Personal Checking/Savings Account Application
Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

Account Holders must reside in    

Important Information about Procedures for Opening a New Account
Identification Procedures Requirements: 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.

Instructions:
1. Complete Application and click "Submit Application" or fax it to 404-575-8360.
2. To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser.
3. We will contact you with the location of our closest office for you to sign a signature card. You may also be requested to provide photocopies of your Social Security card and Driver's License, or other documentation.

Primary Joint Account Holder Information
First Name
    
Middle Initial
 
Last Name
    
 
Date Of Birth
    
Social Security No.
    
Your Email Address
    
 
Home Phone
    
Driver's License No.
    
Driver's License State
   
 
Street Address
    
City
    
State
   
Zip
    
Subject to backup withholding     Work Phone
    
 

Is there a Joint Account Holder?   

If Yes, Please provide the the requested Joint Account Holder information below:


Joint Account Holder (with right of survivorship)
First Name
 
Middle Initial
 
Last Name
 
 
Date of Birth
 
Social Security No.
 
Your Email Address
 
 
Home Phone
 
Driver's License No.
 
Driver's License State
 
Street Address
 
City
 
State
Zip
 
Subject to backup withholding Work Phone
 
 

Account Titling Information
Individual
Joint
In Trust For Name
 
Social Security No.
 
Custodial Name
 
Social Security No.
 

I/We would like to apply for the following account(s):
Checking Accounts Savings Accounts
Student Checking Personal Savings
Regular Checking Future Savers
Personal Interest Checking Christmas Club
Premium Checking  
Golden Club Money Market Accounts
CTB DIRECT Checking Money Market Account
CTB Flat Fee Silver Investor Account
CTB Advantage  
Master/Money/ATM Card
Master Money Card    Cards --or--
ATM Card    Cards

How did you hear about our convenient deposit products?
Current CTB Customer, looking to strengthen my relationship with CTB.
Through CTB Financial Center promotion.
Through current CTB customer.
Through CTB Advertising. Other Description: 
 
I (each person jointly and severally) certify that all information provided is true and correct. I agree to the terms and conditions for any accounts or services that I have now or in the future to confirm such information, and as they change from time to time. I agree at any time you may request credit record information from credit reporting agencies about my credit or accounts, and to receive and provide credit or account information about you. You also authorize any person that we contact to furnish us with any information that we request. You agree that such information will remain our property whether or not an account is opened for you. You authorize us to contact you in the future by telephone about additional products and services offered by or through us or our affiliates, and you consent to our use of information about you for marketing purposes related to such additional products and services.

Submit
Cancel