*The Social Security Number/Tax ID Number shown above is my correct Social Security Number/Tax ID Number.
I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding.
I am an exempt recipient under the Internal Revenue Service Regulations.
I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.
*I certify under penalties of perjury the statements checked in this section are true.
*I authorize T Bank to obtain a copy of my current credit report as a condition of acceptance of this application and for the purpose of extension of or renewal of credit.
I would like to access this account through Online Banking.
Please check one of the following options:
By checking this box, I agree that I would like to receive all terms and conditions, periodic statements and notices in a paperless, electronic form online for this account. Upon the initial logon to retrieve my statement, I will be asked to agree to the terms and conditions and that I have the necessary software to access my statements online. If you select this option, we will send an email reminder to the email address you provide when your statement becomes available to access online.
By checking this box, I choose to receive all terms and conditions, periodic statements and notices via the U.S. mail for this account. I may choose, at a later date, to receive these items online by contacting T Bank.
*By checking this box, I agree that I have reviewed and agreed to the terms and conditions of the T Bank Internet Banking Agreement (Online Banking Disclosure). Then, click Submit to send your application to us for review. We'll process your application and send you the terms and conditions for your account via the U.S. Postal Service.