Member FDIC | Equal Housing Lender
Privacy Statement

 

Business Deposit Account Application
Submitter Information (Required)
First Name
(required)
Last Name
(required)
File Upload Form. Follow these instructions to upload files.

  1. Click to select a file for upload. For large files, this process may take a couple of minutes.

  2. If you accidentally select the wrong file, click the red "DELETE FILE" next to its name to remove it.

  3. Your files will be attached to this form when submitting.

  4. Allowed File Types: JPG, JPEG, GIF, PDF, PNG, SVG, TIF, TIFF, TXT, Office Docs (Word, Excel, PowerPoint).

Resolve the errors marked in red before submitting again.

Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

Important Information about Procedures for Opening a New Account
Identification Procedures Requirements: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.  What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you and your business. Authorized signers, beneficial owners, and controlling parites will be required to submit copies of identification such as a driver's license.

Depending on the entity type, you will be required to supply business documents, such as Secretary of State Filing, SS-4 Form Verifying EIN, Operating Agreement, Partnership Agreement, or other business documents as needed.

Security Notice:
You should ONLY fill out this Application on-line if you are using a browser with the latest security enhancements. If you don't have the latest version, download a copy now.

Instructions:
1. Complete Application and click "Submit Application".
2. To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser.

Business Entity Information
Business NameEmployee Identification Number (EIN)Business Phone NumberBusiness Email

 
Business Type
Nature of Business
Business Mailing Address
Business Physical Address
Authorized Signer #1 Information
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.Gender

 
Drivers License
DL NumberDL State of IssueDL Issue DateDL Expiration Date

 
Citizenship
Contact Information
Cell PhoneHome PhoneWork PhoneEmail Address

 
Address Information
Physical Address
Employer Information
Employer NameOccupation

 
Authorized Signer #2 Information
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.Gender

 
Citizenship
Drivers License Information
DL NumberDL State of IssueDL Issue DateDL Expiration Date

 
Contact Information
Cell PhoneHome PhoneWork PhoneEmail Address

 
Mailing Address
Physical Address
Employer Information
Employer NameOccupation

 
Beneficial Owner Information
Beneficial Owner Information
Please list up to 4 individuals who directly or indirectly own 25% or more of the equity interest of the legal entity. List 1 individual with significant responsibility for managing the legal entity examples: CEO, President, CFO, etc.
Name% of OwnershipIs information same as above? Yes or No. If No, please fill out remaining columns.Date of BirthPhysical AddressSocial Security NumberDriver's License #DL State of IssueDL Issue DateDL Expire Date
Beneficial Owner #1
 
Beneficial Owner #2
 
Beneficial Owner #3
 
Beneficial Owner #4
 
Controlling Party
 

Click here for more information regarding our Business Deposit accounts.

I/We would like to apply for the following account(s):
Checking Accounts
Savings & Money Market Accounts
Certificate of Deposit
Account Services
Please select required services
Additional Information
Please provide additional information/comments as needed
Driver's License Upload
Drivers License Upload
Please upload the FRONT of each DL for each signer and beneficial owner. If you have an address change on your DL, please upload a copy of the BACK as well.

By submitting this application, I (each person jointly and severally) apply for the account(s) and services chosen above. As an account owner, I am subject to all of its bylaws and rules as amended from time to time. I certify that all information given is accurate. 

 

(required)