Account Type: CH = Checking MMA = Money Market SAV = Savings RLOC = Revolving Line of Credit I L = Installment Loan
User Name
Account Number
Type
If View Only is selected no other access may be set
1)
Payroll EFT Tax Pay
Wire Transfers ACH View Only
2)
Payroll EFT Tax Pay Wire Transfers ACH View Only
3)
Payroll EFT Tax Pay Wire Transfers ACH View Only
4)
Payroll EFT Tax Pay Wire Transfers ACH View Only
5)
Payroll EFT Tax Pay Wire Transfers ACH View Only
6)
Payroll EFT Tax Pay Wire Transfers ACH View Only
7)
Payroll EFT Tax Pay Wire Transfers ACH View Only
8)
Payroll EFT Tax Pay Wire Transfers ACH View Only
9)
Payroll EFT Tax Pay Wire Transfers ACH View Only
Please Note: You must be an authorized signer on each of these accounts.
Bank Information (To Be Completed by the Bank)
New
Date
Existing Since
Officer
Branch
SIGNATURES: By signing below, I hereby authorize THE BANK to issue a temporary password for my account which must be changed upon first entry into the system. Customer understands that Cash Management can only be accessed by the FIRST computer used to log in. Customer can change which computer has Cash Management access by contacting the bank representative in charge of Customer’s Cash Management accounts. ACH use if given in connection with and made subject to the ACH Agreement.
Applicant Signature: Date:
Joint Applicant Signature: Date:
Joint Applicant Signature: Date:
Joint Applicant Signature: Date:
For Additional Users and Accounts
User Name
Account Number
Type
If View Only is selected no other access may be set