Field of wild flowers

Business CDARS Application

Please fill out the fields in the form below.
One of our representatives will contact you within one business day to complete the process.

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Business Information

Contact Name

Permanent Address (Not a P.O. Box)

Use residential address for mailing address

Yes No

Mailing Address (if different than above)

Contact Information

How would you prefer to be contacted?

How would you prefer to be contacted?

Phone Mail Email
When is the best time to arrange an appointment?

When is the best time to arrange an appointment?

Morning Lunchtime Afternoon

First State Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.