Business Bank Account Request

Business Bank Account Request

WHEREAS

WHEREAS, Applicant Name: (hereinafter "Applicant") seeks to open one or more deposit and services accounts and to obtain related banking services offered by Bank Name: (hereinafter "Bank").

WHEREAS, Applicant certifies that the information provided in this request is true, complete and submitted for the purpose of establishing banking relationships and obtaining services, and Bank will rely upon these representations in determining whether to open accounts and provide services.

WHEREAS, the parties intend that any accounts and services established pursuant to this request shall be subject to the terms and conditions set forth below and such additional account agreements and fee schedules as may be provided by Bank.

APPLICANT INFORMATION

Corporation LLC Partnership Sole Proprietorship Nonprofit Other:

ACCOUNT DETAILS

Checking Savings Merchant/Payment Processing Escrow/Trust Other:

ACH Origination Wire Transfers Debit/Credit Card Processing Overdraft Protection Positive Pay

SCOPE OF SERVICES

The Bank will provide deposit account services, payment processing services, access to online banking, and such other services as may be mutually agreed. Applicant requests the services described below and authorizes Bank to establish accounts and provide services consistent with Bank's policies and these terms.

PAYMENT TERMS (FEES)

Applicant acknowledges that accounts and services are subject to Bank's fee schedule. Applicant agrees to pay fees when due and authorizes Bank to debit any account for such fees.

Applicant authorizes Bank to debit any of Applicant's accounts for fees, charges and expenses incurred in connection with accounts and services.

TERM AND TERMINATION

This Request and any accounts or services established under it will commence on Start Date: and will continue until End Date: unless earlier terminated in accordance with this section.

Either party may terminate any account or service upon written notice to the other delivered at least Notice Period (days): . Termination does not relieve Applicant of obligations incurred prior to termination.

CONFIDENTIALITY

Each party shall maintain as confidential all nonpublic information disclosed by the other party in connection with this Request and shall use such information solely to perform its obligations hereunder, except as required by law, regulation or supervisory authority. Information subject to confidentiality shall not be disclosed to third parties without prior written consent of the disclosing party, except to affiliates, auditors or service providers bound by confidentiality obligations.

Applicant acknowledges and agrees to the confidentiality provisions above.

COMPLIANCE AND CERTIFICATIONS

Applicant certifies that all information provided is true and correct and that Applicant will promptly notify Bank of any change in information. Applicant represents that it will comply with all applicable laws, including those relating to anti-money laundering, sanctions, and tax reporting.

Applicant certifies that the information provided in this Request is true and complete. Applicant confirms that beneficial ownership information has been provided to Bank as required by Bank policy. Applicant acknowledges compliance with anti-money laundering and sanctions obligations and will provide documentation upon request.

BANK USE ONLY

GOVERNING LAW; ENTIRE AGREEMENT

This Request and any accounts or services established pursuant to it shall be governed by and construed in accordance with the laws of Governing Law State: , without regard to conflict of law principles. Any dispute arising under or related to this Request shall be subject to the exclusive jurisdiction of the state and federal courts located in that state.

This Request, together with any separate account agreement, fee schedule and other documents expressly incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral.

CERTIFICATIONS AND AUTHORIZATIONS

By signing below, Applicant certifies under penalty of perjury that the information provided is accurate, that Applicant is authorized to request the accounts and services specified, and that Applicant will promptly provide additional documentation reasonably requested by Bank to satisfy identification, compliance, or internal requirements. Applicant authorizes Bank to obtain such credit or verification reports as it deems necessary.

Sign Now