E-Statement Enrollment Form

To sign up for E-Statements you must be an owner of the TrustTexas Bank account(s) you have chosen for E-Statement delivery.

Required Fields

Applicant

First Name Middle Initial Last Name Suffix Business Name Social Security or Tax ID Number Address City State Zip Code Home Phone Number E-mail Address

Accounts

Activate the following accounts for E-statements:

Primary Account Number Account Type

Additional Accounts

 Add Another Account

Authorization

I hereby authorize TrustTexas Bank to set up the above referenced accounts to receive E-Statements. I realize that paper statements will no longer be sent and that I would need to contact the Bank to start receiving paper statements again. I acknowledge that with the enrollment of E-statements, I am authorizing the enrollment of Bill Pay and the receiving of images on my checking accounts at no extra cost.

Please confirm that your computer is capable of opening a PDF document by opening and reading the disclosure, then enter the four digit code provided.

Yes, I agree to the Terms and Conditions explained in the TrustTexas Bank, SSB eStatements Disclosure. PDF Code Signature Date