Business Account Application - Citizens Savings Bank and Trust Company

Business Name(Required)

Assumed Name (if Applicable)

Nature of Business(Required)

Country of Organization(Required)

United States

Other

Physical Address(Required)

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

Mailing Address (if different)

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

Business Phone(Required)

Business Email

Type of Business(Required)

Corporation

Limited Liability Corp

Non Profit

Sole Proprietorship

Church

Authorized Account Signers

Signer 1

Name (First & Last)(Required)

Email(Required)

Phone(Required)

Signer 2

Name (First & Last)

Email

Phone

Signer 3

Name (First & Last)

Email

Phone

Business Ownership Information

Please indicate if there are any beneficial owner(s) and/or control person of the Business:

A Beneficial Owner is any individual who owns 25% or more of the business. If the business is a trust, the trustee is the beneficial owner. If another business owns 25% or more percent of this business, please indicate the percentage ownership of the parent company):

Name (First & Last)(Required)

Percent of Ownership(Required)

Name (First & Last)

Percent of Ownership

Name (First & Last)

Percent of Ownership

Name (First & Last)

Percent of Ownership

Expected Business Activity

Does this Business anticipate frequent Large Cash Transactions? (Greater than $3000.00)(Required)

Yes

No

Will the Business utilize mobile depositing?(Required)

Yes

No

Will the Business conduct wire activity?(Required)

Yes

No

Does the Business engage in Internet Gambling(Required)

Yes

No

Are you a Money Service Business or Agent for a Money Service Business?(Required)

Yes

No

Do you conduct Lottery Sales?(Required)

Yes

No

Do you have an ATM on site that you service?(Required)

Yes

No

Would you like to order checks?(Required)

Yes

No

Would you like our Online Banking service?(Required)

Yes

No

We appreciate your interest in establishing a Business Account with Citizens Bank. To continue, please upload your required business documentation using the secure link provided.

Required Documents Include:

Business formation/registration documents (Articles of Incorporation, Partnership Agreement, LLC Operating Agreement, etc.)

Tax ID confirmation (EIN Confirmation Letter, SSN, etc.)

Photo ID for all Authorized Account Signers

Business license (if applicable)

DBA/Fictitious Name Certificate (if applicable)

Document requirements may vary based on your business type, structure, and intended account usage

Important: To finalize your application and ensure regulatory compliance, we may request supplementary documentation. You will be notified directly of any additional requirements. Timely submission of all requested information helps ensure faster application processing.

Submit Your Documents
Secure Upload Link

The applicant acknowledges that the information provided in this form is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this form may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this form, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.;

All statements made in this form are made for the purpose of obtaining information only on opening a Business Account.

We appreciate your interest in establishing a Business Account with Citizens Bank. A Bank representative will contact you.

Need Help? Contact our team at 615.327.9787 extension 300 or email us at citizensbankretail@bankcbn.com and we'll be happy to assist you.