Deposit Account Application

IMPORTANT: To complete your deposit account application you must come into one of our convenient locations to provide a Customer Service Representative with a suitable form of photo identification and/or other necessary identification documents as required by the USA PATRIOT Act. The following online application provides the bank with initial information so we may expedite the account opening process for you by preparing your paperwork prior to your arrival.

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 or entity who opens an account. 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.

*required fields

Account Type

Application Type: *

Individual

Joint

Initial Deposit Amount: *

Source Of Funds: *

If you need help selecting an Account Type suitable to your needs or require a form of Account Ownership not listed above a Customer Service Representative will be happy to discuss available account and ownership options with you. Note your request in the Additional Comments section of this application and a member of our Customer Service Representative will contact you.

Are you interested in ordering checks for this account? *

Yes

Primary Account Holder Information

First Name: *

Middle Initial:

Last Name: *

Physical Address: *

Please include City, State and Zip

Mailing Address if different:

Please include City, State and Zip

Home Phone: *

Work Phone:

Cell Phone:

E-mail Address:

Social Security Number:

Date of Birth: *

Mother's Maiden Name:

Driver's License, State ID, or Passport Number:

Issued By:

Issue Date:

Expiration Date:

Citizenship: *

Employers Name: *

Occupation: *

Additional Account Holder Information

First Name: *

Middle Initial:

Last Name: *

Physical Address: *

Please include City, State and Zip

Mailing Address if different:

Please include City, State and Zip

Home Phone: *

Work Phone:

Cell Phone:

Email Address:

Social Security Number:

Date of Birth: *

Mother's Maiden Name: *

Driver's License, State ID, or Passport Number:

Issued By:

Issue Date:

Expiration Date:

Citizenship: *

Employers Name:

Occupation:

Online Banking

Do you want Online Banking for Primary Applicant? *

Yes

Primary Applicant ID: *

Create a login that includes at least 7 characters and contains both letters and numbers.

Email Address: *

Do you want to receive E-statements? *

Yes

Do you want Online Banking for Joint Applicant? *

Yes

Joint Applicant ID: *

Joint Email Address: *

Do you want to receive E-statements? *

Yes

Once online banking is ready for you to access, Today’s Bank Online Banking Department will contact you.

Pay-On-Death Beneficiary

Do you want a Pay-On-Death Beneficiary? *

Yes

If there is no named beneficiary or no remaining beneficiaries, then such amount shall be payable in accordance with state law.

I understand that under the USA Patriot Act, this financial institution is obligated to verify the identity of each customer opening a new account, or each new owner being added to a deposit account, and I understand and agree that if the institution is not able to verify the identity of all of the owners of this account within a reasonable time, it may, at any time, in its sole discretion, without providing notice, close the account. I certify that I am aware that restricted internet gambling transactions are prohibited from being processed through the account or relationship. The information I have provided is correct to the best of my knowledge. I authorize Today's Bank to check credit and/or employment history should it deem necessary. Verification of all account information is provided by ChexSystems.

I agree *

Branch Location: *

Best Day To Call: *

Best Time To Call: *

Best Phone Number: *

Additional Comments:

All applications are subject to new account review guidelines and approval, and only applicants with qualified applications may open a deposit account. This does not constitute an offer to open an account.

There was an error submitting the form

Thank you for your application!

We will contact you soon.