Business Account Application

To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act 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 for your name, physical address, date of birth, and tax payer identification number (Social Security #) and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. We will let you know if additional information is required.


Please note: profit organizations or entities (such as corporations, partnerships, limited liability companies, business trust, etc.) are not eligible for NOW or Super NOW accounts.

Business Information

Does this business engage in unlawful internet gambling?
Does this business perform check cashing or money transfers?
Does this business perform sales of money orders or lottery tickets?

Business Owner Information

Account Preferences

Check all that apply

Commercial Customer Due Diligence Questionaire

How long have you owned this businesss?

How long have you managed this business?

List each of your owned business locations below (physical address)

Business Address

Describe your USA Market Area and customer base.

Check all that apply

What type of state business licenses do you hold?

Check all that apply
Does the business process any transactions on behalf of another entity or individual?

Which of our branches do you intend to use to conduct business?

Check all that apply
Does the source of any of your funds come from a hemp related business(es) or product(s)? This includes but is not limited to: general retail sales of CDB Oil, Dispensary Sales of CBD oil, Pharmacy Sale of CBD oil, Online sales of CBD oil and Hemp producers of fibers, textiles, seed, meal, oil, imports or exports.
Does the source of any of your funds come from a marijuana related business(es) or product(s)? This includes but is not limited to: adult or medical use, retail, processing, cultivation, testing, operations that support marjiuana businesses, landlords of a marijuana business, etc.
Do you have any Automated Teller Machines (ATM's) installed at any of your business locations?

What types of banking services do you expect to use at our financial insitiution on a monthly- basis? Fill out to the best of your ability. This is to help us get an idea of the type and amount of activity on your account.

Signature Card

We will contact you upon receiving your application to schedule a time that is convenient to finish account opening procedures.

Which branch would you like to come into and sign signature cards?

Additional Requests

I have additional questions or requests


By submitting this application, I certify that I gave truthfully and fully provided the information required and that I am at least 18 years of age and live in the U.S.

The purpose of this questionnaire is to begin the application process. All applications are subject to approval.

By entering my name below, I hereby give the electronic equivalent of my signature.