Secure Online Banking Login

Enroll Now

FNBR Online Account Application

          

NOTICE: 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.
 

Customer Information:

First Name:

Middle Init:

Last Name:

SSN:

Alien ID #:

Physical Address:

Mailing Address:

City:

State:

Zip: 

Drivers Lic. #:

  State: 

Date of Birth:

Mother's Maiden Name:

E-Mail:

Daytime Phone:

( )

Evening Phone: ( )

Employer Name:

Employer Address:

City:

State:

  Zip: 

Employer Phone #:

 

Household Income:  (Optional) 

Yes, I would like to apply for a VISA check card (that also functions as an ATM card) for this checking account.

I UNDERSTAND THAT THIS IS AN APPLICATION FOR AN ACCOUNT WITH FIRST NATIONAL BANK OF THE ROCKIES.  SUCH APPROVAL WILL INCLUDE AN INQUIRY INTO MY CREDIT HISTORY THROUGH ONE OF THE MAJOR CREDIT BUREAUS AND PAST BANKING RELATIONSHIPS.

Joint Account Holder Information (if applicable):

First Name:

Middle Init:

Last Name:

SSN:

Physical Address:

Mailing Address:

City:

 

State:

Zip: 

Drivers Lic. #:

  State: 

Date of Birth:

 

Daytime Phone:

 

Yes, I would like to apply for a VISA check card (that also functions as an ATM card) for only the joint owner.

I UNDERSTAND THAT THIS IS AN APPLICATION FOR AN ACCOUNT WITH FIRST NATIONAL BANK OF THE ROCKIES.  SUCH APPROVAL WILL INCLUDE AN INQUIRY INTO MY CREDIT HISTORY THROUGH ONE OF THE MAJOR CREDIT BUREAUS AND PAST BANKING RELATIONSHIPS.

Initial Deposit Information:

Initial Deposit:

 

   

Deposit Type:

 

Wiring Instructions:

First National Bank of the Rockies
ABA # 1021 01 548
Credit (Your Name)
ATT:  New Accounts

If your initial deposit is made with a VISA/Mastercard, please complete the following fields.  Your account will not be charged until your application has been approved.

Card Number:

 

Expiration Date:

 

Certificate of Deposit and IRA Initial Deposit Information:

Certificate Amount:

 

   

Deposit Type:

 

Wiring Instructions:

First National Bank of the Rockies
ABA # 1021 01 548
Credit (Your Name)
ATT:  New Accounts

If your certificate amount is made from savings, checking or multiple accounts, please complete the following fields.

Account Number:

 

Amount:

 

Account Number:

 

Amount:

 

If your certificate amount is made with a VISA/Mastercard, please complete the following fields.  Your account will not be charged until your application has been approved.

Card Number:

 

Expiration Date:

 

Backup Withholding Certification:

Taxpayer ID:

 

Leave blank if same as your SSN.

Taxpayer ID Number - The Taxpayer Identification Number shown above is my correct identification number.

Backup Withholding - I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding.

Exempt Recipients - I am an exempt recipient under the Internal Revenue Service Regulations.

Nonresident Aliens - I am NOT a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.

Alien ID Number:

 

Signature Card:

Account Ownership Designation:

 

Primary Beneficiary Name:

 

Relationship:

 

Deposit Account Type:

 

For Certificates of Deposits and IRA's your account disclosures will be mailed to you, along with a receipt for your certificate.

By signing below, I agree to the Terms and Conditions of First National Bank of the Rockies. 

   

Account Disclosures:

The following represent the various disclosures for the accounts you are applying for.  It is important that you review these.  By clicking on the documents listed below a new windows will appear so you may view and print the Disclosures for your records.

Truth in Savings Disclosure
(Rate and Fee Schedule) Account Type:

 

Terms and Conditions of Your Account
Privacy Policy
Notarized ID Documents Form - Must be completed and included with the application

Please be sure that all of the information is correct before printing your application.

 

Signature:

Date:

 
 
 

Joint Signature:

Date:

 
 
 

Please print this application, sign it and send it to:

First National Bank of the Rockies
ATTN:  New Accounts
P.O. Box 600
Meeker, CO 81641

Accounts will not be opened until a signed and notary stamped original is received.  A completed Notarized ID Documents Form is also required.

 

 

© 2014 First National Bank of the Rockies | Site design by RSW | Powered by ProfitStars®