APPLICATION FOR PERSONAL ACCOUNTS
Instructions For Filing Account Application:
- Complete the application below. Please provide all requested information.
- Print the completed application and sign in the space provided. All account owners must sign.
- Copies of two forms of identification are
required for each account owner. One of the ID's provided for each account
owner must contain a photo, such as a driver's license or passport.
Expired identification cards and copies of credit cards are not acceptable.
- Mail completed application with a photocopy of your two forms of identification together with your check
for the opening deposit to:
|INTERVEST NATIONAL BANK
One Rockefeller Plaza, Suite 400
New York, NY 10020-2002
|INTERVEST NATIONAL BANK
625 Court Street
Clearwater, FL 33756-5528
The minimum deposit required to open a certificate of deposit is $2,500 ($1,000
for IRA CD's).
The minimum deposit required to open a money market account and IRA money
market account is $1,000. We will open your account upon receipt of your
deposit and the required copies of your identification. We cannot hold or guarantee rates. Rates are
subject to change without prior notice. If you wish to check current rates, click here.
You may fax your application to us and have the funds sent via wire transfer if you wish to open your
account immediately. Funds received after 2 P.M. will be processed on the next business day. An
incoming wire charge of $15.00 will be deducted from your opening deposit.
Provide the following wiring instructions to your bank/broker:
For New York Accounts (fax 212-218-8390):
For Florida Division Accounts (fax 727-441-4784):
We will send you the appropriate account
documentation after your account is opened and the required account
documentation is received by us. Failure to provide the required information may
result in a delay in opening your account or your initial deposit may be
Thank you for banking with Intervest National
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 all 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
will also ask to see your driver's license and other identifying
documents so that a copy may be placed in your customer file for future
reference. This information is not shared with anyone other than with
Bank personnel who are required to know this information to service you
Choose Interest Option:
Select Type of Account
Primary Account Owner Information:
Joint Account Owner Information (if applicable):
Acknowledgement: By signing
below, I (we) agree to the terms and conditions of your deposit
accounts, Electronic Funds Transfer Disclosure, the Funds Availability
Disclosure, the Truth in Savings Disclosure, the Service and Fees
Schedule, the ATM User Precautions and acknowledge receipt of same.
for complete disclosures.
understand that this is an application for an account with Intervest
National Bank and is subject to approval. Such approval process may
include a review of my (our) credit history, employment verification
and an inquiry into my (our) past banking relationship. I authorize
INTERVEST NATIONAL BANK to obtain
a copy(ies) of my(our) current credit report, if required, as a
condition of acceptance of this account application.
W-9 Certification: Please read entire
statement before signing. Check all
I certify under penalties of perjury the statements checked in this section are true.
SEE OUR DISCLOSURES