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
CLICK HERE to access the Co-Applicant section or Click "Submit"
below to finish!
* Please Note: Alimony, child support, or maintenance income need
not be revealed if you do not wish it to be considered as a basis
for repaying this obligation.
Submission of this form authorizes Plains State Bank to verify
information provided herein, including but not limited to employment
and credit history.
This application is not for consumer purpose mortgage loans. For
loans that use real property or a primary residence to secure a
consumer loan, please contact your local Plains State Bank for more
Relationship to Applicant