Open New Account

Account Type

Is joint accountRequired

Personal Information

Title

First NameRequired

Middle Name

Last NameRequired

Preferred name (if different than above)

Suffix

Social Security NumberRequired

Date of BirthRequired

City of BirthRequired

Mother's Maiden NameRequired

OccupationRequired

Employer

Employer address

Certification of Tax Status

By selecting one of the statements and clicking the 'Next' button below, I authenticate and verify my tax identification number (social security number) and agree to the following statement: Under penalties of perjury, I certify that the taxpayer identification number (social security number) shown on this online form is my correct taxpayer identification number, and:

Tax status

I am not subject to backup withholding. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, (c) the IRS has notified me that I am no longer subject to backup withholding and I am a U.S. person (including U.S. resident alien), or (d) I am exempt from FATCA reporting. (This is most common.)

I am subject to backup withholding. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends, I am a U.S. person (including U.S. resident alien), and I am exempt from FATCA reporting. (You will know if this applies to you.)

Required

Authorize

I certify the accuracy of the above information and authorize American Riviera Bank (the "Financial Institution") to access my credit file(s) to authenticate my identity and facilitate the processing of this application for this American Riviera Bank account only. I understand that I may be asked questions based on the information in my credit file(s) as part of this process. I also understand that the Financial Institution may review my credit history and past banking relationships before accepting this application.

Required

Personal Information (Second Account Holder)

Title 2

First NameRequired

Middle Name

Last NameRequired

Preferred name (if different than above)

Suffix

Social Security NumberRequired

Date of BirthRequired

City of BirthRequired

Mother's Maiden NameRequired

OccupationRequired

Employer

Employer address

Certification of Tax Status (Second Account Holder)

By selecting one of the statements and clicking the 'Next' button below, I authenticate and verify my tax identification number (social security number) and agree to the following statement: Under penalties of perjury, I certify that the taxpayer identification number (social security number) shown on this online form is my correct taxpayer identification number, and:

Tax status

I am not subject to backup withholding. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, (c) the IRS has notified me that I am no longer subject to backup withholding and I am a U.S. person (including U.S. resident alien), or (d) I am exempt from FATCA reporting. (This is most common.)

I am subject to backup withholding. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends, I am a U.S. person (including U.S. resident alien), and I am exempt from FATCA reporting. (You will know if this applies to you.)

Required

Authorize (Second Account Holder)

Authorize

I certify the accuracy of the above information and authorize American Riviera Bank (the "Financial Institution") to access my credit file(s) to authenticate my identity and facilitate the processing of this application for this American Riviera Bank account only. I understand that I may be asked questions based on the information in my credit file(s) as part of this process. I also understand that the Financial Institution may review my credit history and past banking relationships before accepting this application.

Required

Open New Account

Account type

Contact information

Identification

Account Type

Personal Information

Certification of Tax Status

Authorize

Personal Information (Second Account Holder)

Certification of Tax Status (Second Account Holder)

Authorize (Second Account Holder)

Other

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Open New Account

Open New Account

Account type

Contact information

Identification

Account Type

Personal Information

Certification of Tax Status

Authorize

Personal Information (Second Account Holder)

Certification of Tax Status (Second Account Holder)

Authorize (Second Account Holder)

Other