IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law, USA Patriot Act, requires all financial institutions to obtain, verify, and record information that identifies each person who wants to open an account.

Who is this Account For?

For Individuals:
For Entities:

Identifying Information:

or

Identifying Information:

To Assist with Identifying You

Authorizations and Certifications

Under Penalties of Perjury I, the undersigned, certify that the information is true and correct and further authorize Investors Community Bank or its agents to verify the information obtained and to verify Credit and employment history and/or have a Credit Reporting Agency prepare a Credit Report on the Undersigned. If this is a business, I further certify that it does not engage in any Internet Gambling Business within the meaning of Federal Reserve Regulation GG.

Type Name
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Manitowoc Phone:
(920) 686-9998

Stevens Point Phone:
(715) 254-3400

Appleton Phone:
(920) 739-2660

Green Bay Phone:
(920) 884-1166

Call Toll Free: (888) 686-9998
Email: contact@investorscommunitybank.com