New Accounts (Copy) - Citizens State Bank

Save and Continue Later

Account Holder Information
Physical Address*
Street Address Address Line 2 City State ZIP Code
Phone*
DOB
MM slash DD slash YYYY

It is safe to enter your personal information here. This form is secure and your data is encrypted. This field is optional, you can come into a branch to give us this information if you would prefer.
Social Security Number

It is safe to enter your personal information here. This form is secure and your data is encrypted. This field is optional, you can come into a branch to give us this information if you would prefer.
Check this box if you have a different mailing address.
- Different Mailing Address
Mailing Address
Street Address Address Line 2 City State ZIP Code
Business Name

If applicable.
Tax ID Number

EIN, if applicable.
Will another person be accessing the account? Click below to add a joint account holder.
- I want to add a joint account holder.
Click below to add a beneficiary.
- I want to add a beneficiary.

Save and Continue Later

Joint Account Holder Information
(Optional)
Your joint account holder will need to bring their government-issued photo ID to a local branch to complete their account setup.
Name*
First Middle Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Social Security Number

It is safe to enter your personal information here. This form is secure and your data is encrypted. This field is optional, you can come into a branch to give us this information if you would prefer.
DOB
MM slash DD slash YYYY

It is safe to enter your personal information here. This form is secure and your data is encrypted. This field is optional, you can come into a branch to give us this information if you would prefer.

Save and Continue Later

Beneficiary Information
(Optional)
Name*
First Middle Last
Relationship to you.*
Social Security Number

It is safe to enter your personal information here. This form is secure and your data is encrypted. This field is optional, you can come into a branch to give us this information if you would prefer.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Save and Continue Later

Identification Details
What kind of government-issued photo ID will you use to open you account.*

Passport, Drivers License, etc
ID Number / Customer Identifier*
In what state or country was your id issued?*
ID Expiration Date*
MM slash DD slash YYYY

Save and Continue Later

Consent*
I agree to the terms and conditions.
I certify all information is true and correct to the best of my
knowledge.
Hidden
Lead Quality
Consent

Save and Continue Later

New Accounts