Account Beneficiary Card 2

Account Beneficiary Card

The beneficiaries will receive all the funds from your account in the event of the death of the account owner.

Member Name

Joint Owner Name

Account Number

Date

Please add/change the following beneficiary(ies) to my/our account:

Beneficiary One

Name

SSN

Address

City

State

ZIP

Phone

Date of Birth

Relationship

Beneficiary Two

Name

SSN

Address

City

State

ZIP

Phone

Date of Birth

Relationship

Beneficiary Three

Name

SSN

Address

City

State

ZIP

Phone

Date of Birth

Relationship

Beneficiaries cannot withdraw unless: (1) all persons creating the account die, and (2) the beneficiary is then living. If two or more beneficiaries are named and survive the death of all persons creating the account, such beneficiaries will own this account in equal shares, without right of survivorship. The person(s) creating the beneficiaries reserves the right to change beneficiaries at any time.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

September 10, 2021 3:31 pm PDT

Account Beneficiary Card 2 Uploaded by Adam McGee - [email protected] IP 69.4.146.122

November 28, 2021 10:33 pm PDT

California Community Credit Union - [email protected] added by California Community Credit Union - [email protected] as a CC'd Recipient Ip: 67.199.161.80

July 20, 2022 11:13 am PDT

California Community Credit Union - [email protected] added by Adam McGee - [email protected] as a CC'd Recipient Ip: 50.207.9.75

July 20, 2022 11:14 am PDT

California Community Credit Union - [email protected] added by Adam McGee - [email protected] as a CC'd Recipient Ip: 50.207.9.75

November 10, 2022 1:12 pm PDT

California Community Credit Union - [email protected] added by Adam McGee - [email protected] as a CC'd Recipient Ip: 50.207.9.75

March 21, 2023 2:42 pm PDT

California Community Credit Union - [email protected] added by Adam McGee - [email protected] as a CC'd Recipient Ip: 69.4.146.122

March 22, 2023 9:56 am PDT

California Community Credit Union - [email protected] added by Adam McGee - [email protected] as a CC'd Recipient Ip: 69.4.146.122