Certificate of Deposit Account Application

Important Information About Procedures For Opening A New Account & The Patriot Act

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

Account Information

Primary Account Holder Information

Joint Account Holder Information

Are you applying for an individual or joint account?

Ownership

Ownership type

Beneficiary Information.

Opening Deposit

Mailing Address:

Reliance Bank
10401 Clayton Rd
Frontenac MO 63131

By submitting this application you are authorizing Reliance Bank to debit your account for the deposit amount indicated above.

Wire Deposit Amount to:

Reliance Bank
ABA # 081018888
10401 Clayton Rd
Frontenac, MO 63131

Account Preferences

Endorsement

By submitting this application, I certify that I/we gave truthfully and fully provided the information required and that I am at least 18 years of age and live in the US. I certify that I have read and agreed to all the Terms & Conditions for Illinois, Terms & Conditions for Missouri, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, TIS, E-sign Act Disclosure, and Privacy Policy. I agree that I may receive electronic communications posted on the Reliance Bank web site or delivered to the e-mail address I provide, including information required by various laws and regulations. I authorize Reliance Bank to access my credit bureau information, check my employment, and report to credit reporting agencies Reliance Bank's experience with me.