1
Business Account Set-up Sheet
Date
Account Representative
Type of Account / Account Number
Amount of Initial Deposit
Business Information
Business Name
Address
City
State
Zip Code
Primary Telephone Number
Tax Identification Number
Alternative Telephone Number
E-Mail Address
Authorized Signers On This Account
Name and Title Social Security Number
Drivers License Number
Address
Date of Birth
Name and Title Social Security Number
Drivers License Number
Address
Date of Birth
Name and Title Social Security Number
Drivers License Number
Address
Date of Birth
Name and Title Social Security Number
Drivers License Number
Address
Date of Birth
Special Instructions
This information is true and correct to the best of my knowledge.
Customer Signature: _________________________________________ Date: ____________________
Customer Service Representative:_________________________________ Date: __________________
For Employee Use Only. Please initial that the following has been completed:
OFAC Verification
Chex Systems Verification
2
Tell Us About Your Business:
These are the items you will need to open your business account with University Bank:
____ Articles of Incorporation
____ Tax Identification Number for Company
____ Corporate Resolution
____ The following information on your Authorized Signers:
_____ Name and Title
_____ Address
_____ Social Security Number
_____ Driver’s License
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