Fillable RETURN INSTRUCTIONS Upload/Secure Message Log in at ally.com, (Ally Bank)

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RETURN INSTRUCTIONS Upload/Secure Message Log in at ally.com, (Ally Bank)

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RETURN INSTRUCTIONS
Return this form with any attached documents using one of these methods:
Mail
Ally Bank
PO Box 951
Horsham, PA 19044
Fax
Subject Line: Operations
Fax Number: 866-699-2969
Upload/Secure Message
Log in at ally.com, choose Email / Bank Accounts / Send a New Secure Message.
BENEFICIARY ELECTION FORM
Use this form to:
Account Owner Information
FIRST NAME M.I. LAST NAME / SUFFIX (JR., SR., III, ETC)
1
Consult www.fdic.gov for more information on FDIC
coverage.
UPDATED 02/2020
Beneficiary Information
Other
ACCOUNT NUMBER(S)
FIRST NAME M.I LAST NAME / SUFFIX (JR., SR., III, ETC)
RESIDENTIAL STREET ADDRESS (NO P.O. BOXES) DATE OF BIRTH
RESIDENTIAL CITY, STATE AND ZIP COUNTRY
SOCIAL SECURITY / TAX ID NUMBER
IDENTIFICATION NUMBER
OR
Alien ID card
(Choose one)
Driver’s License
Passport Military ID
ISSUER ISSUE DATE EXPIRATION DATE
Ally Bank, Member FDIC
QUESTIONS? CALL 1-877-247-2559 OR VISIT WWW.ALLY.COM
The FDIC has made updates to its regulatory requirements for record-keeping, requiring us to maintain complete and accurate beneficiary information.
To meet requirements, we need your help to provide us with a valid government-issued ID number for each of your beneficiaries.
Choose the following:
https://aticsi.webex.com/mw3300/mywebex/default.do?service=1&main_url=%2Fmc3300%2Fe.do%3Fsiteurl%3Daticsi%26AT%3DMI%26EventID%3D838520852%26MTID%3Dme136cc351dca759d699da09bbd5915%26Host%3DQUhTSwAAAARoY2zVRQUG7MDCInf_R bgZ6M_polw8WJidKYLMZbl2JKx_uB63Taaib_dOTRvtglttnuV4WDB4kETbNccnlN0%26FrameSet%3D2&siteurl=aticsi&nomenu=true
BENEFICIARY ELECTION FORM
ACCOUNT OWNER’S SIGNATURE DATE
2
Choose the following:
Other
ACCOUNT NUMBER(S)
FIRST NAME M.I LAST NAME / SUFFIX (JR., SR., III, ETC)
RESIDENTIAL STREET ADDRESS (NO P.O. BOXES) DATE OF BIRTH
RESIDENTIAL CITY, STATE AND ZIP COUNTRY
SOCIAL SECURITY / TAX ID NUMBER
IDENTIFICATION NUMBER
OR
Alien ID card
(Choose one)
Driver’s License
Passport
Military ID
ISSUER ISSUE DATE EXPIRATION DATE
UPDATED 02/2020
Choose the following:
Other
ACCOUNT NUMBER(S)
FIRST NAME M.I LAST NAME / SUFFIX (JR., SR., III, ETC)
RESIDENTIAL STREET ADDRESS (NO P.O. BOXES) DATE OF BIRTH
RESIDENTIAL CITY, STATE AND ZIP COUNTRY
SOCIAL SECURITY / TAX ID NUMBER
IDENTIFICATION NUMBER
OR
Alien ID card
(Choose one)
Driver’s License
Passport
Military ID
ISSUER
ISSUE DATE EXPIRATION DATE
Ally Bank, Member FDIC
QUESTIONS? CALL 1-877-247-2559 OR VISIT WWW.ALLY.COM
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RETURN INSTRUCTIONS UploadSecure Message Log in at ally.com, (Ally Bank)

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Completed 30 July 2020

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