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Application Form

  • Owner Information

  • We will never sell or share your information.
  • Why do I need to give you my SSN? The bank requires every account to have an owner attached to it. Please enter SSN without dashes.
  • Please provide a scan/image of your driver's license.
  • Business Information

  • The 9-digit number can be found on your IRS tax return forms. Please enter Tax ID # without dashes.
  • Describe more details about your business.
  • Processing Information

  • Please use numbers only.

  • This is the average amount that a customer would spend in one transaction.
  • This is the most a customer would spend in one transaction.
  • Total gross sales including cash, check and credit cards.
  • Total credit and debit cards sales in one year.
  • Estimate % of Each - Please use numbers only.

  • Please enter a value between 0 and 100.
  • Please enter a value between 0 and 100.
  • Please enter a value between 0 and 100.
    It is free to set up American Express. We pass their fees to you.
  • Bank Information

  • This is the bank you want your funds deposited into.
  • This is a 9-digit number that can be found to the left of your account number on a check.

  • Sample Check
  • Please provide a scan/image of a voided business check.
  • Rates & Fees

  • Please enter a value between 0 and 100.
  • Disclosures

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