ALL FORMS
Account Opening Disclosures
Form #7017
This form contains the disclosures required by the Truth in Lending Act for credit card accounts prior to conducting the first transaction
Available in electronic format only
8-1/2" x 11"
Advanced Truth-in-Lending Disclosure
Form #4105
This disclosure contains the information required under the Truth in Lending Act to be provided at the time of application. It is tailored to your credit union's unique account terms. This form is only available as part of the Equity Entrée Lending Program and is not sold individually
PDF or Word document
electronic
8-1/2” x 14”
Application and Solicitation Disclosures
Form #7016
This form contains the disclosures required by the Truth in Lending Act for credit card applications, solicitations and pre-approval notices
Single-sided
Minimum order 100 and in increments of 10
8-1/2” x 11”
Authorization for Payoff & Demand for Termination Statement
Form #26
This form is used to authorize the credit union to pay off an existing lien on a member’s vehicle and direct the lienholder to release the title to the credit union
2 part, NCR;
100 pkg. Minimum order 100
8-1/2” x 6-1/2”
Business Account Application and Agreement
Form #560
This account agreement establishes a business account relationship. It can be used for different types of business structures: sole proprietorship; general or limited partnerships; limited liability companies; corporations and unincorporated associations. It is an application and agreement for both a share savings account and/or a share draft account. This card is to be used along with a rate and fee schedule.
2 part NCR
100/pkg Minimum order 100
12” x 5”; folds to 3" x 5"
California Financial Information Privacy Act Notice
Form #5107
This notice is designed to provide consumers with the information required under California law if the credit union shares non-public personal information with a third-party financial institution that is not subject to a joint marketing agreement. It can be used to satisfy both account opening and annual disclosure requirements and, if applicable, provide necessary opt-in/opt-out information.
Minimum order 250
7-1/3" x 8-1/2" flat; folds to 3-2/3" x 8-1/2"
Certificate of Tax Exempt Status
Form #1285
Can be used to certify tax-exempt status for federal credit unions
PDF
Electronic only
8-1/2” x 5-1/2”
Certification of Trust
Form #541
A credit union opening or modifying a trust account may require the trustee to provide a certification of trust in accordance with California Probate Code §18100.5 to establish the existence or the terms of the underlying trust. This form identifies the key information set forth in §18100.5 and can be completed by the trustee in lieu of providing his or her own certification of trust. It should be acknowledged before a notary public or other authorized person.
Available only in electronic .pdf format
Closing Disclosure
Form #4251
This form replaces the HUD-1A Settlement Statement form (CU Store Form #4250) and the Final Truth in Lending Disclosure (CU Store Form #4117). Like the Loan Estimate form, the attached Closing Disclosure form is used for transactions without sellers, including fixed rate home equity loans. This form is part of the Equity Entree Closed End Lending program and is not available for individual sale.
Electronic only
PDF
8.5 x 11
Consumer Lending Advance Request Voucher
Form #SL04
This makes it easy for members to request advances under an open-end loan agreement.
8-1/2” x 11”
Consumer Lending Guaranty Agreement
Form #SL06
This agreement will unconditionally obligate the guarantor/cosigner to the initial loan and any subsequent advances in accordance with the terms of the loan and security agreement. It is not intended to replace, but is used in conjunction with the “Notice to Cosigner” under California state law.
Consumer Lending Note and Disclosure Statement
Form #SL07
This closed-end note and disclosure binds members to the credit agreement, outlines terms of default, and contains the disclosure statement to cover all Regulation Z and Truth-in-Lending disclosure requirements.
Consumer Loan Application
Form #SL02
This application is for all consumer loans—open- and closed-end, including credit cards. It includes advance disclosures, with specific and consensual pledge of shares and is in compliance with Regulation Z.
Brochure format.
Minimum order 100
Credit Card Agreement
Form #7018
This agreement contains the terms and disclosures applicable to your credit card accounts based upon the information provided by your credit union. It can be designed in a variety of layout options
2 part NCR.
Minimum order 250
8-1/2" x 11" Custom Form.
Credit Card Application
Form #7015
This form is designed to obtain essential information from your member when applying for a credit card account. Language is available for both share-secured and unsecured credit card accounts.
Minimum order 250
14" X 8-1/2" flat and letter folds to 3-1/2" X 8-1/2"
Credit Score and Risk Based Pricing Disclosures
Form #4123
This form is designed to meet the Fair Credit Reporting Act disclosure requirements when, based on the borrower's credit report, a loan is made at less favorable terms than what is provided to other borrowers. The form(s) is available in electronic PDF format with fillable fields. Credit unions can choose from the following forms that meet the requirements of the Appendix H model forms:
- B-1 Model form for risk-based pricing notice
- B-2 Model form for account review risk-based pricing notice
- B-3 Model form for credit score disclosure exception for credit secured by one to four units of residential real property
- B-4 Model form for credit score disclosure exception for loans not secured by residential real property;
- B-5 Model form for credit score disclosure exception for loans where credit score is not available.
Deed of Trust
Form #4223
The closed-end deed of trust is the real property security instrument which secures the creedit union's interest in the real property when recorded in the county in which the property is located. This form is only available as part of the Equity Entrée Lending Program and is not sold individually
electronic
8-1/2” x 11”
Designation of Beneficiary for Share and/or Insurance
Form #513
This card is designed to be used in conjunction with a separate account agreement to add pay-on-death beneficiaries. It can be used if your account agreement does not include a pay on death beneficiary designation section or to update an existing beneficiary designation.
100/pkg., Minimum order 100
3” x 5”
Electronic Funds Transfer Disclosure
Form #4182
This disclosure contains the information required under the Electronic Funds Transfer Act to be provided to all account holders who access their account electronically. At your option, it can address ATM services, check/debit cards, home banking or bill paying services, ACH, audio response, and/or mobile banking. If you prefer, separate disclosures for these services are available. It is tailored to your credit union’s unique account terms and is presented in a brochure format.
Multi-panel
Minimum order 250
14" x 8-1/2" folds to 3-1/2" x 8-1/2"
Equal Housing Lender Sign
Form #4128
Lets members know that “We Do Business in Accordance With Federal Fair Lending Laws.” This information must be posted by state and federal credit unions offering real estate loans.
Sold Individually
8-1/2” x 14”
Equity Entrée Advance Request Voucher
Form #4108
This voucher is to record a requested loan against a home equity line of credit.T his form is only available as part of the Equity Entrée Lending Program and is not sold individually.
n/a
electronic
8-1/2” x 3-3/4”
Equity Entrée Closed-End Program
Form #4101
If you are on the Equity Entrée program and want to offer closed-end fixed rate loans to members, order this option.
Equity Entrée Loan Application
Form #4125
A standard length loan application for use with the Equity Entrée Program. This form is only available as part of the Equity Entrée Lending Program and is not sold individually
electronic
8-1/2” x 11”
Equity Entrée Note
Form #4117
This promissory note binds members to the credit agreement and outlines the terms of default. This form is sold as part of the Equity Entree Lending Program and is not available for individual sale.
Electronic only
PDF
8-1/2” x 14"
Extension Agreement FCU 115
Form #491
This is a modification agreement used to reduce the monthly payment amount on a closed-end consumer loan (not real estate secured), resulting in an extended repayment period.
3 part, NCR;
50/pkg. Minimum order 50
8-1/2” x 11”
Federal Gramm-Leach-Bliley Act (GLBA) Privacy Notice
Form #5106
This notice is designed to provide consumers witht he information required under a federal law about how the credit union collects, shares and protects consumer infomraiton based upon the credit union's information-sharing proactices. It canbe used to satisfy both account opening and annual disclosure requirements and, if applicable, provide necessary opt-out information.
8-1/2” x 11”
FEMA Standard Flood Hazard Determination
Form #4141
Required for all real estate loans. FEMA regulation requires this form to be completed to identify whether the home being used as security for a loan is in a flood area. This form is only available as part of the Equity Entrée Lending Program and is not sold individually.
electronic
8-1/2” x 11”
Holden Act Fair Lending Notice
Form #1208
In accordance with the 1977 Housing Financial Discrimination Act, state and federal credit unions must provide this notice to members applying for real estate loans.
2 part, NCR
100/pkg. Minimum order 100
8-1/2” x 11”
Holden Act Fair Lending Sign
Form #1209
In accordance with the 1977 Housing Financial Discrimination Act, state and federal credit unions that make real estate loans must display this sign.
Sold Individually
8-1/2” x 11”
Home Equity Deed of Trust (Open-End)
Form #4121
This deed of trust secures the credit union’s interest in the real property when recorded in the county in which the property is located. This form is only available as part of the Equity Entrée Lending Program and is not sold individually.
electronic
8-1/2” x 11”
Loan Estimate
Form #4261
This form replaces the Good Faith Estimate of Settlement Costs form (CU Store Form #4260) and the Initial Truth in Lending Disclosure (CU Store Form #4117). The new Loan Estimate form is used for transactions without sellers, including fixed rate home equity loans. These forms are part of the Equity Entree Closed End Lending program and are not available for individual sale.
Electronic only
PDF
8.5 x11
Membership Application and Account Agreement
Form #5132
This card is an all inclusive membership application and account agreement for a regular share savings account. It allows for joint owners, and beneficiary designations and includes a request for tax identification number. This agreement may be used for multiple accounts with the same ownership structure. This card is to be used with a Truth in Savings disclosure and a rate and fee schedule.
2 part NCR
100/pkg Minimum order 100
12” x 5” Folds to 3” x 5”
Mini Loan Application
Form #SL03
This form is an abbreviated version of the Consumer Loan Application (Form #SL02) and can be used for both open-end and clsoed-end loans
Brochure format
Notice of Right to Cancel
Form #4119
When a security interest is taken in a consumer’s primary residence, this Notice of Right to Cancel (Rescind) is required by the Truth in Lending Act to be given to each consumer whose ownership interest will be subject to the security interest. It informs consumers of their right to cancel the loan transaction subject to the limitations provided by the Truth in Lending Act. Available only in electronic PDF or Word format and only offered as part of the Equity Entree Home Equity Loan Package.
PDF or Word document
8-1/2” x 14"
Notice to Co-Signer
Form #42
This form contains the notice required by both state and federal law to be provided to any co-signer on a consumer loan. It contains both the English and Spanish translation.
3 part, NCR.
100/pkg. Minimum order 100
5-1/2” x 8-1/2”
Notification of Action Taken and Statement of Reasons and/or Counteroffer
Form #118
This is an adverse action notice for both open-end and closed-end consumer loans. It also includes the required Equal Credit Opportunity Act notice
2 part, NCR;
50/pkg. Minimum order 50
8-1/2” x 11”
Open-End Credit Agreement and Truth-in-Lending Disclosure
Form #SL01
This open-end note and disclsoure is uned to create a binding credit agreement. It outlines the specific terms and conditions of the loan and contains the disclosures required by the Truth in Lending Act.
Payroll Deduction
Form #91
This card is used to initiate, change, or to discontinue automatic payroll deductions.
3 part, NCR;
100/pkg Minimum order 100
5-1/2” x 5-1/8”
RESPA Service Transfer Disclosure
Form #4245
This disclosure is required to be given to your borrower when a first lien position is taken on real property, including with the Equity Entrée program It also complies with the Real Estate Settlement Procedures Act (RESPA) and meets format requirements of Regulation X.This form is only available as part of the Equity Entrée Lending Program and is not sold individually
electronic
8-1/2” x 14”
Right to Appraisal Report
Form #4115
Required by California State law and Regulation B, the Equal Credit Opportunity Act, this report informs members of their right to receive a copy of their appraisal. This form is only available as part of the Equity Entrée Lending Program and is not sold individually.
electronic
8-1/2” x 11”
Safety Tips When Using Your Credit Union ATM
Form #4180
This notice contains important information designed to educate members on the safe use of automated teller machines (ATMs), as required by California state law when issuing an ATM or debit card. It is sized for convenient statement stuffer mailing.
100 pkg., Minimum order 100
3-1/4” x 7-5/8”
Share Certificate
Form #5110
This certificate is designed to provide important disclosures under the Truth in Savings Act applicable to a new share certificate account. This certificate is designed to be used with a complete Truth in Savings disclosure and a rate and fee schedule.
2 part NCR
100/pkg Minimum order 100
8-1/2” x 11”
Share Certificate (Short Form)
Form #5166
This modified share certificate is designed to provide select key disclosures under the Truth in Savings Act applicable to a new share certificate account. This certificate is designed to be used with a complete Truth in Savings disclosure and a rate and fee schedule.
2 part NCR
Minimum order 100
8-1/2” x 5-1/2”
Share Certificate Maturity Notice
Form #1163
This is a multipurpose document designed to notify your member of an upcoming share certificate maturity date and provide options for renewal or disbursement.
2 part NCR
100/pkg., Minimum order 100
5-1/2” x 8-1/2”
Share Draft Application and Agreement
Form #530
This is a stand alone share draft application and account agreement to establish a share draft. It does not include the membership application, It includes language with options for both share and loan overdraft protection. This card is designed to be used with a Truth in Savings disclosure and a rate and fee schedule.
2 part; NCR
100/pkg Minimum order 100
12” x 5” Folds to 3” x 5”
Special Power of Attorney
Form #850
This form designates an attorney-in-fact or agent to act on behalf of the account owner or principal to perform certain transactions involving specified credit union accounts. This form is available only as an electronic PDF version.
PDF or Word
Electronic
8-1/2” x 14”
Stop Payment Order
Form #517
This form is a member authorization to stop payment on a specific share draft or pre-authorized transfer.
3 part NCR
100/pkg Minimum order 100
8-5/8” x 3-7/8”
Totten Trust Account Agreement
Form #534
This account agreement is used to place funds in a revocable trust account independent of any other estate planning device a member or owner may be party to outside the credit union. It includes a trust agreement and space to designate beneficiaries for both shares and insurance. It also includes a request for taxpayer identification number and back-up withholding certification. This card is to be used with a Truth in Savings disclosure and a rate and fee schedule.
2 part, NCR
100/pkg Minimum order 100
4” x 8-1/2” Folds to 4” x 3”
Transfer of Funds
Form #143
This form allows a member to authorize a one-time transfer funds from another financial institution to the credit union. It is not designed to be used to transfer IRA or other retirement plan funds.
3 part, NCR;
100/pkg Minimum order 100
7-1/2” x 4-1/2”
Transfer to Minors Account Agreement
Form #536
This account agreement creates an irrevocable transfer of funds to a minor in compliance with the California Uniform Transfer to Minors Act. It includes a transfer agreement, request for tax identification number, certification and designation of successor custodian. This card is to be used along with a Truth in Savings disclosure and a rate and fee schedule.
2 part NCR
100/pkg Minimum order 100
3” x 5”
Trustees Account Agreement
Form #540
This card establishes an account at the credit union for funds subject to a revocable or irrevocable trust. It is designed to be used when the account owners have an established trust outside the credit union. It identifies the trustee(s), successor trustees and beneficiaries. It indemnifies and holds the credit union harmless with regard to the actions of the trustees. This card is to be used along with a Truth in Savings disclosure and a rate and fee schedule.
2 part NCR
100/pkg Minimum order 100
4” x 12” Folds to 4” x 3”
Truth-in-Savings Disclosure
Form #5150
This disclosure contains the information required under the Truth in Savings Act to be provided to all account holders at the time an account is opened or upon request. It is tailored to your credit union’s unique terms and is presented in a brochure format
Multi-page brochure
Minimum order 500
Variable Rate Loan Agreement & Truth-in-Lending Disclosure
Form #4106
This is a promissory note which binds members to the credit agreement and outlines the terms of default. It is a required agreement and Truth-in-Lending disclosure for the Equity Entrée program to be used with the open-end program. This document details the terms of the loan for the member. It is available to credit unions on the Equity Entrée program and is customized to meet your needs. This form is only available as part of the Equity Entrée Lending Program and is not sold individually.
electronic
8-1/2” x 14”
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