Form 97Ci ≡ Fill Out Printable PDF Forms Online

Question	Answer
Form Name	Form 97Ci
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	navy federal forms, navy form joint owner, name change navy federal, form joint owner

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Navy Federal®

Change of Information/Add Joint Owner

For Office Use Only

Access No.

Savings No.

A. My Current Information

Name: First		MI			Last			Suffix	Social Security No. (ITIN)
									–	–


B. My New Information* (Only complete information that is changing.)
Name: First				MI				Last		Suffix

Current Home Address: Street				City				State		Zip Code
Cannot Be a
Post Office Box

Mailing Address: Street				City				State		Zip Code
If Different from
Above Address
Date of Birth (MM/DD/YY)			Social Security No. (ITIN)			Home Phone No.			Cell or Other Contact No.
/	/		–	–		–	–		–	–
Email Address

*Changing your name, date of birth, and/or SSN (ITIN) requires additional documentation. Please see below for acceptable documents.

C. My New Employment Information
Employer’s Name			Job Title			Type of Business			No. of Years with Employer

Employer’s Address: Street		City		State	Zip Code	Office Phone No.			Other Source(s) of Income**
							–	–

Rank	Rate		☐ DoD Military		☐ Civilian DoD Employee		☐ Non-DoD Civilian Employee		Re-enlistment/EAOS Date (MM/DD/YY)
			☐ Retired, but Employed		☐ Fully Retired		☐ Not a Wage Earner		/	/
**Stocks, Alimony, Pension, etc.

Acceptable Documents
Social Security Number Change				Full Name Change				Last Name Only
(Please provide one.)				(Please provide one from each category.)				(Please provide one from each category.)
• Social Security Card				Photo ID with new name:				Proof of previous last name:
• Other documentation with full SSN from				• State or Government-issued photo ID				• Marriage License
Social Security Administration				Second Document with new name:				• Divorce Decree
				Second Document with new name:				• Court Document
Date of Birth Change				• Court Document				• Court Document
Date of Birth Change				• Court Document
(Please provide one.)				• Social Security Card				Proof of new last name:
• Birth Certificate				Proof of previous name:				• State or Government-issued photo ID
• State or Government-issued photo ID				Proof of previous name:
• State or Government-issued photo ID				• Marriage License
with Date of Birth				• Marriage License
with Date of Birth				• Divorce Decree
				• Divorce Decree
				• Court Document

Submission Instructions

Fax: Fax completed form and supporting documents to 703.206.4600, ATTN: “Membership Administration.”

Mail: Send completed form and photocopy of supporting documents to Navy Federal Credit Union, PO Box 3002, Merrifield, VA 22116-9887.

Online: Sign into Account Access > Select “Messages” tab > Select “Send Us a Message” tab > Under “My Message is About,” select “Message not account specific” > Under “Regarding,” select “Other” > Fill out subject as “Change of Information” > Attach completed 97CI and any supporting documents according to “Acceptable Documents” (above).

Branch: Go to navyfederal.org/branches-atms/index.php to find your closest branch office.

Please see reverse for Joint Owner information and signatures.

For Office Use Only

Documents Used to Produce Name Change		Specify document used as proof of maiden name (e.g., Marriage License, Divorce Decree)
(Please indicate which documents were used.)

Documents Accepted to Change Last Name Only		☐ Driver’s License	☐ Passport	☐ Court Document (specify):
(Must have one form of ID that shows new name)		☐ Social Security Card	☐ Military ID

Documents Accepted to Change Full Name		☐ Driver’s License	☐ Passport	☐ Court Document (specify):
(Must have two forms of ID that show new name)		☐ Social Security Card	☐ Military ID

	SOB Code		Employee No.

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*97CI*

D. Joint Owner Information

Complete this section to add a joint owner to an existing account. Current members only need to fill in Access Number and accounts that he/she should be added to, and complete the signature areas.

To remove a current joint owner from an account, you (the existing joint owner) will need to complete form NFCU 596.

Add Joint Owner (as of the date of this application) to:

Savings ______________________________________________________

☐ All Certificates - Non IRA or

Checking _____________________________________________________

List Certificates: _____________________________

_____________________________

MMSA/Jumbo MMSA __________________________________________

__________________________ __________________________ __________________________

Issue Joint Owner:

☐ Visa® Check Card

☐ Navy Federal Online® Account Access

Access No.

Name: First

Last

Suffix

Social Security No. (ITIN)

Date of Birth (MM/DD/YY)

–

Current Home Address: Street

City

State

Zip Code

No. of Years at Residence

Cannot Be a

Post Office Box

Driver’s License or Government ID No. or State ID No.

Issue Date (MM/DD/YY)

Exp. Date (MM/DD/YY)

ID No.

State

Email Address

Home Phone No.

Cell or Other Contact No.

–

E. Joint Owner Employment Information

Employer’s Name

Job Title

Type of Business

No. of Years with Employer

Employer’s Address: Street

City

State

Zip Code

Office Phone No.

Other Source(s) of Income*

–

*Stocks, Alimony, Pension, etc.

F. Disclosure Agreement and Survivorship Designation

I/We acknowledge that membership at Navy Federal comes with certain ongoing responsibilities. By signing this document, I/we acknowledge receipt of and agree to all terms and conditions in the Important Disclosure booklet and all other disclosed terms and conditions of all accounts and services that I/we may receive at Navy Federal. These terms and conditions will be disclosed in accordance with applicable state and federal laws. I/We authorize Navy Federal to obtain a consumer credit report to evaluate my/our creditworthiness.

Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account, including joint owners and authorized signers. What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. It may be necessary for Navy Federal to restrict account access or delay the approval of loans pending further verification. Property may be transferred to the appropriate state if there has been no activity within the time period specified by state law.

Security Interest: I/We acknowledge and pledge to Navy Federal a statutory lien in my/our shares and dividends on deposit in all joint and individual accounts and any

monies held by Navy Federal now and in the future, to the extent of any loan made and any charges payable. The statutory lien does not apply to shares in any Individual Retirement Account.

I/We acknowledge and pledge to Navy Federal a security interest in the collateral securing loan(s) that l/we have with Navy Federal now and in the future, including any type of change or increase, and any proceeds from the sale of such collateral and of insurance thereon, not to exceed the unpaid balance of the loan. This security interest in collateral securing other loans does not apply to any loan(s) on my/our primary residence.

☐Joint Account—With Survivorship

(On the death of an account owner, the decedent’s shares pass to the surviving owner.)

☐Joint Account—No Survivorship

(On the death of an account owner, the decedent’s shares pass to the estate.)

The survivorship designation on my membership/savings account applies to all other joint accounts with the same joint owner, unless specifically designated otherwise for a particular account in writing. If a survivorship option has not been indicated here, your accounts will be designated as Joint with Survivorship.

G. Signatures are required for parts I and II.

By signing, I/we acknowledge I/we have read and agree to the information/disclosure above.

I. Signature of Member (Required)

▸

Date (MM/DD/YY)

/ /

Signature of Joint Owner (If applicable)

▸

Date (MM/DD/YY)

/ /

Tax Certification

Under penalties of perjury, I certify that (1) the SSN/ITIN provided on this form is correct, (2) I am not subject to backup withholding, and (3) I am a U.S. citizen or U.S. resident alien unless I have checked the box below. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

II.Signature of Member (Required)

▸

Date (MM/DD/YY)

/ /

☐By checking this box, I certify that I am a non-resident alien and I have completed a Form W-8BEN.

Signature of Joint Owner (If applicable)

▸

Date (MM/DD/YY)

/ /

☐By checking this box, I certify that I am a non-resident alien and I have completed a Form W-8BEN.

Note: If you are a POA, copy of POA is required.

Page 2 of 2

Form 97Ci – Fill Out and Use

Navy Federal Forms Details

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