Account ApplicationPrivacy Policy: Our privacy policy protects the privacy of your personally-identifying information that you provide us online. Important Information about Procedures for Opening a New Account: Identification Procedures Requirements: 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 who opens an account. What this means for 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. Security Notice: You should ONLY fill out this Application on-line if you are using a browser with the latest security enhancements. Instructions: Complete Application and click "Submit Application". To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser. Once your application has been submitted, we will contact you shortly thereafter. We will determine which location is most convenient for you to stop by to sign a signature card and alert you of the required identification and relevant documents you may need to bring with you. Primary Account Holder InformationPrimary Account Holder Name* First Name * Middle Initial Last Name * Date of Birth* MM slash DD slash YYYY Date of Birth *SSN* SSN *Email Address* Email Address *Mother's Maiden Name* Mother's Maiden Name *Driver's License #* Driver's License # *Driver's License State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDriver's License State *Issue Date* MM slash DD slash YYYY Issue DateExpiration Date* MM slash DD slash YYYY Expiration Date *Home Phone*Home Phone *Work PhoneWork PhoneCell PhoneCell PhoneAddress Information* Street Address Line 1 * Street Address Line 2 * City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State * ZIP Code * Employment Information* Employer *Occupation* Occupation *Joint Account Holder InformationJoint Applicant There will be a joint account holder Joint Account Holder InformationPrimary Account Holder Name* First Name * Middle Initial Last Name * Date of Birth* MM slash DD slash YYYY Date of Birth *SSN* SSN *Email Address* Email Address *Mother's Maiden Name* Mother's Maiden Name *Driver's License #* Driver's License # *Driver's License State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDriver's License State *Issue Date* MM slash DD slash YYYY Issue DateExpiration Date* MM slash DD slash YYYY Expiration Date *Home Phone*Home Phone *Work PhoneWork PhoneCell PhoneCell PhoneAddress Information* Street Address Line 1 * Street Address Line 2 * City * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State * ZIP Code * Employment Information* Employer *Occupation* Occupation *Account Titling InformationAccount Titling Information* Individual Custodial Joint Payable on Death Payable on Death Beneficiary* Name *Beneficiary SSN* SSN *Beneficiary Address AddressBeneficiary PhonePhoneCustodian* Name *Custodian SSN* SSN *I/We would like to apply for the following accounts:Checking Accounts Simple Checking Direct Interest Checking Platinum Interest Checking Premium 50 Interest Checking Savings Accounts Regular Savings Minor Savings Money Market Accounts Money Market Account Choose Your Branch* Kerrville - 1309 Bandera Hwy. Fredericksburg - 804 S Adams St. How did you hear about us?Please choose:I am an existing customerI was referred by a bank employeeI was referred by a bank customerDirect MailRadioClose to work and/or home Δ