Cambridge State Bank - Deposit Form

Deposit Form

To begin, please fill out the fields in the form below. One of our representatives will contact you within one business day to complete the process.

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Personal Business (please select one)

Individual Joint (please select one)

Are you a new customer? Yes No

Select the account(s) for which you are applying: *

Checking Accounts

Free Checking Elite 55 Checking Interest Checking eFriendly Checking

Savings Accounts

Regular Savings Money Market Savings Certificate of Deposit Individual Retirement Account Health Savings Account

Customer Services

Online Banking Mobiliti Banking Bill Payment Bank-to-Bank Transfers ATM Card Check Card

Personal Information

Name (Last, First, MI) * Social Security Number *

Why do we ask?

In order to properly verify your identity, federal law requires we ask for a government-issued identification number, such as your Social Security Number. This information is used solely for identity verification. Your Social Security number will not be used for any other purpose.

Date of Birth (MM/DD/YYY) *

Home Phone *

Daytime Phone

Mother's Maiden Name *

Drivers License or State ID *

State of Drivers License *

Drivers License Expiration (MM/YYYY) *

Email Address *

Address Information

Residential Address (Not a P.O. Box) *

City *

State *

Zip *

Use residential address for mailing address

Mailing Address

City

State

Zip

Employment Information

Current Employer

# of Years with Current Employer

Joint Applicant Information

Personal Information

Name (Last, First, MI) * Social Security Number *

Why do we ask?

Date of Birth (MM/DD/YYY) *

Home Phone *

Daytime Phone

Mother's Maiden Name *

Drivers License or State ID *

State of Drivers License *

Drivers License Expiration (MM/YYYY) *

Email Address *

Address Information

Residential Address (Not a P.O. Box) *

City *

State *

Zip *

Use residential address for mailing address

Mailing Address

City

State

Zip

Employment Information

Current Employer

# of Years with Current Employer

ATM and Check Card

Would you like to apply for a free ATM/Check card on this account? Yes No

How did you hear about us?

Newspaper
Radio
Email

Search Engine
Billboard
Website

Referred by
Promo Code
Other

Comments

Disclosures

MN Statute 48512 subd. 2 requires the following information to be provided by an applicant if this is a transaction account. *

Have you had a transaction account at this or another financial intermediary within 12 months before making this application? *
Yes No Have you had a transaction account closed by a financial intermediary without your consent within 12 months before making this application? *
Yes No Have you been convicted of a criminal offense because of the use of a check or other similar item within 24 months of making this application? *
Yes No

Important

Please read the following disclosures before accepting. I/We have read and agree to the terms and conditions shown above and agree to conform to the bylaws and any amendments of the bank. I certify that statements on this application are true and complete.

By checking "I accept", you acknowledge you have read and agree to the Account Agreement.

I Acccept (Primary) I Accept (Joint) Check if under 18. If so, a parent or guardian is required to sign as a joint holder.

Cambridge 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, I/We grant full permission to do so.

This document is being secured using SSL encryption provided by your browser. Your information will be encrypted when using this form while in transit between your browser and Cambridge State Bank.

* Indicates a Required Field.

Deposit Form

Checking Accounts

Savings Accounts

Customer Services

Personal Information

Why do we ask?

Address Information

Employment Information

Joint Applicant Information

Personal Information

Why do we ask?

Address Information

Employment Information

ATM and Check Card

How did you hear about us?

Comments

Disclosures

Important

By checking "I accept", you acknowledge you have read and agree to the Account Agreement.

Thank you for your submission! Someone will be in touch with you soon.