Personal Information
Identity Verification
Opening Deposit

Personal Information

FDIC-Insured - Backed by the full faith and credit of the U.S. Government

Kasasa Cash Back

Open Your Account

Personal Information
Identity Verification
Opening Deposit

Secure Form

This form supports TLS 1.2 encryption to protect your personal information while it is in transit.

To learn more about what we do with personal information, view our Privacy Policy

Applicant Information

Eligibility

To open an account at Alden State Bank you must reside within our market area. Before proceeding, you must input the zip code of your residence and confirm your eligibility below:

Residence Zip Code
OK Your residence is not within our market area. Thank you for considering us for your banking needs.
- By checking this box I acknowledge I am a resident in the zip code area entered above.
OK Please confirm your eligibility

We ask that you confirm your ability to download, open, and view the required Portable Document Format (PDF) files. Once you have entered the confirmation code, you may close the PDF document and continue the application process.

Click here.

Enter Confirmation Code
OK Please enter the correct confirmation code
- I/We confirm that this account will be used solely for personal, family or household use (for example, payroll deposits and personal bill payments).
OK I/We confirm that this account will be used solely for personal, family or household use (for example, payroll deposits and personal bill payments). is required

Basic Info

First Name
OK First Name is required
Middle Name
OK Middle Name is required
Last Name
OK Last Name is required
Email Address
OK Email Address is required
Phone
OK Phone is required
Date of Birth
OK Date of Birth is required
Social Security Number
OK Social Security Number is required
Employer
OK Employer is required
Occupation
OK Occupation is required
Mother's Maiden Name
OK Mother's Maiden Name is required
Have you ever worked in a foreign government or are closely related to a person who has worked in a foreign government?
OK Have you ever worked in a foreign government or are closely related to a person who has worked in a foreign government? is required

Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required
- Mailing address is different (Optional)
OK Mailing address is different (Optional) is required
How long have you lived there?
OK How long have you lived there? is required

Mailing Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Previous Address

OK You must select one of the following.

Have you lived at this address for less than 2 years?
- No
- Yes
Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Identification

OK What form of ID would you prefer to use? is required

What form of ID would you prefer to use?
- Drivers license or state-issued ID
- US Passport
License Number
OK License Number is required
State
OK State is required
License Date Issued
OK License Date Issued is required
License Expiration Date
OK License Expiration Date is required
Passport Number
OK Passport Number is required
Expiration Date
OK Expiration Date is required

Tax Status

OK Please select one of the following.
- I am not subject to backup withholding. This is most common. Under penalties of perjury, I certify that 1. My Social Security number is correct, 2. I am not subject to backup withholding due to failure to report interest and dividend income, 3. I am a U.S. person, and 4. I am exempt from FATCA reporting.
- I am subject to backup withholding. You will know if this applies to you.

What is this?

If you have any questions about how to complete this section please download instructions.

Joint Applicant

OK Will this be a joint account? is required

Will this be a joint account?
- No, I am the only applicant
- Yes, I have a co-applicant

Co-Applicant Basic Info

First Name
OK First Name is required
Middle Name
OK Middle Name is required
Last Name
OK Last Name is required
Email
OK Email is required
Phone
OK Phone is required
Date of Birth
OK Date of Birth is required
Social Security Number
OK Social Security Number is required
Employer
OK Employer is required
Ocupation
OK Ocupation is required
Mother's Maiden Name
OK Mother's Maiden Name is required

Co-Applicant Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required
- Mailing address is different
Optional OK Mailing address is different is required
How long have you lived there?
OK How long have you lived there? is required

Co-Applicant Mailing Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Co-Applicant Previous Address

OK You must select one of the following.

Have you lived at this address for less than 2 years?
- No
- Yes
Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Co-Applicant Identification

OK What form of ID would you prefer to use? is required

What form of ID would you prefer to use?
- Drivers license or state-issued ID
- US Passport
License Number
OK License Number is required
State
OK State is required
License Issued Date
OK License Issued Date is required
License Expiration Date
OK License Expiration Date is required
Passport Number
OK Passport Number is required
Expiration Date
OK Expiration Date is required

Co-Applicant Tax Status

OK Please select one of the following.
- I am not subject to backup withholding. This is most common. Under penalties of perjury, I certify that 1. My Social Security number is correct, 2. I am not subject to backup withholding due to failure to report interest and dividend income, 3. I am a U.S. person, and 4. I am exempt from FATCA reporting.
- I am subject to backup withholding. You will know if this applies to you.

What is this?

If you have any questions about how to complete this section please download instructions.

By submitting this application, you agree to the Kasasa Digital Technology Terms of Use Agreement.

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 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.

By submitting this application, you agree to the Kasasa Digital Technology Terms of Use Agreement.

Personal Information

Kasasa Cash Back

Open Your Account

Secure Form

Confirm Information

Verify

Fund Your Account

Thank You!

Applicant Information

Eligibility

Basic Info

Address

Mailing Address

Previous Address

Have you lived at this address for less than 2 years?

Identification

What form of ID would you prefer to use?

Tax Status

Joint Applicant

Will this be a joint account?

Co-Applicant Basic Info

Co-Applicant Address

Co-Applicant Mailing Address

Co-Applicant Previous Address

Have you lived at this address for less than 2 years?

Co-Applicant Identification

What form of ID would you prefer to use?

Co-Applicant Tax Status