Business Deposit Application

Currently working with a bank officer?

Name of Officer

Account Requested

Business Name Tax ID Number Physical Address City State Zip Mailing Address City State Zip Business Phone Number

Please mark the Type of Business Entity and provide the documents based on the entity type:

Corporation
- Articles of Incorporation
- By Laws
Limited Liability Company
- Articles of Organization
- Operating Agreement
Partnership
- Partnership Agreement
Sole-Proprietorship
Association or Club (Unincorporated)
- Meeting minutes

Beneficial Owners

Beneficial Owner

Name Title

Driver's License/State Issued ID

State Driver's License Number Issue Date Expiration Date

Social Security Number/Date of Birth

Social Security Number Date of Birth Telephone Number Email

 Add Another Beneficial Owner

Does this Business:

Do you cash checks for customers over $1,000? Do you sell Money Orders? Do you plan to initiate Wire Transfers? Are you a Money Transmitter? What is your estimated monthly cash deposits? Do you own private ATMs? Is your organization involved in Internet gambling activities? What is the nature of this business?