Privacy Statement

Consumer Deposit Account Application
Submitter Information (Required)
First Name
Last Name
Resolve the errors marked in red before submitting again.

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. We may also ask to see your driver's license or other identifying documents.

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

1. Complete Application and click "Submit Application" or fax it to 320-563-4787.
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.
3. We will be in contact with you regarding your signature and any additional documentation requirements. 

I/We would like to apply for the following account(s):
Deposit Accounts
Visa Check/ATM Card
Visa Check Card
ATM Card
Ownership of Account
Account Ownership
Individual Account Holder Information
First NameMiddle NameLast Name

Date of BirthPlace of Birth Social Security Number Your Email Address

Driver's License No.Driver's License StateExpiration Date

Home PhoneWork PhoneCell Phone

Home Address
Alternate Mailing Address (if applicable)
Occupation EmployerPhone

Joint Account Holder Information (if applicable)
First NameMiddle InitialLast Name

Date of BirthPlace of BirthSocial Security NumberEmail Address

Driver's License No.Driver's License StateExpiration Date

Home PhoneWork PhoneCell Phone

Home Address
Alternate Mailing Address (if applicable)


By submitting this application, I (each person jointly and severally) apply for the account(s) and Check/ATM card(s) listed above and a personal identification number. 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 correct. I understand and agree that for all accounts for / or, any one of us opens in the future is governed by this application, and all persons listed here will be owners, except as provided as follows: If I wish an account to have (as applicable) fewer, additional, or different owner(s), a completed, signed application for the specific account must be submitted to and accepted by State Bank of Wheaton.

I agree to the terms and conditions for any accounts or services that I have now or in the future, and as they change from time to time. I agree at any time you may request information from others about my credit or accounts and that you provide to others experience information about me or my accounts with State Bank of Wheaton.