Solera National Bank Business Promo

Solera National Bank
US Patriot Act

Important Information About Your New Account

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

What This Means for You

When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We require a form of identification and may ask for additional identifying documents. In all cases, protection of our customers' identity and confidentiality is our pledge to you.
Acknowledgement

Account Type
Select the following account type(s)
Select one of the following Checking Accounts
Select one of the following Money Market Accounts

Business Details

Please complete the following section about your business:
Entity Name
Business Tax ID
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Business NAICS Code
(if unknown please visit www.census.gov/naics/ to determine your Business NAICS code)
Provide a detailed description of the business operations:
Estimated Annual Revenue
Format example: $2,500.00
Entity Type
Is this business, either directly or indirectly, involved in the Marijuana industry?
Is this business, either directly or indirectly, involved in any of the following industries or activities?

• Casinos or card clubs

• Securities or commodities firms (e.g., brokers/dealers, investment advisers, mutual funds, hedge funds, or commodity traders)

• Money services businesses (MSBs)

• Insurance companies

• Loan or finance companies

• Operators of credit card systems

• Other financial institutions (e.g., dealers in precious metals, stones, or jewels; pawnbrokers)

• Cash-intensive businesses (e.g., convenience stores, restaurants, retail stores, liquor stores, cigarette distributors, privately owned ATMs, vending machine operators, or parking garages)

• Nongovernmental organizations (NGOs) or charities

• Professional service providers (e.g., attorneys, accountants, doctors, or real estate brokers)

Business Ownership
Name

First NameLast Name
Social Security Number
Country of Citizenship
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email Address
example@example.com
Preferred Contact Method
Beneficial Ownership: What Percentage of Ownership Per Signer
Employer(s)
*if Self-Employed please supply the business name and your title
Position(s)
*if Self-Employed please provide position within the position
Security Questions

Please select your preferred security questions from the options provided. These will be used to help verify your identity.
1. Security Question
1. Answer
2. Security Question
2. Answer
3. Security Question
3. Answer
Customer Acknowledgement and Consent

By submitting your new account application, you are consenting to a ChexSystems verification for both you and your business.
Signature

Additional Signer
Will there be an additional Signer?

Additional Signer Information
US Patriot Act

Important Information About Your New Account

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

What This Means for You

When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We require a form of identification and may ask for additional identifying documents. In all cases, protection of our customers' identity and confidentiality is our pledge to you.
Acknowledgement
Name

First NameLast Name
Social Security Number
Country of Citizenship
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email Address
example@example.com
Preferred Contact Method
Beneficial Ownership: What Percentage of Ownership Per Signer
Employer(s)
*if Self-Employed please supply the business name and your title
Position(s)
*if Self-Employed please provide position within the position
Security Questions

Please select your preferred security questions from the options provided. These will be used to help verify your identity.
1. Security Question
1. Answer
2. Security Question
2. Answer
3. Security Question
3. Answer
Customer Acknowledgement and Consent

By submitting your new account application, you are consenting to a ChexSystems verification for both you and your business.
Signature

Relationship
Relationship Manager
Name
If "Other" is selected in the options above.

Document Upload/Citizenship Type
Citizenship Type
Please upload the following documents to this secure application

Business Documents
- LLC
  - Articles of Organization
  - Operating Agreement
  - EIN
- Corporation (C Corp)
  - Articles of Incorporation
  - Corporate Resolution
  - EIN
- S Corporation (S Corp)
  - Articles of Incorporation
  - Corporate Resolution
  - EIN
- Partnership
  - Partnership Agreement
  - EIN
- Sole Proprietorship
  - Trade Name Certificate
  - EIN
- Trust Account
  - Trust Agreement
  - Certificate of Trust
  - EIN
- Estate
  - Letters Testamentary or Letters of Administration
  - EIN
Personal Documents
- Government-issued photo ID (current)
- Include for Each Signer on the Application
- Permanent Resident Card (Form I-551)
- Social Security Card
- Goverment-issued Photo ID
- Individual Taxpayer Identification Number (ITIN)
- Proof of U.S. Address
- W8BEN
File Upload

Cancelof
Additional Notes - Please place any additional notes for your Relationship Manager
Should be Empty:

Solera National Bank

Account Type

Business Details

Business Transaction Volume

Business International Transaction Volume

Business Ownership

Security Questions

Customer Acknowledgement and Consent

Additional Signer

Additional Signer Information

Security Questions

Customer Acknowledgement and Consent

Relationship

Document Upload/Citizenship Type