Online Account Opening Form Ennis State Bank | Trinity Capital Bank of Texas

What account(s) would you like to open?

Checking Accounts(Required)

Savings Accounts(Required)

Ownership of Account:(Required)

INDIVIDUAL APPLICANT INFORMATION

Name(Required)

First Middle Last

DOB(Required)

SSN(Required)

Driver’s License# / Passport#(Required)

Issuing State(Required)

US Citizen/US Person?(Required)

Yes

Email(Required)

Primary Phone(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Do you own or rent?(Required)

Own

Rent

How Long?(Required)

Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer(Required)

How Long?(Required)

Position Title(Required)

Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

JOINT APPLICANT INFORMATION

Would you like to add someone to your account(s)?(Required)

Joint applicant is for:(Required)

Checking

Savings

Name(Required)

First Middle Last

DOB(Required)

SSN(Required)

Driver’s License# / Passport#(Required)

Issuing State(Required)

US Citizen/US Person?(Required)

Yes

Relationship to Applicant(Required)

Email(Required)

Primary Phone(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer(Required)

How Long?(Required)

Position Title(Required)

Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Would you like to add another joint applicant?(Required)

Name(Required)

First Middle Last

DOB(Required)

SSN(Required)

Driver’s License# / Passport#(Required)

US Citizen/US Person?(Required)

Yes

Relationship to Applicant(Required)

Email(Required)

Primary Phone(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer(Required)

How Long?(Required)

Position Title(Required)

Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Would you like to add another joint applicant?(Required)

Name(Required)

First Middle Last

DOB(Required)

SSN(Required)

Driver’s License# / Passport#(Required)

US Citizen/US Person?(Required)

Yes

Relationship to Applicant(Required)

Email(Required)

Primary Phone(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer(Required)

How Long?(Required)

Position Title(Required)

Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

(OPTIONAL) Revocable Trust or Pay-on-Death Beneficiary:

Beneficiary is for:

Checking

Savings

Name

SSN#

Address

DOB

Would you like to add another beneficiary?

Beneficiary is for:

Checking

Savings

Name

SSN#

Address

DOB

Would you like to add another beneficiary?

Beneficiary is for:

Checking

Savings

Name

SSN#

Address

DOB

Would you like to add another beneficiary?

Beneficiary is for:

Checking

Savings

Name

SSN#

Address

DOB

How did you hear about us?(Required)

Additional Information

COMMUNICATION

We may use your personal information to contact you with newsletters, marketing or promotional materials and other information that may be of interest to you. You may opt out of receiving any, or all, of these communications from us by following the unsubscribe link or instructions provided in any email we send.

CUSTOMER IDENTIFICATION REQUIREMENTS

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

SIGNATURES

I certify that everything I have stated in this application and on any attachments is correct. You may keep the application whether or not it is approved. By signing below I authorize you to check my credit and employment history and/or have a credit reporting agency prepare a credit report on me as an individual. I also authorize you to answer questions others may ask you about my credit record with you.

Applicant’s Signature(Required)

Date(Required)

Joint Applicant(Required)

Joint Applicant’s Signature

Date

Please upload a picture of two forms of identification, one of which must be a primary I.D. All I.D.’s must be current.(Required)

Accepted file types: jpg, png, Max. file size: 8 MB.

Second Form of Identification

Accepted file types: jpg, png, Max. file size: 8 MB.

Primary Identification: State or Provincial (Canadian) Drivers License, State I.D. Card, Passport, Military I.D. Card
Secondary Identification: Birth Certificate, Social Security Number, Property Tax Bill, Voter Registration Card, Firearm License, School ID
Non-US Citizen Primary Identification: US Alien Registration Card, Passport, Mexican Matricular Consular Card, Valid Drivers License
Non-US Citizen Secondary Identification: Birth Certificate, Social Security Number, Valid Drivers License
*Exception for elderly or disabled persons. We will accept two forms of secondary identification if a primary form of identification is not available.

Name

This field is for validation purposes and should be left unchanged.

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Online Account Opening Form

Consumer New Account Application

What account(s) would you like to open?

INDIVIDUAL APPLICANT INFORMATION

JOINT APPLICANT INFORMATION

(OPTIONAL) Revocable Trust or Pay-on-Death Beneficiary:

COMMUNICATION

CUSTOMER IDENTIFICATION REQUIREMENTS

SIGNATURES