Business Account Application

Please note: profit organizations or entities (such as corporations, partnerships, limited liability companies, business trust, etc.) are not eligible for NOW or Super NOW accounts.

What percentage of your gross revenue is derived from money services (for example, check cashing, selling or redeeming travelers checks, money transmission)? *

Check all that apply Local County Residents Multi-state area residents Local statewide residents USA citizens International Customers, regardless of citizenship

Please describe your primary target market and any other customer groups to whom you market your services to. *

Check all that apply * General Business License Check Cashing Business License Special Purpose Business License Money Transmitter License Other Business License Not Applicable

This includes but is not limited to: general retail sales of CDB Oil, Dispensary Sales of CBD oil, Pharmacy Sale of CBD oil, Online sales of CBD oil and Hemp producers of fibers, textiles, seed, meal, oil, imports or exports.

Does the source of any of your funds come from a marijuana related business(es) or product(s)? * Yes No

This includes but is not limited to: adult or medical use, retail, processing, cultivation, testing, operations that support marijuana businesses, landlords of a marijuana business, etc.

How many ATMs? *

How much cash does the ATM hold? *

Monthly # of withdrawals for each machine? *

Monthly $ withdrawal amount for each machine? *

What are the physical locations of those ATMs? *

Source of cash replenishment for each ATM such as normal business, other ATM vendor, etc. *

What types of banking services do you expect to use at our financial institution on a monthly basis?

Fill out to the best of your ability. This is to help us get an idea of the type and amount of activity on your account.

We will contact you upon receiving your application to schedule a time that is convenient to finish account opening procedures.

I am aware that I will be required to provide a copy of my Photo ID and social security card, along with EIN verification documentation before account opening.*

By submitting this application, I certify that I gave truthfully and fully provided the information required and that I am at least 18 years of age and live in the U.S.

The purpose of this questionnaire is to begin the application process. All applications are subject to approval.

By entering my name below, I hereby give the electronic equivalent of my signature.