E Statement Disclosure Agreement And Authorization Form printable pdf download

E Statement Disclosure Agreement And Authorization Form

State Bank of Mason City

123 West Elm Street, Mason City, Illinois

217-482-3285

E-Statement Disclosure Agreement

E-Statements versus Paper Statements



You may remove your accounts from E-Statements and receive paper statements at any time.



You may not receive both E-Statements and paper statements at the same time.



Your authorization will only apply to accounts listed on the authorization form.



If at any time while receiving e-statements you would like to request a paper statement you may

do so at our office however, duplicate statements fees will apply.

Accessing E-Statements



We will send your statements to the email address you provided on the authorization

form for each statement period.

Joint Account Holders



If any of the joint holders of an account enroll the account in E-Statements, that account

holder will receive E-Statements for the account, and paper statements will no longer be

sent for the account. If the other joint account holders wish to receive a statement they

must also enroll in E-Statements for the account.



If a joint account holder wishes to receive paper statements again, all of the account

holders on the account must select paper statements before E-Statements will be

replaced with paper statements

Statement Inserts



Any legal inserts (policy changes, account notices, privacy information, etc) will be included with

your E-Statements or provided in a separate mailing.

Computer Requirements



You will need a computer with internet browser software and adobe Acrobat Reader to access

you E-Statements.



You will need a valid email address enrolled to receive your E-Statement



You will need a printer if you choose to print your E-Statement.

E Statement Disclosure Agreement And Authorization Form