TrustTexas Bank

Merchant Deposit Capture Application

If you do not understand any part of the following information, an employee at any branch or at Customer Service will be happy to assist you. Phone calls may be monitored or recorded for quality control purposes. Customer Service phone numbers are as follows: 1-800-342-0679 and 1-361-275-2345.

Required Field

Company Information

Do you offer products and services outside the United States?

Have you filed for bankruptcy in the past seven years?

Does your company currrently use our Business Internet Banking system?

Does your company currently use our ACH or wire services?

Do you use Merchant Capture at another Financial Institution?

Employee Information

Do you perform background checks on new employees?

Is a photo ID required for employment?

Are photo IDs worn in the workplace?

Primary Applicant

Enter the name of the person authorized to agree to the contract later in the application.

Multiple Locations

Enter information about each location that will be using Merchant Source Capture™.

Location

Add Another Location

Contacts

The Primary Contact information is required. All other contacts are optional and will be filled in with the Primary Contact information if none are provided.

Primary Contact

Secondary Contact

Deposit Corrections

Notification of any deposit corrections will be sent to either the fax number or the Email address listed.

Account & Deposit Information

To open an account contact your nearest TrustTexas Bank branch location.

Use this account as your billing account?

Use this account for the following locations

Add Another Location

Please estimate the following "average" information.

Deposit Days

Scanner/IT Information

Do you have wireless Internet access?

Is it a secured wireless connection?

What operating systems do you use on computers connected to the scanners?

Do you keep updated antivirus software on your computers?

Do all computers use a firewall?

Do you perform IT audits?

If yes, please supply financial institution with a copy of latest audit.

Do you have IT staff onsite?

Do you offer VPN or remote access for staff?

Tokens

Token User

Add Another Token

Paper Check Handling

Do you plan to mark or "frank" each paper check after it has been successfully issued to the financial institution?

How long do you plan to store the original checks after depositing?

You must keep the original checks for a minimum of 120 days.

Will your original checks be stored in a locked and secure location after scanning?

What method will you use to securely destroy original checks after the retention period?

Endorsement