DEPOSIT ACCOUNT APPLICATION

Welcome to BSNB's online deposit account application!

Applying online is fast and easy. In order to get started, please provide your zip code. BSNB accepts online applications from within our market area.

 DEPOSIT ACCOUNT APPLICATION

Your zip code appears to be outside of BSNB's market area of Saratoga County, NY and surrounding communities. If you would like to speak with a representative about your specific situation, please contact us at 518 885-6781, Monday through Friday 8:00am to 6:00pm and Saturday from 9:00am to 1:00pm.

 DEPOSIT ACCOUNT APPLICATION

Please indicate whether you intend to apply for an individual or joint account.  Applicants for joint accounts should complete the applicable secondary account owner sections of the application. You must be a U. S. Citizen with a U.S. address residing within our market area and have a valid Social Security number to apply online.

RED asterisk(*) by field name indicates required field

APPLICATION INFORMATION

Application for*:   Checking Savings Money Market Certificate of Deposit

Application Type*: Individual    Joint

PRIMARY ACCOUNT OWNER
First Name*, MI, Last Name*, Suffix D.O.B.*: (MM/DD/YYYY)
Present Street Address *
Please do not enter a P.O. Box unless you are currently serving in the military.
  City:   State: ZIP:
Number of Years at this address*: yrs. mos. Own/Rent:
Former Street Address
Please provide if less than 2 years at present address.
  City:   State: ZIP:
Number of Years at this address: Own/Rent:
Driver's License Number*:     State Issued*: Social Security Number*:
Date DL Issued*: (MM/DD/YYYY)     Date DL Expires*: (MM/DD/YYYY) Email Address*:

Phone Number*:
Home:     Cell:     Work:

Best Time to Call*:    Preferred Phone Number to call*

Primary Account Owner Employment

Position/Title:
Years employed in this line of work or profession: yrs.
Years on this job: yrs. mos.
Name of Employer:
Street Address:
City:   State: ZIP:
SECONDARY OWNER (for Joint Account)
First Name*, MI, Last Name*, Suffix D.O.B.*: (MM/DD/YYYY)
Present Street Address


*
Notice: Please do not enter a P.O. Box unless you are currently serving in the military.
  City:   State:   ZIP:
Number of Years at this address*: yrs. mos. Own/Rent:
Former Street Address
Please provide if less than 2 years at present address.
  City:   State:   ZIP:
Number of Years at this address: Own/Rent:
Driver's License Number*:   State Issued* Social Security Number*:
Date DL Issued*: (MM/DD/YYYY)     Date DL Expires*: (MM/DD/YYYY) Email Address*:
Phone Number*:
Home:     Cell:     Work:

Best Time to Call*:    Preferred Phone Number to call*

Joint Account Owner Employment

Position/Title:  
Years employed in this line of work or profession:
yrs.
Years on this job: yrs. mos.
Name of Employer:
Street Address:
City:   State:   ZIP:
ACCOUNTS DESIRED

For information on BSNB’s products and services, click any of  the following links.

To apply for deposit account(s), check one or more of the choices below*:

Basic Checking Senior Checking Free Direct Checking GoChecking
Premier Checking VIP Money Market Investment Account Diamond Money Market Investment Account Premier Money Market Investment Account
Statement Savings Looney Tunes Savings Certificate of Deposit  

Initial account disclosures for each selected deposit account will be emailed to account owner(s) using the email addresses provided within this application prior to the opening of any accounts.

ACH Funding Amount of Initial Deposit(s)*  $ Checking
$ Savings/Money Market
$ Certificate of Deposit
$ Total Initial Deposit
Bank Routing and Account Number BSNB is authorized to initiate a transfer from to open new deposit account(s) * Routing #: Account #:
ACH FUNDING AUTHORIZATION:
(I/We authorize BSNB to initiate an ACH charge for the total initial deposit amount from the bank routing and deposit account number shown above. If the funding account is with BSNB, an internal transfer is authorized.)
CHECK THE ADDITONAL SERVICES BELOW TO APPLY FOR:

ATM/DEBIT CARD
(If desired, cards can be restricted for ATM use only. Please inform the bank representative of your preference during the initial call.)

Learn More »

SAVINGS OVERDRAFT TRANSFER
(Automatically transferring funds from a savings account to prevent overdrawing your checking account.)

Learn More »

After submitting this application a BSNB employee will call you within one business day to confirm the information contained in this application. During this call you’ll be asked to arrange a convenient time to visit a branch location of your choice to sign signature cards, provide proof of identity, order checks and/or ATM Debit Cards and/or complete the savings overdraft transfer documentation. Account signature card(s) are available for signing within three business days of application.

If you have any questions, please contact us at (518) 885-6781, or through our online guestbook. Thank you for choosing BSNB.

If the application is approved, what branch is most convenient for you?*

Attachments

To further expedite your application, please attach a copy of your driver’s license.

If there are any other attachments that you feel would be beneficial, you may securely attach them here. If specific documents are required for processing your request, we will be in contact with you following our receipt of your application.  (Allowed file types include: doc, docx, pdf, zip, rtf, tif, jpg, and gif)

IMPORTANT: Maximum combined file size of 5MB
Internet Explorer users, you may receive an Active X warning when selecting files. This is our form checking the size of your upload files, and is normal. Please click Yes.

General Comments

How Did You Hear About Us?

Disclosure

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 to you: When you open an account, or apply for a loan, we will ask 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.

Certification: 

– I agree to the following:
I(we) certify that I(we) are at least 18 years of age and have accurately and fully completed all items on this application. Under penalties of perjury, I(we) certify that: The social security number(s) (SSN) shown above are correct; and that I (we) are a U.S. person.

Please note, this application is subject to verification and approval. In order for us to process your application correctly, we will contact the primary account owner by telephone to verify the information provided and may request additional documentation. When you submit this application, you also agree that this Institution reserves the right to review your eligibility through an authorized third party service provider. 

By typing in the owner's name and clicking the submit button below, I(we) hereby certify that everything stated above is correct.

 

*Primary Account Owner's Signature     *Date

*Secondary Account Owner's Signature