New Account Application

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Checking/Savings Application

Important Information About Procedures For Opening A New Account
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 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.

In all cases, protection of your identity and confidentiality is Federation Bank's pledge to you. We proudly support all efforts to protect and maintain the security of our customers and our country.
Account Type
You are giving us permissible purpose to check your credit score if applying for a checking account.
Zip Code
Ineligible zip codes will not be able to proceed. Please enter an eligible zip code.
Are you applying for an individual or joint account?*

IndividualJoint
Primary Account Holder*

First NameLast Name
Social Security Number*
No dashes required
Date of Birth*
MM/DD/YYYY
Address*

Street Address

Mailing address if different than street address

CityState / Province

Postal / Zip Code
Driver's License Number*
State Issued*
Date of Expiration*
MM/DD/YYYY
Date Issued*
MM/DD/YYYY
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Secondary Account Holder*

First NameLast Name
Social Security Number*
No dashes required
Date of Birth*
MM/DD/YYYY
Address*

Street Address

Mailing address if different than street address

CityState / Province

Postal / Zip Code
Driver's License Number*
State Issued*
Date of Expiration*
MM/DD/YYYY
Date Issued*
MM/DD/YYYY
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Do you wish to make this account payable on death?*

YesNo
Name

First NameLast Name
Opening Deposit
Deposit Amount*
Deposit Type*
Products and Services Needed

Debit CardE-StatementsCertificate of DepositBill PaymentOnline BankingCheck Order
A Federation Bank representative will be contacting you about your selection above to complete the account opening process.
How would you initially prefer to be contacted?*

PhoneEmail
The purpose of this questionnaire is to begin the application process to open an account with Federation Bank. All applications are subject to approval.
Endorsement
I certify I am a United States citizen or resident
By submitting this application, I certify that I/we provided the information required and that I am at least 18 years of age and live in the US. I agree that I may receive electronic communications delivered to the e-mail address I provided.
Primary Account Holder's Signature*

Clear
Date*

MonthDayYear
Date
Secondary Account Holder's Signature*

Clear
Date*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Checking/Savings Application

Opening Deposit

Endorsement