Deposit Account Application › Baraboo State Bank

Welcome!

Applying is fast and easy!

You will need the following information in order to complete the application:

Your complete physical and mailing address
Your Social Security Number
Driver's License/Government issued ID/State ID

Please understand that this form is not opening an account. After submitting the information required below, you will be asked to come into one of our branch locations to verify your identity in order to complete the account opening process.

Important Information About Procedures for Opening a 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 may also ask to see your driver's license or other identifying documents.

Please fill out this secure form. By submitting this application, you agree that Baraboo State Bank may contact you at any phone number or email address that you provide.

All Fields are Required (Indicated by *)

Account Type Interested In: *

Check here for Individual or Co-Applicant Account *

Individual

Co-Applicant

Individual Applicant Information

First Name *

Middle Initial

Last Name *

Street Address *

City *

State *

Zip Code *

Mailing Address Same as Street Address

Mailing Address

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip *

Social Security # *

Date of Birth *

Driver's License # *

Driver's License State *

Driver's License Issue Date *

Driver's License Expiration Date *

Phone Number *

Mother's Maiden Name *

Email *

Employer *

Occupation *

Work Phone # *

Co-Applicant Information