Make a change for the better in 5 EASY steps!



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Make a change for the better in 5 EASY steps! Personal Switch Kit Step 1: Open a State Bank of New Prague Checking Account! Our Customer Service Representatives will help you determine what account best suits your needs. To make this process even easier, have the account application form filled out when you come in to open your checking account! Step 2: Stop using your previous checking account. Make sure you allow time for any outstanding checks and debit card purchases to clear your account. Bring your old checks, deposit slips, ATM or debit cards to us, and we will shred them for you to ensure privacy. Step 3: Move your direct deposits to State Bank of New Prague. Use the direct deposit request form for each deposit that will go into your new account to make this process effortless. Step 4: Transfer any automatic payments to State Bank of New Prague. Use the automatic payment request form to send to each vendor that you make an automatic payment to. We also offer you another effortless way to pay your bills with our free Online Banking and Bill Pay.* Step 5: Close your previous checking account. Our account closing request form makes this process hassle-free. If you have any questions on using any of these forms, please call our Customer Service Representatives and we will be happy to help you in any way we can! Bill Pay is free if it is used at least one time per calendar month. A charge of $5 will appear on your statement the 1 st day of the month following the month of inactivity.

Deposit Account Application IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: 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 that opens an account. What this means to 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. APPLICANT First MI Last Social Security # Birthday Street City State Zip Code Drivers License Number Expiration Date Home Phone Years in MN Employer Name/ Business Phone/Cell Phone E-Mail CO-APPLICANT / BENEFICIARY First MI Last Social Security # Birthday Street City State Zip Code Drivers License Number Expiration Date Home Phone Years in MN CO-APPLICANT / BENEFICIARY First MI Last Social Security # Birthday Street City State Zip Code Drivers License Number Expiration Date Home Phone Years in MN 1.) Have you had a transaction account at this or another financial institution within 12 months before making this application? Yes / No Name of Institution: 2.) Have you had a transaction account closed by a financial institution without your consent within 12 months? Yes / No 3.) Have you been convicted of a criminal offense because of the use of a check or other similar item within 24 months? Yes / No Everything I have stated in this application is correct to the best of my knowledge. I understand that I may be guilty of perjury if I made any material misstatements. I also understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me. X Applicant s Signature Date Co-Applicant s Signature Date For Office Use Only: CHEXSYSTEM VERIFICATION: EMPLOYEE: O LFAC CHECK: VERIFIED / EXISTING CUSTOMER RECORDS (if any): Check Order / Savings Order TY sent Checking: Savings: Package Regular Free VISA Check Card Money Market Portfolio Number Interest ATM Card Optima Plus Saver s Express Account Number X

Check/ATM Card Application FILL OUT THE FOLLOWING IN ITS ENTIRETY (ONE PER APPLICANT) AND BRING IT TO THE BANK WHEN YOU COME IN TO OPEN YOUR ACCOUNT. NAME SOCIAL SECURITY NUMBER STREET ADDRESS CITY STATE ZIP CODE HOME PHONE NUMBER CELL PHONE NUMBER WORK PHONE NUMBER MOTHER S MAIDEN NAME (FOR SECURITY PURPOSES) CHECKING ACCOUNT NUMBER SAVINGS ACCOUNT NUMBER SIGNATURE DATE \ IS THIS FOR AN ATM ONLY CARD OR A DEBIT/ATM CARD? ATM ONLY DEBIT/ATM IS THIS A REPLACEMENT FOR A LOST OR STOLEN CARD? YES NO FOR FINANCIAL INSTITUTION USE ONLY Account Open Date / / Approval Initials ATM CARD CHECK/ATM CARD PAN Number

Direct Deposit Change Request Form Instructions: Complete this authorization to change direct deposits to State Bank of New Prague. Please attach a voided check from your new State Bank of New Prague account. Date Company Name (payroll or accounting department) Please discontinue my direct deposit from: Prior Bank: Former Bank Routing Number: Former Account Number: Please begin making deposits to my new account at: State Bank of New Prague Bank Routing Number: 091902706 Account Number: Bank Phone: (952) 758-4491 If you have any questions about this request, please contact me during the Day/Evening (circle one) at:. Thank you. Sincerely, Signature Name (please print)

Automatic Payment Change Form Instructions: Complete this authorization to have automatic withdrawals made from your State Bank of New Prague account. Print one authorization for each company that makes automatic withdrawals from your account, including automatic payments made by debit cards also. Date Name of Company that makes Automatic Withdrawal Please change my automatic payment from: Bank: Bank Routing Number: Account Number: Please begin withdrawals from my new account at: State Bank of New Prague Bank Routing Number: 091902706 Account Number: If you have any questions about this request, please contact me during the Day/Evening (circle one) at. Thank you. Sincerely, Signature Name (please print)

Account Closing Request Instructions: Complete this authorization to close accounts at other financial institutions and have funds transferred to your State Bank of New Prague account. Print one authorization for each financial institution where you have accounts. Remember to destroy old checks and your old ATM and debit cards or bring them in to us and we will shred them for you. Date: To (Current Bank): Attn: Customer Service Department : City/State/Zip PLEASE CLOSE THE FOLLOWING ACCOUNT(S) WITH YOUR INSTITUTION effective as of. Account Number Type of Account Account Number Type of Account Account Number Type of Account Please send a check for the remaining balance plus accrued interest to: State Bank of New Prague Attn: Customer Service FBO 1101 First Street SE (Your Name Here) New Prague, MN 56071 (952) 758-4491 Please call if you need more information. Sincerely, Signature Name City/State/Zip Telephone Number

Switch Kit Organizer Use this page to keep track of all of the information you need to switch (deposits and/or automatic payments) to your new State Bank of New Prague account. Your State Bank of New Prague Account Number Your State Bank of New Prague Routing Number 091902706 Need Help? Call us at (952) 758-4491 if you have any questions regarding your switch to State Bank of New Prague. Company Name and Date Letter Mailed Estimated Switch Date Complete? Direct Deposit: 1. 2. 3. Automatic Payments: 1. 2. 3. 4. 5. Close Old Account: Outstanding Checks Payable to: Outstanding Check Number Outstanding Check Amount Date Cleared Account Make sure all outstanding checks have cleared before closing your account