Request Information for
Personal 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:
HomeTown Club Account:
Contact me at:

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

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

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 come to the bank to open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We will also ask to see your driver's license or other identifying documents.

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