Fillable Business Change of Information/ Additional Services Application Navy (Navy Federal Credit Union)

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Business Change of Information/ Additional Services Application Navy (Navy Federal Credit Union)

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© 2020 Navy Federal NFCU 97BAC (4-20)
Page 1 of 3
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This document contains both information and form fields. To read information, use the Down Arrow from a form field.
Navy Federal
®
Business Change of Information/
Additional Services Application
(Instructions and General Information)
Note: For fastest processing, please review and follow all instructions. Complete only the section(s) applicable to the request. All owners
must sign authorizing the changes.
Changes to General Information
Only changes to current information should be provided in this section. Any changes to business entity structure or ownership will require
submission of additional or updated documentation to Navy Federal.
• Business name change requires submission of Articles of Amendment or an updated annual report showing the name change and any
additional documentation required for the specific business entity type.
• New/Additional Doing Business As requires submission of a Doing Business As, Trade Name, or Fictitious Name Certificate.
• Changing Business Entity Structure requires submission of Articles of Amendment or state-filed conversion documents and any additional
documentation required for the specific business entity type.
• Navy Federal recognizes that the title of Business Entity documents may vary by U.S. state, county, and/or locality. Navy Federal may
accept documents that it determines meet its documentation requirements.
Benecial Owner Certication
To help the government ght nancial crime, federal regulation requires certain nancial institutions to obtain, verify, and record information about
the benecial owners of legal entity customers.
• If there is a change in ownership, a new Certification Regarding Beneficial Owners of Legal Entity Customers (NFCU 98) form is required.
• If adding a new product, a certification regarding the most recent NFCU 98 provided to Navy Federal is required.
Add Products
• When adding a product/service, complete the Beneficial Owner Certification section of this form.
• Fees may apply to Basic, Plus, and Premium checking accounts. Refer to the Business Services Schedule of Fees and Charges for
more information.
Close Products/Membership
This section is used to request the closure of specic products or to close the entire business membership.
• If funds are in an account that is requested to be closed, the owner(s) must indicate how funds should be disbursed.
• Accounts must be in good standing to be closed. Except for a Business Credit Card, all lending accounts must be paid in full to be closed.
Add/Remove Owner(s)/Authorized Signer(s)
• Authorized Signers are allowed access to all Business Checking and Savings accounts.
• Only the business owner(s) is/are allowed to add or remove Authorized Signers from business accounts.
• If Authorized Signer is not a current Navy Federal member, a copy of their government-issued ID is required.
• Any owners or Authorized Signers requesting to be added to the business membership must have all NFCU accounts (personal and business)
in good standing.
Note: When removing an owner, all owners (current and the one(s) being removed) must sign the 97BAC.
Signatory Authorization and Agreements
Signatures must be provided by all business owners, entity owner representatives, and authorized signers.
Note: Authorized Signers only have to sign if being added.
Submission Instructions
Branch:
Visit a local branch to submit the completed form and supporting documentation as required.
Online:
Sign in to Online Banking and use the “Send Us a Message” option. Attach the completed form and supporting documentation.
Navy Federal
®
Business Change of Information/
Additional Services Application
Page 2 of 3
Business Name: Tax ID No. (EIN or SSN):
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New Business Name: New Tax ID No. (EIN or SSN):
Addition(s) Removal(s)
Addition(s) Removal(s)
Addition(s) Removal(s)
New Physical Address of Business: Street
(Cannot Be a Post Ofce Box)
City State Zip Code
New Mailing Address of Business: Street City State Zip Code
Street City State Zip Code Associated DBA
Street City State Zip Code Associated DBA
Street City State Zip Code Associated DBA
New Business Phone:
New Alternate Phone: New Business Email Address:
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______________________________________________________________________________________________________________________________
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Business Access No.
© 2020 Navy Federal NFCU 97BAC (4-20)
INSTRUCTIONS: Complete only the section(s) applicable to your request. All owners must sign authorizing changes.
Please Note: Any changes to entity type or ownership will require updated business entity documents.
Current Information
Changes to General Information (Please provide new information only.)
Changes to a DBA(s) (including: the addition or removal of a DBA(s))
List All Additional Locations of Business and the Associated DBA
Change Business Entity Structure (Information will not be changed unless proper proof is received):
Sole Proprietorship Partnership Corporation Sole-Member Limited Liability Company (LLC) Multi-Member Limited Liability Company (LLC)
I have included the following as legal proof of existence of the business:
Business License Fictitious Name Certificate (or Certificate of Assumed Name) Partnership Agreement
Articles of Incorporation Articles of Organization IRS EIN Letter
Operating Agreement Corporate Bylaws Articles of Amendment/Conversion Document
Articles of Amendment Other
To help the government fight financial crime, federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners
of legal entity customers. This section must be completed when adding a product or adding/removing owner(s).
Benecial Owner Certication
Select one of the following:
N/A – Business is a sole proprietorship, unincorporated association, or otherwise not applicable.
Certification Regarding Beneficial Owners of Legal Entity Customers (NFCU 98) form attached.
I certify that I am familiar with the most recent NFCU 98 form provided to Navy Federal and confirm that all information provided on that form is up to date and accurate.
Add Products
Note: When adding a product/service, also complete the Benecial Owner Certication section of this form.
Please note that fees may apply to the Basic, Plus, and Premium checking accounts. Refer to the Business Services Schedule of Fees and Charges for more information.
Add the Following Products:
Business Basic Checking (owner and 1 signer allowed)
Issue Business Debit Card
Business Jumbo Money Market Savings
Business Plus Checking (unlimited signers)
Business Savings
Business Money Market Savings
Business Premium Checking (unlimited signers)
Business Membership Savings (minimum $5 deposit required)
Close Products/Membership
Close the Following Products/Membership:
Business Basic Checking Business Premium Checking Business Jumbo Money Market Savings
Business Plus Checking Business Membership Savings Business Money Market Savings
Close Lending Products Business Savings
List Specific Account Number(s)
Close Entire Business Membership Mail funds to Business Address on record Transfer funds to Navy Federal Account #
*97BAC*
Clear
© 2020 Navy Federal NFCU 97BAC (4-20)
Page 3 of 3
Owner 1 Signature
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Printed Name Date (MM/DD/YY)
Owner 2 Signature
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Printed Name Date (MM/DD/YY)
Owner 3 Signature
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Printed Name Date (MM/DD/YY)
Owner 4 Signature
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Printed Name Date (MM/DD/YY)
As Representative for Entity Owner 1 Signature
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Printed Name Date (MM/DD/YY)
As Representative for Entity Owner 2 Signature
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Printed Name Date (MM/DD/YY)
Authorized Signer 1 Signature
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Printed Name Date (MM/DD/YY)
Authorized Signer 2 Signature
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Printed Name Date (MM/DD/YY)
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Name: First MI Last Sufx
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Access Number:
Date of Birth (MM/DD/YY): SSN: Home Phone No.: Alternate Phone No.:
Residential Address:
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Name: First MI Last Sufx
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Access Number:
Date of Birth (MM/DD/YY): SSN: Home Phone No.: Alternate Phone No.:
Residential Address:
In addition to the Business Owner, the following named person(s) is/are authorized, on behalf of the Business, to execute any document required by
Navy Federal to transact business, including to sign or endorse any order for the payment or withdrawal of funds from this account. A Business Owner is
the only individual entitled to add and delete Authorized Signers. (Check the appropriate box to indicate if the Authorized Signer is also a current Member.)
Add/Remove Owner(s)/Authorized Signer(s) - In Addition to Existing Signatories on This Account
Note: When adding/removing owner(s), also complete the Benecial Owner Certication section of this form.
Add Owner/Authorized Signer Remove Owner/Authorized Signer
Owner Authorized Signer
Issue Business Debit Card?
Yes No
Current Member:
Yes No
If not a Navy Federal Credit Union Member, the following information must be provided.
(If not a current Member, copy of valid government-issued ID required.)
Add/Remove Owner(s)/Authorized Signer(s) - In Addition to Existing Signatories on This Account
Note: When adding/removing owner(s), also complete the Benecial Owner Certication section of this form.
Add Owner/Authorized Signer Remove Owner/Authorized Signer
Owner Authorized Signer
Issue Business Debit Card?
Yes No
Current Member:
Yes No
If not a Navy Federal Credit Union Member, the following information must be provided.
(If not a current Member, copy of valid government-issued ID required.)
Signatory Authorizations and Agreements
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Business Change of Information Additional Services Application Navy (Navy Federal Credit Union)

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Completed 8 April 2021

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