Yonkers Postal Employees Credit Union
Application For Share Withdrawal

Print and complete this form (Signature Required). Mail, leave at the credit union, or fax to (914) 423-9502. 


Account Number:  __________________        Date:    ___________________

Social Security Number:  ___ ___ ___ - ___ ___ - ___ ___ ___ ___


Please issue to me and _______________________________________, a check in
                                   (Name of any other person)

the amount of ________________________________dollars ($_____________).

I hereby authorize the withdrawal of the amount shown above:

Name: ________________________________________

__________________________________________________________________________
For Office Use Only:

Share Balance: Maker: $____________      Co-Maker: $ ___________

Loan Balance:  Maker: $____________      Co-Maker: $ ___________

Security:          Maker: $____________      Co-Maker: $ ___________

Check #   _____________      Check Date:  ______________

Credit Committee Signature:* ___________________________

Co-Maker Signature:**           ___________________________

* Must be approved by the Credit Committee if the withdrawal reduces the share balance to an amount less   than the loan liability as maker or co-maker.
** If the member has a loan with a co-maker, the co-maker must also sign the withdrawal slip.