EvaBank

Individual or Joint By 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 # *

Home Phone #

Work Phone #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent — * Subsequent use of your information will be in accordance with our privacy notice, which will be emailed to you as part of the application process. EvaBank may also use this information to contact you by means of phone call or email to assist with the completion of the application process. EvaBank will also email you other relevant documents and disclosures for your review during and after the application process.

SECURITY

Please select a security question from the dropdown and provide your answer

Security Question:*

Answer *

IDENTIFICATION

Social Security # *

Date of Birth *

Employer *

Occupation *

Number of Years*

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

Authorization —* I authorize EvaBank 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 EvaBank products and services requested by me and that it will remain in force for the duration of my association with EvaBank.

Under penalties of perjury, I certify that:*
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN.

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

PERSONAL INFORMATION (Joint Applicant)

First Name *

Middle Initial

Last Name *

Suffix

PHYSICAL ADDRESS (Joint Applicant)

Physical address the same as the primary's physical address?*

Yes

No

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Joint Applicant)

Mobile Phone # *

Work Phone #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent —* I authorize EvaBank 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 EvaBank products and services requested by me and that it will remain in force for the duration of my association with EvaBank.

IDENTIFICATION (Joint Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

Number of Years*

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

Authorization —* I authorize EvaBank 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 EvaBank products and services requested by me and that it will remain in force for the duration of my association with EvaBank.

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 and agree to the Deposit Account Agreement Disclosures and the Schedule of Fees

If you have trouble viewing, printing or downloading the account information, please call 256-255-2000.

CANCEL & EXIT PREVIOUS STEP CONTINUE

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:EvaBank
Attention: Deposit Administration
1710 Cherokee Ave. SW
Cullman, AL 35055

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

CANCEL & EXIT PREVIOUS STEP SUBMIT APPLICATION

APPLICATION REQUIREMENTS

PERSONAL IDENTIFICATION

Step 1 — Get Started

Step 2 — Account Setup

Step 3 — Personal Information

Step 3A — Joint Applicant

Step 4 — Identity Documents

Step 5 — Terms & Conditions

Step 6 — Final Steps