Business Deposit Account Application

* = required fields

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.

*Type of Account:        *Business Type:
*Business Name:       DBA If Any:
*Business Address:
Mailing Address:
*Phone No:      Fax:       Email: 
*Tax ID No:      *Number of Signatures Required: 
Web Site: www.

*Signer 1:       *Title:      *SSN:
*Home Address:
*Home Phone:       Cell Phone:       Work Phone: 
*Occupation:  (if “none” or “retired”, indicate as such)      *Employer: 
*Birth Date:         Birth Place:
*CA Drivers license or ID #      *Mother's Maiden Name: 
*Date of Issue:      
*Date of Expiration:
*2nd ID Type:      *ID #:      *Expiration Date:
Are you a senior political officer, or an immediate family member, or a close associate of one?    Yes      No

Signer 2:      Title:      SSN:
Home Address:
Home Phone:      Cell Phone:       Work Phone: 
Occupation:  (if “none” or “retired”, indicate as such)      Employer:
Birth Date:        Birth Place:
CA Drivers license or ID #      Mother's Maiden Name: 
Date of Issue:      
Date of Expiration:
2nd ID Type:      ID #:      Expiration Date:
Are you a senior political officer, or an immediate family member, or a close associate of one?    Yes      No

Account Preferences:      Remote Deposit Capture Service     Online Banking (Business Online)

By submitting this application, I/we certify that I/we gave truthfully and fully provided the information required and that I/we am at least 18 years of age and live in the US. I/we agree that I may receive electronic communications posted on the Pacific Alliance Bank Web Site or delivered to the e-mail address I/we provide, including information required by various laws and regulations. I/we authorize Pacific Alliance Bank to access my credit bureau information, check my employment, obtain reports from consumer reporting agencies and report to credit reporting agencies Pacific Alliance Bank's experience with me.

If more than two signers please use a copy of this form.
The purpose of this questionnaire is to begin the application process. All applications are subject to approval.