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Online Banking Application

    To sign up for Business Internet Banking, please complete the enrollment form below. An authorized signature is required for Internet Banking Service to be established. If you choose to submit the form on-line, an authorization form will be sent for your signature.

    To request Cash Management with Positive Pay and/or ACH Origination Services, please contact an Electronic Service Representative.

  • Are you a new user?

    OK Are you a new user? is required

Company Information

  • OK Company is required
  • Optional OK Primary Contact Name for Account is required
  • OK Tax ID Number is required
  • OK Phone is required
  • OK Email is required

Address Information

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Requested Services

  • Services

    OK Services is required
  • (Multi-User Access includes 10 Bill Pay Transactions if Business Bill Pay is selected.)

    Select for Optional Business Bill Pay. This will provide an enrollment link within your online access.

    OK Business Bill Pay is $5.95 per month for the first 10 payments - additional payments $0.50 each. First 3 months are Free. Cash Management users will not incure the $5.95 base fee; however, the additional payments fee will apply. is required
  • OK Charge All Fees to Account # is required

Primary Account Information

  • OK *Primary Account Number is required
  • OK Type of Account is required
  • *Indicates Primary Checking Account from which charges you incur will be debited. All accounts with the same TAX ID# will be automatically linked for access. You must be an authorized signer on each of these accounts.

Other Accounts

  • Optional OK Account Number (2) is required
  • Optional OK Type of Account (2) is required
  • Optional OK Account Number (3) is required
  • Optional OK Type of Account (3) is required
  • Optional OK Account Number (4) is required
  • Optional OK Type of Account (4) is required
  • Optional OK Account Number (5) is required
  • Optional OK Type of Account (5) is required
  • Optional OK Account Number (6) is required
  • Optional OK Type of Account (6) is required
  • Optional OK Account Number (7) is required
  • Optional OK Type of Account (7) is required

User Information

    The Company Online Banking Administrator will define the allowed transactions for the Company's end-users using the financial institution's Online Banking system. All entries shall be conducted via the financial institution's Online Banking system in accordance with the instructions provided either by the system or institution representatives.

  • OK Online Banking Adminstrator Username is required
  • Optional OK Additional Username (2) is required
  • Optional OK Additional Username (3) is required
  • Optional OK Additional Username (4) is required
  • Optional OK Additional Username (5) is required
  • Optional OK Additional Username (6) is required
  • Optional OK Additional Username (7) is required

Signatures

    By signing below, I hereby authorize First State Bank to issue a temporary password for my account which must be changed upon first entry into the system. I understand that I am responsible for the security of my password and that I will not allow anyone else to obtain this password. I understand that I may change my password from time to time to maintain security. First State Bank reserves the right to terminate the use of my Online Banking Service or Bill Payment Service at any time.

Security Code

  • OK is required

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