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The Basics

  • Are you a new customer?

    OK Are you a new customer? is required
  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • OK Primary Number is required
  • Optional OK Secondary Number is required

Address Information

  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required
  • OK Email is required
  • OK Where would you like to sign your documents? is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Identity Verfication

  • OK Please choose a primary ID from the dropdown list is required
  • OK License/ID Number is required
  • OK State of Issuance is required
  • OK Issue Date is required
  • OK Expiration Date is required
  • If you have questions about ID verification, please call us at (800) 326-9486.

Joint Account Information

  • Number of Joint Owners on this Account

    OK Number of Joint Owners on this Account is required

Joint Applicant #1

  • OK Relationship to Primary Applicant is required
  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Primary Number

    - -
    OK Primary Number is required
  • Secondary Number

    - -
    Optional OK Secondary Number is required
  • OK Please choose a primary ID from the dropdown list is required
  • OK License/ID Number is required
  • OK State of Issuance is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Email is required

Joint Applicant #2

  • OK Relationship to Primary Applicant is required
  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Primary Number

    - -
    OK Primary Number is required
  • Secondary Number

    - -
    Optional OK Secondary Number is required
  • OK Please choose a primary ID from the dropdown list is required
  • OK License/ID Number is required
  • OK State of Issuance is required
  • OK Residential Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Comments

  • Optional OK is required

Security Code

  • OK is required
  • First Citizens Community Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.