Commercial Performance Checking

Business Information

Business Name
OK Business Name is required
Business Type
OK Business Type is required
Contact Name
OK Contact Name is required
Permanent Address (Not a P.O. Box)
OK Permanent Address (Not a P.O. Box) is required
City
OK City is required
State
OK State is required
Zip
OK Zip is required
Use residential address for mailing address
- Yes
- No
OK Use residential address for mailing address is required
Mailing Address (if different than above)
OK Mailing Address (if different than above) is required
City
OK City is required
State
OK State is required
Zip
OK Zip is required
Business Phone
OK Business Phone is required
Business Fax
Optional OK Business Fax is required
Business Cell Phone
Optional OK Business Cell Phone is required
Tax ID Number
OK Tax ID Number is required
E-mail
OK E-mail is required

Contact Information

Choose the location you would like to complete your application:
Optional OK Choose the location you would like to complete your application: is required
How would you prefer to be contacted?
- Phone
- Mail
- Email
Optional OK How would you prefer to be contacted? is required
When is the best time to arrange an appointment?
- Morning
- Lunchtime
- Afternoon
Optional OK When is the best time to arrange an appointment? is required

Comments

Optional OK is required

Security Code

OK is required

First State Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.

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Business Information

Use residential address for mailing address

Contact Information

How would you prefer to be contacted?

When is the best time to arrange an appointment?

Comments

Security Code

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