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The First National Bank of Sparta

New Accounts Form

To open your account please fill out this form and bring it with you, along with current identification

*all information on form of identification must be correct


What type of account are you interested in?

Checking

Savings

CD

SD Box

If you are interested in a checking account, which one?

(Checking account information is on the next 2 pages.)

Blue Checking

Basic Blue Checking

Senior Checking

Family Blue Checking

College Club

If you are interested in a saving account, which one?

Regular Savings

Money Market

Super Now Checking

Will you be setting up any direct deposit?

Yes

No

What type of direct deposit?

Payroll

SSA

SSI

Pension

How often will it occur?

Annually

Quarterly

Monthly

Weekly

Bi-Weekly

Other

Will you need a debit card?

Yes

No

 

Customer Name:

Driver’s License Number:    

Issued:

Expired:

Physical Street Address:

City:

State:

Zip:

Taxpayer ID Number:

 

Date of Birth:

Current Employer:

Cell Phone Number:

Email Address:

 


Basic Blue Checking Account

Opening Deposit of $100.00 Required

No Minimum Balance

Online & Mobile Banking

e-Statements

Debit Card

**Account will be service charged $2.00 per month for paper statements. **


Blue Checking Account

Opening Deposit of $100.00 Required

No Minimum Balance

Complimentary Personalized Checks

Complimentary Cashier's Checks and Money Orders (Limit 3 per month)

Complimentary Online & Mobile Banking

Debit Card

Discount on Safe Deposit Box

IDProtect®1

Debit Advantage®2

Up to $10,000 Accidental Death & Dismemberment Insurance2

Cellular Telephone Protection2

Travel & Leisure Discounts (available online only)

$hopping Rewards™ (registration/activation required; available online only)

Health Discount Savings This is NOT insurance (registration/activation required)

Monthly Membership $6.00


Family Blue Checking Account

Opening Deposit of $100.00 Required

No Minimum Balance Required

Complimentary Personalized Checks

Complimentary Cashier's Checks and Money orders (Limit 3 per month)

Discount on Safe Deposit Box

Photocopy Service

IDProtect®1

Debit Advantage®2

Up to $20,000 Accidental Death & Dismemberment Insurance2

Cellular Telephone Protection2

Travel & Leisure Discounts (available online only)

$hopping Rewards™ (registration/activation required; available online only)

Health Discount Savings This is NOT insurance (registration/activation required)

Monthly Membership $8.00


Senior Checking Account

Opening Deposit of $100.00 Required

For those 55 or better

No Minimum Balance Required

Complimentary Personalized Checks

Complimentary Cashier's Checks and Money Orders (Limit 3 per month)

Discount on Safe Deposit Box

Up to $5,000 Accidental Death & Dismemberment Insurance2

Debit & Credit Card Registration (registration/activation required)

Travel & Leisure Discounts (available online only)

No Monthly Fee


Super Now Checking

Interest Bearing Account

$1000 Minimum Balance

Unlimited deposits/withdrawals