Business Account Form

About the Business


Business Partner(s) Information


Primary Identification

Secondary Identification

Primary Identification

Secondary Identification

Primary Identification

Secondary Identification

Authorized Signer Information


Primary Identification

Secondary Identification

Primary Identification

Secondary Identification

Primary Identification

Secondary Identification

Financial Profile
List all accounts. Submit last account statement for accounts held at other banks.

Account 1

Account 2

Business Trade References
List two major suppliers.

Supplier 1

Supplier 2

Other Business Information
If you answer yes to any of the questions below, please explain

Please Review Information

Business Information

Business Name

Contact Person

Annual Sales

Street Address

City

State

Zip Code

Mailing Address

Street Address

City

State

Zip Code

Tax Identification Number

Cell Phone

Fax Number

Email

Applied to Bank of Whittier Before?

Describe Nature of Business

Industry

Legal Designation

Date Started Business

Duration of Current Ownership

Number of Employees

Business Partner(s) Information

Business Partner 1

First Name

MI

Last Name

Street Address

City

State

Zip Code

Time at Current Address

Date of Birth

Place of Birth

Citizenship

Social Security

Cell Phone

Home Phone

Work Phone

Email

Title

Occupation

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Additional Partners will sign at a later date

Business Partner 2

First Name

MI

Last Name

Street Address

City

State

Zip Code

Time at Current Address

Date of Birth

Place of Birth

Citizenship

Social Security

Cell Phone

Home Phone

Work Phone

Email

Title

Occupation

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Business Partner 3

First Name

MI

Last Name

Street Address

City

State

Zip Code

Time at Current Address

Date of Birth

Place of Birth

Citizenship

Social Security

Cell Phone

Home Phone

Work Phone

Email

Title

Occupation

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Authorized Signer(s) Information

Authorized Signer 1

Additional Signers will sign at a later date

First Name

MI

Last Name

Residence Street Address

City

State

Zip Code

SSN

Date of Birth

Home Phone

Cell Phone

Title

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Authorized Signer 2

First Name

MI

Last Name

Residence Street Address

City

State

Zip Code

SSN

Date of Birth

Home Phone

Cell Phone

Title

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Authorized Signer 3

First Name

MI

Last Name

Residence Street Address

City

State

Zip Code

SSN

Date of Birth

Home Phone

Cell Phone

Title

Identification Type

ID Number

Exp. Date

State Issued

Identification Type 2

Passport Number

Expiration Date

Country Issued

Military Identification Number

Expiration Date

Card Type

Card Number

Expiration Date

Other Business Information

Financial Profile

Account 1

Bank Name

Address

City

State

Account Number

Account Type

Current Balance

Account 2

Bank Name

Address

City

State

Account Number

Account Type

Current Balance

Business Trade References

Reference 1

Name of Supplier

Person to Contact

Telephone Number

Reference 2

Name of Supplier

Person to Contact

Telephone Number

Business Questions

Is the business currently involved in any litigation or other legal claims?

Has the business or any principal ever declared bankruptcy?

Are there any taxes currently past due by the business or any principal?

Is the company liable on any debts not shown above?

Is firm or principal contingently liable as guarantor or endorser?