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Business Account Application

Business Account Application

Instructions: Please review this entire form before beginning. You may need to enter data not immediately available. Once the form has been sent, you will not be able to go back and make corrections. We suggest printing your completed form before sending. If you are not applying with a co-applicant, please leave the Co-Applicant section blank. All fields marked with an asterisk (*) are required. Proof of Business Ownership will be required at the time of signing the new Business Account agreement.

Business Information
Is this a hemp related business?

Business Mailing Address

Check this box if the business mailing address is different than the business primary address.
Beneficial Ownership

Please list the beneficial owners that have 25% or greater ownership in the business.

Signer Information
Co-Signer Information

Please complete this section if a co-signer will be on the account. If the account will not have a co-signer, please skip the Co-Signer Information section.

Business Related Information
Is this a cash intensive business?
Are you accepting credit cards?
Do you sell money orders, exchange cash or do wires?
Do you sell lottery tickets?
Will you cash checks for customers?
If you are cashing checks, will the checks be greater than $1,000?
Do you have an ATM on premise?
If you have an ATM, do you own it?
If you have an ATM, will the transaction clear through your FSB Account?
If you have an ATM, will you be filling it from your FSB Account?
Products and Services Needed
Select which products or services you would like.
Authorization

By clicking the "Send Application" button below, the applicant(s) request(s) the described services and agrees to the terms and conditions governing the services, including any fees and charges. The applicant(s) agree(s) that all information is accurate and authorizes the financial institution to verify credit and employment history, if necessary, by any means, including preparation of a credit report by a credit agency. Check the "Yes, I agree to the Terms and Conditions" box to indicate that you (the applicant) have read the agreement and accept its terms.

(The purpose of this questionnaire is to begin the application process. All applications are subject to approval. You will be contacted by a bank representative to finalize the account application.)

Terms and Conditions

Business Truth In Savings Disclosure

Electronic Fund Transfers Disclosure

 

I agree to the Terms and Conditions.
I have read the Business Truth In Savings Disclosure.
I have read the Electronic Fund Transfers Disclosure.
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