Fillable OwnershipChangeRequestInternetAccountsOnly OWNERSHIP CHANGE REQUEST

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OwnershipChangeRequestInternetAccountsOnly OWNERSHIP CHANGE REQUEST

On average this form takes 18 minutes to complete

The OwnershipChangeRequestInternetAccountsOnly OWNERSHIP CHANGE REQUEST form is 2 pages long and contains:

  • 2 signatures
  • 10 check-boxes
  • 61 other fields

Country of origin: US
File type: PDF

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OWNERSHIP CHANGE REQUEST
flagstar.com
Rev. 0314 • Member FDIC
You can use this Ownership Change Request form to add joint signers or beneficiaries to any existing account. Simply complete
information regarding your existing account, and then add the new signers/beneficiaries.
Primary Signer (account holder)
Last Name: First Name: Middle Initial:
Social Security Number: Date of Birth:
Contact Information
Address: PO Box:
City: State: Zip Code:
Home Phone: Cell Phone:
Work Phone: ext.
Account Information (please list account numbers)
# #
# #
# #
Add Joint Owner/Beneciary
q Add as Joint q Add as Beneficiary
Last Name: First Name: Middle Initial:
Social Security Number: Date of Birth:
Address: PO Box:
City: State: Zip Code:
Phone: Employer/Position:
Mother’s Maiden Name:
Add Joint Owner/Beneciary
q Add as Joint q Add as Beneficiary
Last Name: First Name: Middle Initial:
Social Security Number: Date of Birth:
Address: PO Box:
City: State: Zip Code:
Phone: Employer/Position:
Mother’s Maiden Name:
PAGE 1 OF 2
»
OWNERSHIP CHANGE REQUEST
flagstar.com
Member FDIC
Add Joint Owner/Beneciary
q Add as Joint q Add as Beneficiary
Last Name: First Name: Middle Initial:
Social Security Number: Date of Birth:
Address: PO Box:
City: State: Zip Code:
Phone: Employer/Position:
Mother’s Maiden Name :
Additional Information
q Check box if a line of credit is attached to the checking account and a new application is included with the request.
Do you have a safe deposit box with Flagstar?
q Yes q No
q Check box if additional documentation (marriage license, trust papers, etc.) is attached.
Note: Please include a driver’s license, state identication or passport along with one of the following pieces of identication: current car registration,
current utility bill, insurance card or voter registration card for all new signers. Owners cannot be removed from an existing account. The account must
be closed and a new account opened. The only exception to this rule is in the event of account owner’s death. At that time the deceased owner can
be removed and a new owner added. A death certicate is required for verication.
Primary Signature: Date:
Joint Signature: Date:
Important Information
Once complete and signed, please mail or fax to:
Mail: Flagstar Bank | Internet Banking | Mail Stop 4-323 | 301 W. Michigan Avenue | Jackson, MI 49201
Fax: (248) 250-5551
PAGE 2 OF 2
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OwnershipChangeRequestInternetAccountsOnly OWNERSHIP CHANGE REQUEST

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Completed 3 July 2020

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