date Member Name 08/19/19 Brooklyn NY 11207-1012 Address / City / State / Zip Please place a stop payment on the following ACH Debit. EXACT Name of Party Originating Payment (Select "All" to stop ACH payments from all parties) Reference Number (Leave blank if unknown) Next Scheduled Presentment Date EXACT Amount (or ANY Amount) Lexington Law All 0.00 X Any Amount Service Charge: I agree to pay MCU a fee of $20.00 to be debited from my 02 FASTBACK CBECICraccount (Savings/Checking/MMA) for placing this stop payment. MCU's Agreement to Act: I understand that MCU's sole responsibility pursuant to this stop payment request will be to attempt to act in accordance with this request within a reasonable period after it has been received and accepted. I understand and acknowledge that MCU will not be liable for its failure to stop an ACH debit unless my request was received at least three (3) business days prior to the scheduled presentment date and includes all required information. Recurring Payments: I understand that this stop payment request authorizes MCU to stop all ACH payments matching the information indicated above until either the verbal request expires or the written, signed request is cancelled. Cancellation: I understand that a written, signed stop payment request will remain in effect until MCU processes a written, signed request from me to cancel it, which may take up to 3 business days after receipt of my request. Cancellation Date (OPTIONAL1: Please cancel the above-referenced stop payment as of Note: We recommend that you notify the originating party directly if you are revoking your authorization for the ACH payment(s) lam Member Signature 08/19/19 Date For MCU Use Only: Date Received bv: 08/19/19 Reference No. Incident No. Entered By: Verified By: Verbal Request (or unsecured email) Verbal Expiry Date EFTA00133761
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MC MUNICIPAL CREDIT UNION U P.O. Box 3205 Church Street Station - New York, NY 10007 (212) 693-4900 ACH Stop Payment Request / Cancellation Please complete, sign and return this form to either request or cancel a stop payment of an electronic (ACH) payment transaction. If you were provided with a pre-addressed envelope with this form, please use it to expedite delivery. Yon can also fax the completed request form to (212) 416.7304. If you requested a stop payment verbally, please be aware of the following: A stop payment request is effective for fourteen (14) calendar days only unless a written request. signed by the account owner and meeting MCU specifications, is received. If a written request, signed by the account owner and including all required information, is not received by MCU within 14 calendar days, your verbal stop payment request will cease to be binding and MCU may honor subsequent debits to your account. Member Name 08/19/19 Account No Date Brooklyn NY 11207-1012 Address I City / State / Zip Please place a stop payment on the following ACH Debit. EXACT Name of Party Originating Payment (Select "All" to stop ACH payments from all parties) Reference Number (Leave blank if unknown) Next Scheduled Presentment Date EXACT Amount (or ANY Amount) Best Buy All 0.00 X Any Amount Service Charee: I agree to pay MCU a fee of $20.00 to be debited from my for placing this stop payment. account (Savings/Checking/MMA) MCU's Agreement to Act: I understand that MCU's sole responsibility pursuant to this stop payment request will be to attempt to act in accordance with this request within a reasonable period after it has been received and accepted. I understand and acknowledge that MCU will not be liable for its failure to stop an ACH debit unless my request was received at least three (3) business days prior to the scheduled presentment date and includes all required information. Recurring Payments: I understand that this stop payment request authorizes MCU to stop all ACH payments matching the information indicated above until either the verbal request expires or the written, signed request is cancelled. Cancellation: I understand that a written, signed stop payment request will remain in effect until MCU processes a written, signed request from me to cancel it, which may take up to 3 business days after receipt of my request. Cancellation Date (OPTIONAL1: Please cancel the above-referenced stop payment as of Note: We recommend that you notify the originating party directly if you are revoking your authorization for the ACH payment(s) listed above 1 Member Signature 08/19/19 Date For MCU Use Only: MCU Employee Date i Received by: 08/19/19 Reference No. Incident No. Entered By: Verified By: Verbal Request (or unsecured email) Verbal Expiry Date EFTA00133762
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MC MUNICIPAL CREDIT UNION U .., P.O. Box 3205 Church Street Station New York, NY 10007 (212) 693-4900 ACH Stop Payment Request / Cancellation Please complete, sign and return this form to either request or cancel a stop payment of an electronic (ACH) payment transaction. If you were provided with a pre-addressed envelope with this form, please use it to expedite delivery. Yon can also fax the completed request form to (212) 416.7304. If you requested a stop payment verbally, please be aware of the following: A stop payment request is effective for fourteen (14) calendar days only unless a written request. signed by the account owner and meeting MCU specifications, is received. If a written request, signed by the account owner and including all required information, is not received by MCU within 14 calendar days, your verbal stop payment request will cease to be binding and MCU may honor subsequent debits to your account. Member Name Brooklyn NY 11207-1012 08/19/19 Date Address / City / State / Zip Please place a stop payment on the following ACH Debit. EXACT Name of Party Originating Payment (Select "All" to stop ACH payments from all parties) Reference Number (Leave blank if unknown) Next Scheduled Presentment Date EXACT Amount (or ANY Amount) Paypal All 0.00 X Any Amount Service Charge: I agree to pay MCU a fee of $20.00 to be debited from my 02 FASTBACK CHEC1Craccount (Savings/Checking/MMA) for placing this stop payment. MCU's Agreement to Act: I understand that MCU's sole responsibility pursuant to this stop payment request will be to attempt to act in accordance with this request within a reasonable period after it has been received and accepted. I understand and acknowledge that MCU will not be liable for its failure to stop an ACH debit unless my request was received at least three (3) business days prior to the scheduled presentment date and includes all required information. Recurring Payments: I understand that this stop payment request authorizes MCU to stop all ACH payments matching the information indicated above until either the verbal request expires or the written, signed request is cancelled. Cancellation: I understand that a written, signed stop payment request will remain in effect until MCU processes a written, signed request from me to cancel it, which may take up to 3 business days after receipt of my request. Cancellation Date (OPTIONALI: Please cancel the above-referenced stop payment as of Note: We recommend that you notify the originating party directly if you are revoking your authorization for the ACH payment(s) " Member Signature 08/19/19 Date For MCU Use Only: MCU Employee Dale i Received by: Oa /1 9/1 9 Reference No. Incident No. Entered By: Verified By: Verbal Request (or unsecured email) Verbal Evpiry Date EFTA00133763