FSBT New Account Application

Start your application
What you will need
1. A U.S. government-issued photo ID (e.g. driver’s license, passport, state or military ID)
2. Your social security number
Which branch will be your primary banking location? *
Which product are you interested in? *
Proof of service required for account activation. Please bring your military ID or another form of service identification when opening the account.

Applicant Information
Full Legal Name (as it appears on your Social Security Card)*

First NameMiddle NameLast NameSuffix
Mother's Maiden Name
Last Name
Social Security Number*
Birth Date (MM-DD-YYYY)*

MonthDayYear
Date
Primary Telephone Number *

Area CodePhone Number
Email*
Would you like to receive your bank statements electronically? *

YesNo
Driver’s License/Passport Number*
Issuer (State or Country)*
Date Issued*

MonthDayYear
Date
Expiration Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list Your City, State & Zipcode

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this your mailing address?*

YesNo
Please enter your mailing address below*

Street Address

Street Address Line 2

CityState/Province

Postal/Zip Code
Do you own or rent your home?*

OwnRent
How long have you resided at your current residence?*
Designated Beneficiary Information

If you wish to designate a beneficiary (or beneficiaries) who would inherit the balance of this account upon your death, please provide the following information: Note: the beneficiary you name should NOT be the same person as the joint owner on your account (if a joint owner has been identified).
Primary Beneficiary Name*

First NameLast Name
Beneficiary DOB*

MonthDayYear
Date
Percentage of Account*
Relationship to Primary Account Holder *
Would you like to add another Beneficiary*

YesNo
Secondary Beneficiary Name*

First NameLast Name
Secondary Beneficiary DOB*

MonthDayYear
Date
Percentage of Account*
Relationship to Primary Account Holder *

Previous Employer
Previous Employer
Previous Position/Title
Previous Employer’s Address

Street Address

Street Address Line 2

CityState/Province

Postal/Zip Code
Previous Employer’s Telephone Number

Area CodePhone Number