1 Contact Info 2 Applicant Information 3 Security Questions 4 Account Selection 5 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Middle Name Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 City * Required State * Required Please select a state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Northern Mariana Islands Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington U.S. Virgin Islands West Virginia Wisconsin Wyoming Zip * Required Date of Birth *Invalid Date Social Security Number *Required Phone Number *Required Applicant Information Please answer all the questions. Mailing Address * Required ID State * Required ID Number * Required ID Issue Date * Required ID Expiration Date * Required Foreign Citizen? * Required Select Yes No Employed? * Required Select Yes No Self Employed? * Required Select Yes No Current Employer? * Required Occupation? * Required Retired? * Required Select Yes No If retired, Previous Occupation? Required Security Questions Father's Middle Name? * Required City of Birth? * Required High School Mascot? * Required First Employer? * Required Mother's Maiden Name? * Required Account Selection Certificate of Deposit Term * Required Select 6 Month 12 Month 15 Month 18 Month 24 Month 30 Month 36 Month 48 Month 60 Month 66 Month 72 Month Opening Balance? * Required Account Ownership? * Required Select Individual Joint with Survivorship? Payable on Death? Other Online Banking? Required Select Yes No Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy You're done! Thank you for completing your application! You can now begin signing your closing documents. Thank you for completing your application!Your financial institution is reviewing your application and will contact you for the next steps.You can now safely close your browser window or tab. Thank you for your submission! Your financial institution will contact you for the next steps.You can now safely close your browser window or tab. © Copyright 2024 Epic River Financial, Inc. All rights reserved. Version 23.4.3.17