Request Information for
Business Checking Account

HomeTown Bank is restricted, in most cases, to serving
our home and contiguous counties.

(Preliminary: You will be contacted by the bank.)
Member FDIC

Name:

Date:

Address:

City:

State:

ZIP:

Telephone:

Fax:

Email:

Amount of
initial deposit:

Account Type:

Checking Account:
Interest-Bearing Account:

Contact me at:

Type any questions you have here, and we will gladly respond with the answers: