XA Mobile

Eligibility

Applying is fast and easy!

You will need the following information in order to complete the application:

Government issued ID/Drivers License/State ID or Passport with current address

Your complete physical and mailing address

Social Security Number

Date of Birth

NOTE: You must also meet Membership Eligibility in order to establish an account with First Community Credit Union.

Select your eligibility

I am applying online and reside within the following area:

I reside within the following area

I don't live within field of membership but I have an immediate family member that is currently a member.

Immediate Family MemberName of Immediate Family Member:

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Required Products

Select the following products required for membership

Kasasa CashBack Checking

Max Deposit: $1,000.00

Prime Shares

Required product establishing your prime relationship with FCCU. This account is used for internal processing purposes and remains at a zero balance.

APY: 0.02% Max Deposit: $1,000.00

Membership

All members have ownership in the credit union. This account holds your par value and provides the primary owner their voting rights.

Min Deposit: $5.00 Max Deposit: $5.00

In addition, select one of the following products

Available Products

APY (Annual Percentage Yield)

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (days)
.	0.10%	0.10%	$2,000,000.00	$0.00	N/A
.	0.15%	0.15%	$0.01	$0.00	N/A
.	0.50%	0.50%	$100,000.00	$0.00	N/A
.	0.75%	0.75%	$250,000.00	$0.00	N/A
.	1.25%	1.26%	$500,000.00	$0.00	N/A

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (days)
.	0.25%	0.25%	$0.01	$0.00	N/A
.	1.75%	1.76%	$5,000.00	$0.00	N/A
.	2.00%	2.02%	$100,000.00	$0.00	N/A
.	2.00%	2.02%	$250,000.00	$0.00	N/A
.	2.25%	2.27%	$500,000.00	$0.00	N/A
.	2.50%	2.53%	$1,000,000.00	$0.00	N/A

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (months)
.	3.90%	3.90%	$1,000.00	$1,000.00	N/A
.	3.95%	3.99%	$10,000.00	$1,000.00	N/A
.	4.00%	4.04%	$50,000.00	$1,000.00	N/A

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (months)
.	3.25%	3.25%	$1,000.00	$1,000.00	N/A
.	3.40%	3.40%	$10,000.00	$1,000.00	N/A
.	3.50%	3.50%	$50,000.00	$1,000.00	N/A

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (months)
.	2.85%	2.88%	$1,000.00	$1,000.00	N/A
.	2.90%	2.93%	$10,000.00	$1,000.00	N/A
.	3.00%	3.03%	$50,000.00	$1,000.00	N/A

	Dividend Rate	APY	Minimum Balance	Minimum Deposit	Term (months)
.	2.85%	2.88%	$1,000.00	$1,000.00	N/A
.	2.90%	2.93%	$10,000.00	$1,000.00	N/A
.	3.00%	3.03%	$50,000.00	$1,000.00	N/A

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Maturity Date

Thank you for considering us for your financial services needs. We are sorry that we cannot continue with your application for the following reasons:

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We have cancelled your application.

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Funding

How much do you want to deposit?

Total Deposit

How do you want to fund your new account?

Not Funding At This Time

Transfer From Another Financial Institution (max $100,000.00)

Mail A Check

Internal Transfer

I agree to fund the account(s) with the method selected. If mailing deposit, an address will be provided upon submitting this application.

If funding from an electronic transfer from another Financial Institution, I authorize First Community Credit Union to debit the bank account indicated in this web form for the noted amount on today's date. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted transaction date. In the case of an ACH transaction being rejected for Non-Sufficient Funds (NSF) I understand that the business may at its discretion attempt to process the charge again within 30 days, and agree to an additional $30 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized payment. I acknowledge that the origination of ACH transactions to my account my comply with the provisions of US law. I will not dispute First Community Credit Union debiting my checking/savings account, so long as the transaction corresponds to the terms indicated in this web form. I certify that I am an authorized signer on the Depository Account at said Financial Institution.

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*Required Field(s)

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This account does not have sufficient balance to cover the total required deposit.

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Instant Account Verification

We offer a way to instantly verify your account information using . We only use this partner service to retrieve information required to transfer funds from your specified financial institution and to verify that your current balance is sufficient for this transaction.

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Verify account manually instead

By clicking the "Continue" button above, you are agreeing to the terms of our user agreement.

'Doing Business As' Information

DBA Business Information

Company Name

Business Tax ID Type

TIN

SSN

Business Tax ID

Show TIN

Your Business Tax ID is used for identification purposes.

Your Social Security Number (SSN) is used for identification purposes and to determine your account opening eligibility.

Industry

Phone

(xxx) xxx-xxxx

DBA Physical Address

Country

Address

Zip

City

State

Occupancy Status

Occupancy Duration

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

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Tell Us About Yourself

Suffix (Jr., Sr., etc.)

Date of Birth

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Contact Information

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status

As the custodian for under the Virginia Uniform Transfers to Minor Act, I make this application on the minors

eSignature

Date:

Upload Documents

REQUIRED - Upload Image of Drivers License or Gov't Issued ID.

Click or tap here to capture or upload an image or document.

Additional Information

Are you a frequent traveler?*

Do you travel outside of the US?*

To which countries do you travel?*

What is the main source of deposits into your account?*

Will you deposit or write checks?*

Do you plan to deposit checks through mobile deposit?*

Will you deposit or withdraw cash?*

Approximately how much cash do you expect to deposit each month?*

Approximately how much cash do you expect to withdraw each month?*

Will you send or receive wire transactions?*

Approximately how much do you expect to send in wire transfers each month?*

Approximately how much do you expect to receive in wire transfers each month?*

Will these wires be sent to or received from a foreign country?

Will you receive electronic ACH transactions?*

What is the expected monthly total of ACH transactions that you plan to receive?*

Will these electronic transfers be received from foreign countries?

Do you have any beneficiaries?

Yes

Do you have another applicant?

Yes

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Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and proceed.

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

Speed up your application process by taking the BACK image of your US driver's license.

If you do not wish to use this feature, simply close this popup window and proceed.

Recommendation for best recognition:

* Use a dark background

* Make sure all four corners are visible

* Avoid glare

* Make sure image is in focus

Done

System can't prefill due to ZIP code discrepancy. Please proceed by manually entering the information or correct the value in the ZIP field in the 1st page.

Tell Us About Yourself

Minor Information

Suffix (Jr., Sr., etc.)

Gender

Date of Birth

Mother's Maiden Name

Citizenship Status

Contact Information

Current Physical Address

Country

Address

Zip

City

State

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

Additional Information

Are you a frequent traveler?*

Do you travel outside of the US?*

To which countries do you travel?*

What is the main source of deposits into your account?*

Will you deposit or write checks?*

Do you plan to deposit checks through mobile deposit?*

Will you deposit or withdraw cash?*

Approximately how much cash do you expect to deposit each month?*

Approximately how much cash do you expect to withdraw each month?*

Will you send or receive wire transactions?*

Approximately how much do you expect to send in wire transfers each month?*

Approximately how much do you expect to receive in wire transfers each month?*

Will these wires be sent to or received from a foreign country?

Will you receive electronic ACH transactions?*

What is the expected monthly total of ACH transactions that you plan to receive?*

Will these electronic transfers be received from foreign countries?

Continue Or Go Back

About Your Joint Applicant

Suffix (Jr., Sr., etc.)

Gender

Date of Birth

Mother's Maiden Name

Citizenship Status

Current Physical Address

Country

Address

Zip

City

State

Use different address for mailing

Mailing Address

Country

Address

Zip

City

State

Contact Information

Identification

ID Type

ID Number

ID State

ID Country

ID Date Issued

ID Expiration Date

About Your Employment

Employment Status

Upload Documents

REQUIRED - Upload Image of Drivers License or Gov't Issued ID.

Click or tap here to capture or upload an image or document.

Additional Information

Are you a frequent traveler?*

Do you travel outside of the US?*

To which countries do you travel?*

What is the main source of deposits into your account?*

Will you deposit or write checks?*

Do you plan to deposit checks through mobile deposit?*

Will you deposit or withdraw cash?*

Approximately how much cash do you expect to deposit each month?*

Approximately how much cash do you expect to withdraw each month?*

Will you send or receive wire transactions?*

Approximately how much do you expect to send in wire transfers each month?*

Approximately how much do you expect to receive in wire transfers each month?*

Will these wires be sent to or received from a foreign country?

Will you receive electronic ACH transactions?*

What is the expected monthly total of ACH transactions that you plan to receive?*

Will these electronic transfers be received from foreign countries?

Continue Or Go Back

Tell us about your beneficiaries

Add an additional beneficiary

Are you sure you want to remove this beneficiary?

Remove

Cancel

Your Social Security Number (SSN) is used for identification purposes and to determine your account opening eligibility.

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Tell us about your beneficiary percent shares

Other Products

Total beneficiary percent share: 0.00%

Please indicate the percentage of the payout each beneficiary will receive:

Total

0.00%

Distribute Evenly

Press this button if you want to assign an equal value to all beneficiaries.

In some cases, 100 cannot be divided evenly by the number of beneficiaries When this occurs, the amount of the first beneficiary will be increased to make the total equal 100%.

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Review and Submit

Product Selections

Additional Application Information

Applicant Information

Contact Information

Identification Information

Secondary Identification Information

Address

Employment Information

Previous Employment Information

Joint Applicant Information

Joint Applicant Contact Information

Joint Applicant Identification

Joint Applicant Secondary Identification

Joint Applicant Address

Joint Applicant Employment Information

Beneficiary Information

Funding Source

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Your application is not complete until you read the disclosure below and click the "I Agree" button in order to submit your application.

You are now ready to submit your application! By clicking on "I agree", you authorize us to verify the information you submitted and may obtain your credit report. Upon your request, we will tell you if a credit report was obtained and give you the name and address of the credit reporting agency that provided the report. You warrant to us that the information you are submitting is true and correct. By submitting this application, you agree to allow us to receive the information contained in your application, as well as the status of your application.

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The links to Agreements & Disclosures will be sent to your e-mail account so you may view/print later.

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Authentication Questions

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Product Type	Maximum Deposit	Your Requested Deposit
Checking
Savings
Certificate

Fund via Internal Transfer

Fund via Credit Card

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Transfer from another financial institution

Co-Driver's License Scan

Driver's License Scan

Other Products

Document Upload Source Selector

Document Upload Source Selector

One-Time Passcode

Document Verification

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Document Verification

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New Membership

Application Cancelled

Funding

Fund via Internal Transfer

Fund via Credit Card

Alert Popup

Transfer from another financial institution

'Doing Business As' Information

Tell Us About Yourself

Co-Driver's License Scan

Driver's License Scan

Minor Applicant Information

Joint Applicant Information

Beneficiaries Information

Beneficiaries percent share information page

Other Products

Document Upload Source Selector

Document Upload Source Selector

Review and Submit

One-Time Passcode

Authentication Questions

Document Verification

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Document Verification

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Application Completed

reCAPTCHA Verification Failure

Almost Done

Congratulations

Funds Pending

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Funds Pending

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Funds Pending

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