Application Checklist Commercial Real Estate Loan Page 24
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25New Deposit Account Business Information Form
Business Name _______________________________________________
Tax Identification Number ______________________________________
Date Established ______________________________________________
Address _____________________________________________________
City _____________________________State ______ Zip _____________
Phone __________________________ Fax _________________________
Website/Email Address _________________________________________
Type of Business ______________________________________________
Purpose of Account ____________________________________________
Market Area __________________________________________________
Anticipated Monthly Account Activity:
Cash Transactions “In” Range:
$ ______________ to $ ______________
Cash Transactions “Out” Range:
$ ______________ to $ ______________
Average Deposit Amount Range:
$ ______________ to $ ______________
Average Check Amount Range:
$ ______________ to $ ______________
Average ACH Transactions “In” Range: $ ______________ to $ ______________
Average ACH Transactions “Out” Range: $ ______________ to $ ______________
Average Domestic Wire “In” Range:
$ ______________ to $ ______________
Average Domestic Wire “Out” Range:
$ ______________ to $ ______________
Average Foreign Wire “In” Range:
$ ______________ to $ ______________
Average Foreign Wire “Out” Range:
$ ______________ to $ ______________
For Foreign Wires; List Countries _________________________________________
L:\Admin\Application Packages\Word Docs\Business Information Form.doc
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Parent category: Legal