W. Va. Code R. agency 106, tit. 106, ser. 106-17, app A
Acct. No. ___________
NOTICE TO JOINT ACCOUNT HOLDERS
This joint account is payable in both your name "or" in the name of the other person(s) listed on the account (Example "Mr. Smith or Mrs. Smith").
Please be advised and forewarned that:
o All the money in this joint account may be withdrawnby anyone named on this account; or may be pledged as security for a loan or debt by anyone named on the account.
-- UNLESS, prior written notice is given to the bank not to permit it.
o Despite any notification to the bank
-- The bank may pay the entire account balance to a creditor or other legal claimant pursuant to legal process.
I have read and understand the above rules about this joint account.
Signature of Joint Account Holder 1:_______________________________
Signature of Joint Account Holder 2: ______________________________
Signature of Joint Account Holder 3: ______________________________
[Optional addition-- "At least one account holder must sign."]
W. Va. Code R. agency 106, tit. 106, ser. 106-17, app A