New Deposit Account Application

Important Information About Procedures For Opening A New Account:

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 who opens an account.

What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Required Field


Please choose the type of account you are applying for:

Are you applying with a joint applicant?

Applicant Options

Primary Account Holder Information

Joint Account Holder Information

Address Information

Mailing address (if different from above)

Account Ownership

Ownership Options


If Payable on Death, Name and Address of Beneficiary

Beneficiary Information

Account Preferences

Preference Options

Taxpayer Identification


By submitting this application, I/we certify that I/we truthfully and fully provided the information required, that I am/we are at least 18 years of age. I/we agree that I/we may receive electronic communications through Coffee County Bank’s Website or delivered to the email address that I/we have provided, including information required by various laws and regulations. I/we authorize the Bank to access my/our credit bureau information, check my/our employment, and report my/our credit history with the Bank.

Coffee County Bank will contact you upon receipt of documentation to provide you with the Terms & Conditions, Disclosures, Privacy Policy, signature card for the account selected, and to schedule a time that is convenient.

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