Leave me blank for Commercial Deposit Application. Filling out section 1 of 6 * Indicates required field Tell us about your business: Sole Proprietor Government Entity Partnership Trust Corporation Association LLC Other Business Name * Date Of Establishment * Tax ID #/Employer ID * Physical Address * City * State * Zip Code * Mailing Address (if different from above) City State Zip Code Business Phone Number * Cell Phone Number * Business Fax Number Website Address Email Address * Type Of Business - retail, manufacturing, etc. * NAICS Code * https://www.census.gov/cgi-bin/sssd/naics/naicsrch Account(s) you are interested in: Checking Account Savings Account Certificate Of Deposit SEP/SIMPLE IRA ODP Services Online Banking eMobile Banking ePay eStatements Visa® Debit Card Remote Deposit Cash Management Credit Card Processing Visa® Credit Card (see Loan Application) Filling out section 2 of 6 * Indicates required field Beneficial Owner Information: Anyone who owns 25% or more of the entity, directly or indirectly. Owner 1 First Name * Last Name * MI * Date Of Birth * ID Number * State Of Issuance * Expiration Date * Owner 2 First Name Last Name MI Date Of Birth ID Number State Of Issuance Expiration Date Owner 3 First Name Last Name MI Date Of Birth ID Number State Of Issuance Expiration Date Owner 4 First Name Last Name MI Date Of Birth ID Number State Of Issuance Expiration Date Individual with Entity Control: A single person who manages, controls, or directs the entity. First Name * Last Name * MI * Date Of Birth * ID Number * State Of Issuance * Expiration Date * Filling out section 3 of 6 * Indicates required field Business Identification Provided: Check which one you are providing to open account:* Sole Proprietor Sole Proprietor Certificate Of Assumed Name Certificate Of Good Standing Corporation Corporation Articles Of Incorporation Certificate Of Incorporation Certificate Of Good Standing Trust Trust Trust Agreement LLC LLC Certificate Of Organization Articles Of Organization Operating Agreement Certificate Of Good Standing Partnership/LLP Partnership/LLP Partnership Agreement Certificate Of Good Standing Association Association Minutes Indicating Authority EIN Letter from IRS - must obtain for all Filling out section 4 of 6 * Indicates required field Tell us about your business activity: Purpose Of Account - General Business, Payroll, Money Transfers, Savings, etc. * Primary Geographic Trade Area * Location Of Headquarters * Do you plan to originate ACH Transactions?* No Yes Does your business usually generate over $5,000 of cash deposits or withdrawals per day?* No Yes Do you plan to initiate or receive domestic wires? * No Yes Do you plan to initiate or receive foreign wires?* No Yes Do you own and operate any ATMs? * No Yes Does your business offer currency exchange to your customers?* No Yes Does your business issue, sell, or redeem monetary instruments? - Travelers Checks, Travel Cards, Official Checks, Money Orders* No Yes Does your business issue, sell, or redeem stored value cards?* No Yes Does your business provide money transfer services? - Money Grams, Western Union* No Yes Does your business cash checks, exchange currency, or sell monetary instruments in amounts greater than $1,000 for any one person on any one day in one or more transactions?* No Yes Does your business operate as an internet gambling business?* No Yes Is your business a marijuana related business?* No Yes Filling out section 5 of 6 * Indicates required field Must be answered by all applicants: Have you had a transaction account at this or another financial intermediary within 12 months of making this application? Applicant 1:* No Yes Name of Financial Institution(s) Applicant 2: No Yes Name of Financial Institution(s) Applicant 3: No Yes Name of Financial Institution(s) Applicant 4: No Yes Name of Financial Institution(s) Have you had a transaction account closed by a financial intermediary without your consent within 12 months of making this application? Applicant 1:* No Yes Name of Financial Institution(s) Applicant 2: No Yes Name of Financial Institution(s) Applicant 3: No Yes Name of Financial Institution(s) Applicant 4: No Yes Name of Financial Institution(s) Have you been convicted of a criminal offense for the use of a check or similar item within 24 months of this application? Applicant 1:* No Yes Name of Financial Institution(s) Applicant 2: No Yes Name of Financial Institution(s) Applicant 3: No Yes Name of Financial Institution(s) Applicant 4: No Yes Name of Financial Institution(s) Filling out section 6 of 6 * Indicates required field Important information & signatures: To help the government fight 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 apply to open a new account, we will ask you for your name, physical address, date of birth, social security number, and unexpired government issued photo ID, and other information that will allow us to identify you. We may also ask to see other identifying documents. If you make a false material statement in this document that you do not believe to be true, you are guilty of perjury. The undersigned agrees that all information is accurate and authorizes the financial institution to verify credit and employment history. By signing below I/we acknowledge receipt of current disclosures and banking agreements. Applicant 1 Signature * Date * Applicant 2 Signature Date Applicant 3 Signature Date Applicant 4 Signature Date Previous Next Send Application Information Your form is being processed. There was an error submitting the form. Thank you for your submission! We will be in touch with you soon.