Type of Account |
Click here to see more details on our Statement Savings Account
Statement Savings Account Account Please
read the disclosure
Statement Savings - personal
Statement Savings - non-personal
Interest compounds semi-annually
All balances earn .90% APY/.90% rate.
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Amount of Deposit |
$50 minimum for Statement Savings Accounts, however, any month you are below
the minimum of $200, there will be a $3 monthly statement cycle fee (waived for
minors).
$
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How You Found Us |
We always appreciate any feedback on how you
found our site and any comments about the site as well.
If
"Other", please give details
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Type of Ownership |
Before completing your application, please click
here to view our identity verification procedures.
*A copy of your corporate resolution or partnership agreement must
accompany all applications.
*For Trust Accounts: A copy of your Trust Agreement's pages which include
the definition of powers and signatures must accompany all applications.
*Custodial: Fill out portion below |
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Beneficiary's Name: |
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| Social Security Number: |
-- |
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Date of Birth: |
// |
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mm/dd/yyyy |
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Complete For Personal Accounts |
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(1) Primary Account Holder
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| Prefix: |
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| First Name: |
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| Middle Initial: |
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| Last
Name: |
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Date
of Birth:
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/ |
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mm/dd/yyyy |
| Social
Security Number: |
-- |
| Street
Address |
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| City: |
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| State: |
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| Zip: |
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| Home
Phone: |
()- |
| E-Mail
Address: |
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| Employer
Name/Address: |
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| Work
Phone: |
() |
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(2) Joint Account Holder (if any) |
| Prefix: |
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| First
Name: |
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| Middle
Initial: |
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| Last
Name: |
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Date
of Birth:
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/ |
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| Social
Security Number: |
-- |
| Street
Address |
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| City: |
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| State: |
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| Zip: |
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| Home
Phone: |
()- |
| E-Mail
Address: |
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| Employer
Name/Address: |
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| Work
Phone: |
() |
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| Signature (1): |
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| Date: |
//mm/dd/yyyy |
| Signature (2) if any: |
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| Date: |
//mm/dd/yyyy |
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If account is joint, both owners must sign.
If you would like to add a Payable on Death (POD) to a personal account, please complete:
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Beneficiary's Name: |
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| Social Security Number: |
-- |
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Date of Birth: |
// |
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mm/dd/yyyy |
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*Complete For Non-Personal Accounts |
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Account Title: |
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Date
of Birth:
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// |
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mm/dd/yyyy |
| TAX
ID Number: |
- |
| Street Address |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
()- |
| FAX: |
()- |
| E-Mail Address: |
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| Company Website: |
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| Number of signatures required for withdrawals: |
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For corporate or partnership accounts, please complete the following for all
authorized account signers. |
| Signer
name and title (1): |
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| Signature
of (1): |
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| Date: |
//mm/dd/yyyy |
| Signer
name and title (2): |
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| Signature
of (2): |
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| Date: |
//mm/dd/yyyy |
| Signer
name and title(3): |
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| Signature
of (3): |
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| Date: |
//mm/dd/yyyy |
| Signer
name and title(4): |
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| Signature
of (4): |
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| Date: |
//mm/dd/yyyy |
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W-9 Certification: Under penalties of perjury, I certify
that (1) the tax ID on this form is my correct taxpayer identification number,
and (2) I am not subject to backup withholding, either because I have not been
notified that I am subject to backup withholding as a result of failure to
report all interest and dividends, or because the Internal Revenue Service has
notified me that I am no longer subject to backup withholding.
Upon completion of the application form, please print it
out, sign where appropriate, attach a check made payable to First Community
Bank and a copy of all signer's valid driver's license. Include any
other pertinent documents and then mail to:
First Community Bank
Attn.: Dee Kates
4300 E. Broad Street
Columbus, OH 43213
Interest will begin to accrue on your First Community Bank
account when all paperwork is properly completed (including your signature),
the account is processed, and the account is properly funded.
You can wire the funds to us, however, the appropriate
paperwork must immediately follow. We are on-line with the Federal Reserve.
Instruct your bank to wire transfer the amount you wish to invest plus a $15
incoming wire fee to:
First Community Bank, Whitehall, Ohio
ABA Routing and Transit # 0440-1145-3
For The Benefit Of (your name)
The Bank reserves the right to verify the above information. Funds must
be in US dollars.
*All Annual Percentage Yields assume reinvestment of interest and principal.
Fees may reduce earnings.
By signing and returning this form, you have read, understand and agree to all terms
and conditions of this account and all applicable rules and regulations
adopted by First Community Bank. You may request these documents before
opening your account(s), or verify current offers by calling 1-614-239-4600 or
1-888-831-3620 during regular business hours.
If you have questions, you may call us at one of the numbers above, e-mail
us at info@firstcommunitybank.com
or send your message or special instructions below with your completed
application. We look forward to serving you.
Please type in any additional details or comments below.
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for bank use only:
Term: ______________ APY: ________________
Amount: ____________ Acct.#: ______________
Open date: __________ CSR by: _____________
Date Rec'd: __________ Postmarked:__________ |
