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[{"context":"terms","text":"<p><strong>To open a Checking or Savings Account, please complete the information below.<\/strong><br \/>\n<br \/>\nOnce submitted, a representative will contact you to follow up. Please note that you will be required to visit one of our locations to complete and sign the necessary documentation. Completing this online application in advance significantly expedites the process compared to initiating your account in person.<\/p>\n","title":" ","inputid":"ZiApi"},{"context":"text","text":"Personal Information Needed to Open an Account","inputid":"Wwjlw"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Legal Name: (as it appears on DL or ID Card)","Preferred Name: (if different than legal name)"],"tableReqs":{"vRiyL":{"jVhdj":true},"Ge5ao":{"jVhdj":false}},"tableCols":{"vRiyL":"Legal Name: (as it appears on DL or ID Card)","Ge5ao":"Preferred Name: (if different than legal name)"},"tableRows":{"jVhdj":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"hLSyl"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN):","Are you a US Citizen? Yes or No.","If Not a US Citizen, what is your Country of Origin:"],"tableReqs":{"8G4u4":{"me7nA":true},"uZWoX":{"me7nA":true},"Lc7qw":{"me7nA":false}},"tableCols":{"8G4u4":"Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN):","uZWoX":"Are you a US Citizen? Yes or No.","Lc7qw":"If Not a US Citizen, what is your Country of Origin:"},"tableRows":{"me7nA":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"o8bjs"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Date of Birth:","Birthplace: ","Mother's Maiden Name:"],"tableReqs":{"RjsXM":{"CjsTw":true},"DmsF0":{"CjsTw":true},"zynIU":{"CjsTw":true}},"tableCols":{"RjsXM":"Date of Birth:","DmsF0":"Birthplace: ","zynIU":"Mother's Maiden Name:"},"tableRows":{"CjsTw":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"Q7h34"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["DL or Government Issued ID#","State Issued by:"],"tableReqs":{"fUyZz":{"ICfnU":true},"V8Q2U":{"ICfnU":true}},"tableCols":{"fUyZz":"DL or Government Issued ID#","V8Q2U":"State Issued by:"},"tableRows":{"ICfnU":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"aKPBc"},{"context":"upload","comment":"","inputname":"If+possible%2C+please+upload+your+DL+or+Government+Issued+ID","mandatory":"false","uploadlimit":"2","inputid":"5VCHP"},{"context":"text","text":"Identity Verification Question (Create Your Own):","inputid":"R9B50"},{"context":"table","inputname":"To+help+protect+your+identity%2C+please+create+a+custom+security+question+and+provide+the+answer.+This+will+be+used+to+verify+your+identity+if+standard+information+(like+your+date+of+birth+or+SSN)+cannot+be+used.+(Example+Question%3A+What+is+the+name+of+my+first+pet%3F)+(Example+Answer%3A+Max)","mandatory":"true","comment":"","headernames":["Custom Security Question:","Your Answer:"],"tableReqs":{"64qKQ":{"jYfh0":true},"I2PhT":{"jYfh0":true}},"tableCols":{"64qKQ":"Custom Security Question:","I2PhT":"Your Answer:"},"tableRows":{"jYfh0":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"zcGsm"},{"context":"text","text":"Contact Information:","inputid":"d2r1H"},{"context":"input","comment":"","inputname":"Primary+Email+Address%3A","mandatory":"true","mask":"false","inputid":"LHzSk"},{"context":"address_us","comment":"","inputname":"Physical+Street+Address+(No+PO+Boxes)%3A","mandatory":"true","mask":"true","inputid":"upprT"},{"context":"upload","comment":"For+example%3A+City+Water+Bill+with+your+name+listed+on+your+ID","inputname":"If+your+address+is+different+than+the+address+listed+on+your+ID+please+provide+address+verification.","mandatory":"false","uploadlimit":"1","inputid":"TnQCz"},{"context":"address_us","comment":"","inputname":"Mailing+Address+if+different+than+physical+address%3A","mandatory":"false","mask":"true","inputid":"RA17z"},{"context":"upload","comment":"For+example%3A+A+piece+of+mail+with+your+mailing+address+and+name+listed+on+your+ID","inputname":"If+your+mailing+address+is+differnt+than+your+physical+address%2C+please+provide+address+verification.","mandatory":"false","uploadlimit":"1","inputid":"hSmjf"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Valid Phone Number:","Work Phone Number:"],"tableReqs":{"nXBMe":{"6EQBN":true},"rs9qz":{"6EQBN":false}},"tableCols":{"nXBMe":"Valid Phone Number:","rs9qz":"Work Phone Number:"},"tableRows":{"6EQBN":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"Xw6H6"},{"context":"text","text":"Employment questions: Please be specific. If retired: From what? If self-employed or owner: What is your type of business? If unemployed: Please state so.","inputid":"nbFzu"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Current or Former Employer:","Job Title\/Position:"],"tableReqs":{"CVehP":{"FNHHN":true},"w7qxC":{"FNHHN":true}},"tableCols":{"CVehP":"Current or Former Employer:","w7qxC":"Job Title\/Position:"},"tableRows":{"FNHHN":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"ZcV3l"},{"context":"text","text":"The following questions are for informational purposes only and do not serve as permissions. Please provide your best estimate of how you will use the account on a regular basis. This information does not determine how your account is set-up.","inputid":"BREMM"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Will you deposit and write checks? Yes or No.","Will you be using mobile deposit or deposit checks? Yes or No.","Will you deposit or withdraw cash? Yes or No.","Will you be sending or receiving Wire Transfers?"],"tableReqs":{"t6CLe":{"ZgCG7":false},"ExVw3":{"ZgCG7":false},"nW6Rb":{"ZgCG7":false},"bXrcm":{"ZgCG7":false}},"tableCols":{"t6CLe":"Will you deposit and write checks? Yes or No.","ExVw3":"Will you be using mobile deposit or deposit checks? Yes or No.","nW6Rb":"Will you deposit or withdraw cash? Yes or No.","bXrcm":"Will you be sending or receiving Wire Transfers?"},"tableRows":{"ZgCG7":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"8ituN"},{"context":"table","inputname":"","mandatory":"true","comment":"","headernames":["Are you a frequent traveler? Yes or No.","Do you travel outside the US? Yes or No.","Would you like a Safe Deposit box? Yes or No."],"tableReqs":{"JWrNq":{"ThL32":false},"r1Q4z":{"ThL32":false},"CSLi5":{"ThL32":false}},"tableCols":{"JWrNq":"Are you a frequent traveler? Yes or No.","r1Q4z":"Do you travel outside the US? Yes or No.","CSLi5":"Would you like a Safe Deposit box? Yes or No."},"tableRows":{"ThL32":""},"rownames":[""],"rownumber":1,"inputtype":"text","inputid":"G6Whc"},{"context":"signature","comment":"Institution+Only%3A+Employee+Processed%3A_______________+Red+Flags%3A+Yes+or+No%3A_____+OFAC+Check%3A____________+New%3A___________________+Date%3A___________________","inputname":"By+signing+below%2C+I+acknowledge+that+the+above+information+is+correct+and+I+will+notify+Graham+Savings+of+any+changes.+I+also+authorize+Graham+Savings+to+submit+my+information+through+Chex+Systems+for+verification+purposes.","mandatory":false,"show_rules":{"always_show":false,"only_blank":false,"only_complete":true},"inputid":"58sce"}]