Financial Wellness | Timberland Federal Credit Union

Account Type

Eligibility

Timberland Federal Credit Union is open to anyone who lives, works, worships or attends school in Clearfield, Jefferson, or Centre County. Immediate family members of current members are also eligible to join. This includes a spouse, child, sibling, parent, grandparent, grandchild, stepparent, stepchild, stepsibling, and adoptive relationships. People living in the same household as a current member, defined as “living in the same residence, maintaining a single economic unit”, are also eligible to join. As a requirement for membership, you must open and maintain a Share Savings account with a minimum balance of $5.00.

Before proceeding, please confirm your eligibility below:

Basic Information

Name*

First Name Last Name

Email*

Phone*

Date of Birth*

Social Security Number*

Address

Address*

Address City State Zip Code

Mailing address is different (Optional)

Mailing Address

Mailing Address City State Zip Code

Previous Address

Have you lived at this address for less than 2 years?*

Yes

Address

Previous Address City State Zip Code

Identification

What form of ID would you prefer to use?*

Drivers license or state-issued ID

US Passport

License Number

State

Expiration Date

Passport Number

Expiration Date

Tax Status

Tax Status*

I am not subject to backup withholding. This is most common. Under penalties of perjury, I certify that 1. My Social Security number is correct, 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, 3. I am a U.S. citizen or U.S. resident alien, and 4. I am exempt from FATCA reporting.

I am subject to backup withholding. You will know if this applies to you. Under penalties of perjury, I certify that 1. My Social Security number is correct, 2. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, 3. I am a U.S. person or U.S. resident alien, and 4. I am exempt from FATCA reporting.

If you have any questions about how to complete this section please download instructions.

Additional Information

Occupation*

Company*

Please select the branch location you will consider your home branch office.*

DuBois - 821 Beaver Drive, DuBois, PA

Clearfield - 8764 Clearfield-Curwensville Hwy, Clearfield, PA

Phillipsburg - 201 North Front St, Philipsburg, PA

Pleasant Gap - 161 W College Ave, Pleasant Gap, PA

Joint Applicant

Will this be a joint account?*

No, I am the only applicant

Yes, I have a co-applicant

Co-Applicant Basic Information

Name

First Name Last Name

Phone

Date of Birth

Social Security Number

Co-Applicant Address

Address*

Address City State Zip Code

Mailing address is different

Address*

Mailing Address City State Zip Code

Co-Applicant Previous Address

Have you lived at this address for less than 2 years?

Yes

Address*

Previous Address City State Zip Code

Co-Applicant Identification

What form of ID would you prefer to use?

Drivers license or state-issued ID

US Passport

License Numer

State

Expiration Date

Passport Number

Expiration Date

Co-Applicant Tax Status

Tax Status*

If you have any questions about how to complete this section please download instructions.

Co-Applicant Additional Information

Occupation

Company

Authorization

Security Code

Secure Form

Account Type

Eligibility

Basic Information

Address

Mailing Address

Previous Address

Identification

Tax Status

Additional Information

Joint Applicant

Co-Applicant Basic Information

Co-Applicant Address

Co-Applicant Previous Address

Co-Applicant Identification

Co-Applicant Tax Status

Co-Applicant Additional Information

Authorization

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