Application For A New Business 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 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 may
also ask to see your driver’s license or other identifying documents.
This application document acts as the signature card for the account.
For interest bearing accounts only: The interest rate you will receive on your account is established at the time of the Bank’s acceptance of a completed and approved application along with our receipt of funds for the opening deposit.
Do you have a question? You can call us toll free at
(866) 762-2788. We are open Monday through Friday between 8am - 6pm Pacific Time. Or feel free to visit one of our
Financial Centers.
Business Certificate of Deposit (CD)
Days
Months
(Select only one)
Automatically Compound to CD
Direct ACH Credit to an account at another financial institution (*)
(*) Please attach a voided check or deposit slip for account verification.
Initial Deposit $
By:
Wire
Mail
In Person
(Please indicate)
Corporation
Sole Proprietorship
Joint Venture
LLC
General Partnership
Limited Partnership
Non-Profit Association
Other
Agreements
For each account holder, please complete print, sign and mail the Customer Information Profile and submit with this application.
If you wish to access your account online, please complete the Online Banking & Cash Management Agreement.
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Applicant Backup Withholding Certification
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My correct Social Security Number is shown below.
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I am not subject to backup withholding because either I have not been notified of being subject to backup withholding as a result of failure to report all interest or dividends, or the IRS has notified me that I am no longer subject to backup withholding.
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I am an exempt recipient under the Internal Revenue Service (IRS) Regulations.
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I am not a citizen or a resident of the United States. Nonresident aliens must complete and remit IRS Form W-8BEN (click link to download this form from the IRS.)
Tax Payer ID Number / Social Security Number:
Under penalties of perjury, I certify that (1) the social security number indicated above is my number and (2) I am not subject to backup withholding as a result of failure to report all interest or dividends, or the IRS has notified me that I am no longer subject to backup withholding, (3) I am a U.S. Citizen (includes a U.S. resident alien). 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.
Applicant Signature: _____________________________________________ Date: ___________
Information
I understand that this is an application for an account with Pacific Mercantile Bank and is subject to approval. Everything that I have stated in this account application and applicable agreements is/are correct to the best of my knowledge. You are authorized to verify credit, employment history, inquire into past banking relationships and/or order a credit report form a credit reporting agency. My original signature must be on file before the account can be opened.
All authorized account holder signatures must be present on this form:
Applicant Signature:
Printed Name: _________________________________________ Date: ___________
Applicant Signature:
Printed Name: _________________________________________ Date: ___________
Applicant Signature:
Printed Name: _________________________________________ Date: ___________
Applicant Signature:
Printed Name: _________________________________________ Date: ___________
Instructions
In addition to the original signed application, you will need to send copies of all documents that are needed to identify you.
- Please include a legible copy of your driver’s license.
- Although we will send mail to a PO Box, we do need your physical street address on file.
- For a trust account, please provide the Certification of Trust form with this application.
Without proper documentation your account will
not be opened/or will be
closed and the
funds returned without interest. Copies or faxes copies of the signed account application will not be accepted.
Pacific Mercantile Bank
Central Operations/CD Desk
949 South Coast Drive, 3rd Floor
Costa Mesa, CA 92626
