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New Account Application

Thank you for choosing to open an account with Bippus State Bank.  To apply, fill out the information below.  Once submitted, a Customer Service Representative will prepare the paperwork and will contact you to schedule a time to obtain your signature/s and make your opening deposit.  At that time you will need to provide the following documentation:

 Personal Accounts: Non-Consumer/Business Accounts:
  • Valid/Unexpired Drivers License or State ID
    • If address on DL is incorrect, also need proof of residential address
  • Proof of Social Security Number
    • Social Security Card, W-2, Tax Return
  • EIN Verification
  • Articles of Incorporation or Organization
  • Certificate of Existence
  • Valid Photo ID of all signers
Please note: The Questionnaire following the application is not needed for existing customers.  However, it is required for new customers.  If you prefer not to complete it now, the CSR will go through it with you at your appointment.

To begin, choose Personal or Non-Consumer/Business below.
* Required
Type of Account*
Personal

Account Type*

New Account Ownership*

Primary Account Owner
Physical Address
Mailing Address
Joint Account Owner/Signer
Physical Address
Mailing Address
Add an Additional Joint Signer
Second Joint Account Owner/Signer
Physical Address
Mailing Address
Add an Additional Joint Signer
Third Joint Account Owner/Signer
Physical Address
Mailing Address

Questionnaire

What brought you to Bippus State Bank?
What other banks do you have accounts with?
How often will you make deposits?
Do you/will you have any automatic:
Deposits?
Withdrawals?
Do you/will you make a lot of large (over $3,000) cash deposits or withdrawals?
Do you plan to conduct wire transfers through this account(s)?
If yes, estimated frequency is:
If yes, estimated amount of wire transfers are:
If yes, wire transfers will be:
Do you/will you use a bank-issued ATM or Debit Card?
Do you/will you use Online Banking?
Do you/will you use Bill Pay?
Do you/will you use ACH?
Do you/will you use Mobile Banking?
Will any financial transactions affecting this account originate or have a destination outside the U.S.?
Once you submit your application, you will be contacted by a CSR within two business days to schedule a brief appointment to complete the account opening process.  Your account will not be opened until all signatures are obtained, the necessary identification has been presented, and the opening deposit has been made.
Business

Account Type*

New Account Ownership*

Entity
Physical Address
Mailing Address
Signer One
Add an Additional Signer
Second Signer
Add an Additional Signer
Third Signer
Questionnaire
What brought you to Bippus State Bank?
Which of the following is your business type? (check all that apply)
What other banks do you have accounts with?
Do you have offices in other cities?
What is the purpose of the new account(s)?
How often will you make deposits?
Do you/will you have any automatic?
Deposits?
Withdrawals?
Do you/will you make cash deposits?
If yes, estimated frequency is:
If yes, estimated amount of wire transfers are:
Do you/will you make cash withdrawals?
If yes, estimated frequency is:
If yes, estimated average amount of cash withdrawals are:
Do you plan to conduct wire transfers through this account(s)?
If yes, estimated frequency is:
If yes, estimated amount of wire transfers are:
If yes, wire transfers will be:
Do you/will you use a bank-issued ATM or Debit Card?
Do you/will you use Online Banking?
Do you/will you use Bill Pay?
Do you/will you use ACH?
Do you/will you use Mobile Banking?
Do you/will you use Cash Management?
Do you/will you have a POS terminal at your business?
Do you/will you use Remote Deposit Capture?
Does your business routinely conduct transactions with foreign companies or countries?
Is your company publicly traded on a major exchange?
Do you have a proprietary ATM installed on your premises?
More Services Activites
Do you/will you perform wire/money transfer services in any amount for your customers (i.e. Western Union)?
Do you/will you cash checks for your customers in amounts greater than $1,000.00 for any person on any day in one or more transactions?
Are you/will you be the issuer of traveler’s checks, money orders, or prepaid access or gift cards for customers in amounts greater than $1,000.00 for any person on any day in one or more transactions?
Are you/will you be the seller or redeemer of traveler’s checks, money orders, or stored value cards for your customers in amounts greater than $1,000.00 for any person on any day in one or more transactions?

Required for all new accounts. Business owners or managers must sign the disclosure:

You may not use your account or any other financial service we provide for any restricted transaction or illegal purpose, including the origination, receipt, or processing of illegal Internet gambling transactions. We are required by Federal law to ask; is your business is involved in internet gambling?
Once you submit your application, you will be contacted by a CSR within two business days to schedule a brief appointment to complete the account opening process.  Your account will not be opened until all signatures are obtained, the necessary identification has been presented, and the opening deposit has been made.
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