REQUEST DETAILS BUSINESS INFORMATION
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- Ira Hawkins
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1 REQUEST DETAILS Type of Account: gfedc Meridian Business Checking gfedc Meridian Business Money Market fedcb Meridian Business CD (select one or more) gfedc 6 Months CD gfedc 12 Months CD gfedc 18 Months CD gfedc 24 Months CD gfedc 36 Months CD gfedc 48 Months CD gfedc 60 Months CD BUSINESS INFORMATION Business Name: Business Phone #: Tax I.D. Number: State Established In: Date Established: CURRENT BUSINESS ADDRESS
2 ACCOUNT ACTIVITY INFORMATION What is your line of business? Do you conduct any business overseas? If yes, explain and list countries below: Yes What is the purpose of the account? How many domestic wires sent per month? How many foreign wires sent per month? How many deposits made per month? What portion of deposits would be cash? How many withdrawals made per month? What is the average amount of withdrawal? Does your business cash checks? Yes Does your business sell money orders? Does your business sell travelers checks? Yes Yes 2008 Meridian Bank. All rights reserved
3 Signer 1
4 Signer 2
5 Signer 3
6 Signer 4
7 Comments Please enter your Comments/Questions in this box. Please read the following Disclosure before submitting your application: Please note all signers must provide us with 1 form of primary ID. This would include a valid driver s license, government ID card with photo, US Passport, armed forces ID card, or an alien registration card. Additional Information Required: Business Entity: Please provide us with a copy of the business s documentation supporting legal structure of the business. Sole Proprietorship: copy of Certificate of Sole Proprietorship or Certificate of Assumed/Trade Name. Partnership: Copy of Partnership Authorization Certification signed by partners and Partnership Agreement or Certification of Assumed/Trade Name. Corporations: copy of Articles of Incorporation. Limited Liability Company or Limited Liability Partnership: Copy of Limited Liability Company Resolution or Articles of Organization. I/We understand that it may be a federal crime punishable by fine or imprisonment, or both to knowingly make any false statements concerning any of the above facts as applicable under the provisions of the United States Criminal Code.
Authorized Signers: Each Authorized Signer Must Complete a Business Authorized Signer Application. Title: Title: Title:
BUSINESS DEPOSIT ACCOUNT APPLICATION PLEASE RETURN SIGNED FORM AND A BANKER WILL CONTACT YOU. By Mail to: ANCHOR BANK, N.A., ATTN: ANCHOR SUPPORT 14665 GALAXIE AVE, SUITE 330 APPLE VALLEY, MN 55124 Or
When you have completed these forms please return the signed documents and a banker will contact you.
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LOAN APPLICATION WHEN YOU HAVE COMPLETED THESE FORMS PLEASE RETURN THE SIGNED DOCUMENTS AND A BANKER WILL CONTACT YOU. By Mail to: ANCHOR BANK, N.A., 14665 GALAXIE AVE, SUITE 330 APPLE VALLEY, MN 55124
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