New Account Application

Please note that this application is the first step in opening an account. We will input your information, and then you will need to come in to the branch of your choice with 2 forms of identification:

A current driver’s license
Another form of ID including but not limited to: social security card, credit card, or government issued ID

You will also need to bring a deposit in order to open your account. Savings accounts require a $100 deposit, and checking accounts require a $50 deposit. You may also order checks and/or a debit card at the time of account opening. We look forward to meeting you and helping you with your new accounts; if you need further assistance, please feel free to call us at (800) 522-4079.

View Checking Account options View Savings Account options

Applicant Information

First Name:*

Middle Name:

Last Name:*

Entity Type:*

Generation:

Account Type:
Checking Savings

Select a Checking Account type:

Contact Information

Personal Phone:*

Work Phone:

Email Address:*

Identification

SSN:*

Date of Birth:*

Citizenship:

Driver's License/Cedula/Visa/Passport/Other ID information

ID Number:*

U.S. Issuing State:

Issuing Country or U.S. Territory:

Issue Date:*

Expiration Date:*

Current Addresses

Physical Address

Address Line 1:*

Address Line 2:

City:*

State/Territory:*

Zip Code:*

Country:*

Previous Mailing Address:

Mailing Address

Address Line 1:

Address Line 2:

City:

State/Territory:

Zip Code:

Country:

Designate which address you prefer all statements/info to be mailed.

Physical Address Mailing Address

Employment

Current Employer:*

Job Title:*

Select a branch where you would like to complete account opening*

Funds Availability Policy: Our general policy is to allow you to withdraw funds deposited in your account on the first business day after the day we receive your deposit. In some cases, we may delay your ability to withdraw funds beyond the first business day. Then, the funds will generally be available the second business day after the day of the deposit.

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If you need further assistance or information, please contact an AmeriState account representative at (800) 522-4079.