home // Business and Economy // Banking
Business Online Banking Application
Source: www.citz.com
File Size: 64.38 KB
Page: 2 pages
Category: Business and Economy
Last Download : 8 days 15 hours 11 minutes ago
Share this info:
Short Description: This is an application for Business Online Banking access with Citizens Financial Bank. I understand the approval process may include an inquiry into ...
Content Inside: Business Online Banking Application
Instructions
Print and fax completed applications to 219-227-3105. By submitting this form to Citizens Financial Bank, you are requesting online access to those business accounts for which you are authorized to do so by Corporate Resolution.
Business Information
Business Name Street Address City Primary Contact Information Name State Zip EIN Business Telephone Business Fax
Business Telephone
Business E-mail
Authorized User Information
Please complete the following fields for the individual(s) who will be granted Online Banking access. These individuals will be provided with an Access ID and password to access account information and perform account transactions as requested. Employee 1: First Name Employee 2: First Name Employee 3: First Name Last Name Last Name Last Name Business E-mail Business E-mail Business E-mail
Will all authorized users have the same access?
Yes
No
If no, the Business Resource Center will contact you for clarification.
Account Information
In the fields below, provide the account type (checking, savings, etc.) and account number for each account to be made available via Business Online Banking. Only those accounts for which the applicant is an authorized signer may be linked to the online profile. Account type * Account Number Nickname Account type Account Number Nickname
* Service charges will be assessed to this account, if applicable.
Access Request
Please mark all of the following amenities that you are interested in receiving. A. General Amenities: Stop payments Transfer between internal business accounts View account activity Check Images Electronic Statements B. Cash Management Wire transfers ACH Services (If any boxes are checked, complete page 2) Payroll direct deposit Transfer to / from accounts at other banks Tax payments
Authorization / Signature
This is an application for Business Online Banking access with Citizens Financial Bank. I understand the approval process may include an inquiry into my past banking relationships and a review of my credit history. The Bank reserves the right to refuse access to any user or business based on the information received. The undersigned acknowledge(s) that she/he has read and agrees with the Citizens' Online Internet Banking Agreement and Disclosure available at www.mybankcitizens.com, which includes disclaimers of liability and other matters of interest to users. By accessing the service, you agree to the terms and conditions of the Citizens' Online Banking Agreement and Disclosure. If any user does not login or schedule a transaction through Business Online Banking during any consecutive six-month period, the service will be terminated. Print Name For Bank Use Only Submitted by (PID #): Date Application Received: Signature Employee Processing Application: Date Application Processed: ____________________ Date
Rev 12/07
29-015
