Empire Federal Credit Union
IRA Renewal Form

* Denotes required field

*Member name:

Member phone:

Member email:

*Member number:
*Account number:
Maturity date (see notice):
Today's date:
 

*1. What term would you like to renew your IRA at?

Terms: Fixed rate; $500 min.; dividends paid monthly

 
*2a. Do you want to transfer the balance of your maturing IRA to a current IRA?
2b. If you wish to transfer, please provide your Empire FCU IRA # of the account you're requesting the transfer to. Current IRA #:
 
*3a. Do you want to make a transfer from another account at Empire FCU to your IRA?
3b. If you wish to transfer, please provide the dollar amount, account # to transfer from, and the year you are making the contribution for. Transfer amount: $
Transfer from account #:
Contribution year:
   
*4. Do you wish to redeem your IRA account at maturity?
If yes, please contact your Empire FCU branch for additional instructions.
 
Special comments / instructions:
(For withdrawal/distribution requests please contact your Empire FCU branch for additional instructions)