New Era Bank

Are you currently an active customer at New Era Bank?* Existing customers can save time with pre-filled personal information.

New Customer

Existing Customer

Resume Application

Are you a U.S. Citizen?* By selecting Yes, you are confirming that you are a U.S. citizen or legal resident alien with a valid Social Security #.

Yes

No

Social Security # *

Account # *

Account Type *

Application ID

Zip Code *

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Individual or JointBy selecting Joint, you are confirming that your joint applicant has authorized you to apply for a joint account in both your names.

Individual

Joint

PERSONAL INFORMATION (Applicant)

First Name *

Middle Initial

Last Name *

Suffix

PHYSICAL ADDRESS

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Mailing Address same as Physical Address?*

Yes

No

MAILING ADDRESS (Primary)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION

Mobile Phone # *

Work Phone #

Extension

Preferred Method of Contact *

Email Address *

Confirm Email Address *

IDENTIFICATION

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

PAYABLE ON DEATH BENEFICIARY

A payable on death account (POD), allows for any money remaining in the account to pass directly to the named beneficiary in the event of the account owner’s death.

Do you want a POD (Payable on Death)?

Full Name (Primary) *

Beneficiary SSN *

Full Name (Second) *

SSN *

Full Name (Third) *

SSN *

Full Name (Fourth) *

SSN *

Will you be making any of the following:

Automatic Deposits

Automatic Withdrawals

Purchas money orders/cashiers checks

Cash Deposits or Withdraws

Authorization —* I authorize New Era Bank to verify all information provided and to obtain additional information regarding my personal financial history from a consumer reporting agency or agencies and/or other financial institutions. I understand that this information will only be used in conjunction with New Era Bank products and services requested by me and that it will remain in force for the duration of my association with New Era Bank.

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PERSONAL INFORMATION (Joint Applicant)

First Name *

Middle Init

Last Name *

Suffix

PHYSICAL ADDRESS (Joint Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Joint Applicant)

Mobile Phone # *

Work Phone #

Extension

Email Address *

Confirm Email Address *

IDENTIFICATION (Joint Applicant)

Social Security # *

Date of Birth *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

Authorization —* I authorize New Era Bank to verify all information provided and to obtain additional information regarding my personal financial history from a consumer reporting agency or agencies and/or other financial institutions. I understand that this information will only be used in conjunction with New Era Bank products and services requested by me and that it will remain in force for the duration of my association with New Era Bank.

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

Now the legal details — The following documents contain important information that you are entitled to receive before you consent to transact business with us. Please carefully read the disclosures and print or download a copy for your files. Acknowledge your consent to the terms by checking the corresponding boxes.

Consent to Electronic Records —* I have read the

Disclosures —* I have read the

If you have trouble viewing, printing or downloading the account information, please call 573-783-3336.

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Now let’s decide how you would like to make your first deposit.

Applicant Name

Select Account Funding Option *

Routing # *

Account # *

Account Type *

Deposit Amount *

Note — Account information must match your Name and Address.

Account # *

Deposit Amount *

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

Note — The minimum deposit for your new account is $100

MAIL CHECKS TO:New Era Bank
Attention: Deposit Administration
101 S Mine La Motte St
Fredericktown, MO 63645

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

Note — The minimum deposit for your new account is $100

VISIT A BRANCH:Please visit a local branch to deposit money into your new account.
Locations & Hours

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APPLICATION REQUIREMENTS

PERSONAL IDENTIFICATION

Step 1 — Get Started

Step 2 — Account Setup

Step 3 — Personal Information

Step 3A — Joint Applicant

Step 4 — Terms & Conditions

Step 5 — Fund Account

Step 6 — Final Steps