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  • ACKLEY
    650 Main St, Box 149 - Ackley

  • CONRAD
    103 E Center St, Box 400 - Conrad

  • GENEVA
    408 Front St - Geneva

  • GRUNDY CENTER
    529 G Ave, Box 246 - Grundy Center

  • GRUNDY CENTER LOAN BANK
    510 F Ave, Box 246 - Grundy Center

  • IOWA FALLS
    315 Main St - Iowa Falls

  • MANCHESTER
    300 E Main St, Box 439 - Manchester

  • MARSHALLTOWN
    2504 S 2nd St, Box 736 - Marshalltown

  • STORY CITY
    629 Broad St, Box 128 - Story City

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Deposit Account Application Form

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RC CODES
Borrower Section

Type of Deposit Account

  • Please check all of the applicable accounts you would like to open. If you don't currently know what account you would like to open just leave this section blank and a bank representative can discuss with you the available options.

Applicant

  • Current Residence

  • Current Residence State

  • Previous Residence

    • Second Residence State

    Previous Residence

    • Third Residence State

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Coborrow Section

Co-Borrower

    • Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Authorization

By signing below, I certify that everything I have stated in this Application is correct to the best of my knowledge, you agree that we may verify credit record by any means necessary, including preparation of a credit report by a consumer reporting agency. If signing on behalf of a business or other entity, you also acknowledge that we may verify the creditworthiness of that entity.

All information is confidential and is intended to better serve our customer's needs. Thank you!