The following is an actual savings account form available online
from the Emigrant Savings Bank in New York. There are several kinds
of accounts available, such as regular savings accounts, certificates
of deposit, joint accounts, and trust accounts. Suppose you want
to open a 6-month individual certificate of deposit by yourself
(not jointly or in trust for someone else). (When you sign the form)
you promise not to withdraw the money for at least 6 months or you
will have to pay a penalty. How will you fill out the form? Please
do so below:
ACCOUNT OPENING FORM
Thank you for choosing to bank with us. Please print,
complete, and sign this form. Mail with your initial opening
deposit to:
Emigrant Savings Bank
Communications Department
P.O. Box 1403
New York, NY 10163
Please open a new account as indicated below: Certificate of Deposit for Months Other Individual Jointly In trust for
Name
Joint Name
Address
Address
City/State/Zip
City/State/Zip
Date of Birth
Date of Birth
Mother's Maiden Name
Mother's Maiden Name
Occupation
Occupation
Home Phone Number
Home Phone Number
Daytime/Business Phone Number
Daytime/Business Phone Number
Social Security Number
Social Security Number
E-mail Address
E-mail Address
The social security number shown on this
form is my correct taxpayer identification number and
I am not subject to backup withholding.
The social security number shown on this
form is my correct taxpayer identification number and
I am not subject to backup withholding.
Signature
Signature
ACCOUNT OPENING FORM
Thank you for choosing to bank with us. Please print, complete,
and sign this form. Mail with your initial opening deposit
to:
Emigrant Savings Bank
Communications Department
P.O. Box 1403
New York, NY 10163
Please open a new account as indicated below: × Certificate of Deposit for
6 Months ______ Other × Individual
____ Jointly_______________________________________________________
_______In trust for ________________________________________________
Name Thomas
Cook_
Joint Name
Address_1004
Aspen Street_
Address
City/State/Zip
Wayne NE 68787 USA_
City/State/Zip
Date of Birth
August 23, 1943
Date of Birth
Mother's Maiden Name
_Hyde_
Mother's Maiden Name
Occupation_Teacher_
Occupation
Home Phone Number_
402-375-2003_
Home Phone Number
Daytime/Business Phone Number_402-375-7516_
Daytime/Business Phone Number
Social Security Number __xxx-yy-zzzz_
Social Security Number
E-mail Address__abcxyz@smartnet.net__
E-mail Address
The social security number
shown on this form is my correct taxpayer identification number
and I am not subject to backup withholding.
The social security number
shown on this form is my correct taxpayer identification number
and I am not subject to backup withholding.
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